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Colorectal biomarkers imagery
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Colorectal cancer
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Each person’s colorectal cancer (CRC) is unique

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Did you know even among people with the same type of cancer, such as CRC, their cancer cells can have different biomarkers?

Cancer biomarkers are genes, proteins, or other substances that can reveal important details about a person’s cancer.

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What are some biomarkers in CRC?

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In CRC, tests might be done to look for the biomarkers listed in this chart:

Key biomarkers and their prevalence in CRC

Biomarker
Prevalence in CRC
MSS (microsatellite stability)
85%
KRAS
40%
PIK3CA
20% to 25% of colon cancers;
10% of rectal cancers
SMAD4
5% to 24%
MSI (microsatellite instability) high
15%
BRAF
8% to 10%
UGT1A1
5% to 10%
DPYD
2% to 8%
NRAS
5%
HER2
3% to 5%
NTRK
< 1%
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Colorectal biomarker testing imagery
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How is biomarker testing done?

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The gold standard for biomarker testing is lab analysis of cancer cells from a sample of the tumor tissue.

But some patients may not be able to have a sample of tumor tissue removed, due to the location of their tumors. Others may have health conditions that prevent them from undergoing the procedure. That’s where “liquid biopsies” can help.

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Liquid biopsies are another way to test for biomarkers

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This approach relies on analyzing bits of tumor material found in bodily fluids such as blood, urine, cerebrospinal fluid, or saliva. In most cases, the procedure for collecting a liquid sample is less invasive and more easily repeatable than removing a tissue sample. For CRC, liquid biopsies usually involve blood samples.

Liquid biopsies can complement or, in some cases, serve as an alternative to a tissue sample. They reveal some of the same information as tissue samples.

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Hand holding a vial of blood
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Biomarker testing helps guide treatment for CRC

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When a patient is diagnosed with colorectal cancer, it’s important to test for biomarkers as soon as possible. Early biomarker testing can show doctors how the cancer may progress over time and what treatments may be appropriate for it.

Biomarkers can inform if certain cancer therapies matching a patient’s biomarker may be available.

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A doctor explaining something to a patient
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If you have been diagnosed with colorectal cancer, remember to ACT

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A.C.T. stands for:

  • Ask about biomarker testing
  • Confirm your biomarker status with your doctor
  • Take the next steps with your health care team

For more resources, visit CRCBiomarkers.com.