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Summary
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Two main types: intestinal and diffuse adenocarcinoma
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Many (and rare) special types according to WHO
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Heterogeneity of tumors is a big problem (morphology-based and
molecular-based; Her2/neu only focally expressed
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Some progress in molecular subtyping
- MSI and EBV related: checkpoint inhibition effective?
Institute of Pathology | Alexander Quaas
Gastrointestinal Cancer Group Cologne (GCGC)
- rare other subtypes (BRCA, ATM, POLE)
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>16 regional lymph nodes
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Regression scores after neoadjuvant treatment (e.g. Becker
et.al)
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Tumormicroenviroment