%0 Journal Article %T Histopathological Significance and Prognostic Impact of Tumor Budding in Colorectal Cancer %J Asian Pacific Journal of Cancer Prevention %I West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter. %Z 1513-7368 %A Mehta, Anurag %A Goswami, Malini %A Sinha, Rupal %A Dogra, Atika %D 2018 %\ 09/01/2018 %V 19 %N 9 %P 2447-2453 %! Histopathological Significance and Prognostic Impact of Tumor Budding in Colorectal Cancer %K Keywords: Tumor budding %K colorectal cancer %K Prognostic marker %R 10.22034/APJCP.2018.19.9.2447 %X Background: Colorectal cancer (CRC) is a heterogeneous disease with a complex etiology. New prognostic factorsneed to be investigated. Our present focus is on histopathological significance and prognostic impact of tumor buddingin CRC. Material and Methods: A total of 60 treatment-naive consecutive patients undergoing surgical resection ofCRCs during the period of January 2011 to December 2013 were included in the study. Details of each related to theirdemographic and tumor profile were recorded. Hematoxylin and Eosin (H and E) and pan-cytokeratin details of each“case” immunohistochemically stained sections were examined for tumor budding assessment along with clinicalfeatures. Results: The most frequent site of involvement was the rectosigmoid and sigmoid colon (31.6%). The majorityof the cases were moderately differentiated (75%), showed tumor invasion into the pericolic/subserosal fat (66.6%) andstage III (38.3%). Nodal involvement was present in 47%. Correlations between tumor budding and nodal involvement(p-value 0.039) and AJCC stage (p-value 0.021) were found to be statistically significant. Conclusion: Tumor buddingis a promising and powerful predictor of lymph nodal metastasis and a higher stage of tumor and can be used as amarker for high-risk CRC. Routine H and E staining aided by cytokeratin immunostaining allows reproducible gradingof tumor budding in CRC cases. %U https://journal.waocp.org/article_67419_aa9a26812463519d76cee9a143f525fd.pdf