Table 4

Prognostic biomarkers in colorectal cancer

BiomarkerMutation frequencyPrognosisEvidenceStatus
Microsatellite instability (MSI)15%FavourableStrongTesting available but not yet widely used
Chromosome instability (CIN)70%UnfavourableStrongNo readily available test, not in clinical use
18qLOH/SMAD4 loss50%UnfavourableModerateNo readily available test, not in clinical use
BRAF V600E mutations10%Probably unfavourableModerateTesting available but insufficient evidence to use for prognosis
KRAS codon 12/13 mutations40%Probably unfavourable in advanced diseaseLimitedTesting widely available but insufficient evidence to use for prognosis
PIK3CA mutations20%Possibly unfavourableLimitedNo readily available test, not in clinical use