Clinical features and survival of gastric cancer patients with DNA mismatch repair deficiency

J Surg Oncol. 2018 Mar;117(4):707-709. doi: 10.1002/jso.24926. Epub 2017 Dec 11.

Abstract

Patients with germline DNA mismatch repair deficiency (dMMR) have an increased risk of gastric cancer. From our institutional database, we identified 12 patients with germline dMMR gastric cancer. Ten patients (83%) underwent surgical resection, with a 5-year overall survival rate of 88%. None of the three patients who received preoperative therapy and five patients with recurrent or metastatic disease experienced a significant response to 5-fluorouracil-based chemotherapy.

Keywords: DNA mismatch repair deficiency; chemotherapy; gastric cancer; surgery; survival.

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Child
  • DNA Mismatch Repair*
  • Female
  • Fluorouracil / administration & dosage
  • Germ-Line Mutation
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Prognosis
  • Stomach Neoplasms / drug therapy
  • Stomach Neoplasms / genetics*
  • Stomach Neoplasms / surgery
  • Survival Rate

Substances

  • Fluorouracil