Publications by authors named "Emile K W Tan"

Objectives: Despite an increase in colorectal cancer (CRC) survival, less is known about CRC-specific long-term unmet supportive needs in Asian patients. This study aimed to examine the prevalence of long-term unmet needs and identify clinical and socio-demographic factors associated with increased unmet needs in Asian CRC survivors.

Design And Setting: We conducted a cross-sectional study that assessed unmet needs using the Cancer Survivors' Unmet Needs scale.

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Microsatellite-instability-high (MSI-H) cancers form a spectrum of solid organ tumors collectively known as Lynch Syndrome cancers, occurring not only in a subset of colorectal, endometrial, small bowel, gastric, pancreatic, and biliary tract cancers but also in prostate, breast, bladder, and thyroid cancers. Patients with Lynch Syndrome harbor germline mutations in mismatch repair genes, with a high degree of genomic instability, leading to somatic hypermutations and, therefore, oncogenesis and cancer progression. MSI-H cancers have unique clinicopathological characteristics compared to their microsatellite-stable (MSS) counterparts, marked by a higher neoantigen load, immune cell infiltration, and a marked clinical response to immune checkpoint blockade.

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Article Synopsis
  • - The study analyzed over 373,000 single-cell transcriptomes from colorectal cancer patients to better understand the diversity of epithelial cells, revealing distinct genetic and gene expression differences among malignant cells.
  • - Two new intrinsic subtypes, iCMS2 and iCMS3, were identified, with iCMS3 linked to worse outcomes and encompassing both microsatellite unstable (MSI-H) and some microsatellite-stable (MSS) cancers.
  • - The research proposes a refined 'IMF' classification that incorporates intrinsic epithelial subtype, microsatellite instability status, and fibrosis, leading to five distinct subtypes of colorectal cancer.
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  • The study compares the incidence of incisional hernias after laparoscopic versus open colorectal cancer surgery, focusing on Asian patients.
  • The research included data from 502 patients who underwent surgery in 2015, with follow-up for up to three years, and found an overall hernia incidence rate of 13%.
  • Results indicated that factors like female gender, higher BMI, and ASA III/IV status were significantly associated with a higher risk of developing incisional hernias, and surgery type did not significantly affect hernia rates.
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Up-regulation of long non-coding RNAs (lncRNAs), colon-cancer associated transcript (CCAT) 1 and 2, was associated with worse prognosis in colorectal cancer (CRC). Nevertheless, their role in predicting metastasis in early-stage CRC is unclear. We measured the expression of CCAT1, CCAT2 and their oncotarget, c-Myc, in 150 matched mucosa-tumour samples of early-stage microsatellite-stable Chinese CRC patients with definitive metastasis status by multiplex real-time RT-PCR assay.

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Growing evidence indicates a role for the gut microbiota in modulating anti-tumor treatment efficacy in human cancer. Here we study mucosa-associated invariant T (MAIT) cells to look for evidence of bacterial antigen recognition in human colon, lung, and kidney carcinomas. Using mass cytometry and single-cell mRNA sequencing, we identify a tumor-infiltrating MAIT cell subset expressing CD4 and Foxp3 and observe high expression of CD39 on MAIT cells from colorectal cancer (CRC) only, which we show to be expressed specifically after TCR stimulation.

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Background: Enhanced recovery after surgery (ERAS) is a structured programme using a multimodal, evidence-based approach to improve post-operative outcomes. Successful implementation of ERAS can be challenging. We aimed to evaluate our initial experience with colorectal ERAS and explore the perspectives of specialist doctors and nurses.

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Context: Advanced colorectal cancer and its treatment can bring about challenges associated with psychological distress.

Objectives: The primary aims of this study were to examine the feasibility and acceptability of a cognitive behavioral therapy (CBT)-based intervention to improve coping with the disease. The secondary aim is to evaluate preliminary intervention efficacy.

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