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January 14, 2026Journal of Clinical Oncology

Using quantitative pathologic analysis to identify microsatellite stability in digitized colorectal carcinoma images: An effort to screen patients who should be tested for Lynch syndrome.

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Authors

APArchna PatelHKHeidi KosiorekNSN. Jewel Samadder

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Overview

Retrospective cohort study shows QuantCRC predicts microsatellite instability in colorectal cancer, indicating patients may need testing for Lynch syndrome.

Key Points

  • To identify differences in microsatellite stability among colorectal cancer patients using QuantCRC.
  • Conducted a retrospective cohort study at Mayo Clinic Arizona
  • Analyzed tumor characteristics using QuantCRC
  • Employed Receiver Operating Characteristic curve analysis to assess performance in identifying microsatellite instability
  • 21.5% of 5132 colorectal cancer samples were MSI/dMMR
  • 42.5% of MSI/dMMR cases had confirmed Lynch syndrome
  • QuantCRC AUC for predicting MSI/dMMR was 0.83 with 75% sensitivity and 79% specificity

Cite This Study

Patel et al. (2026) studied this question.

synapsesocial.com/papers/6966f30613bf7a6f02c00982https://doi.org/10.1200/jco.2026.44.2_suppl.93
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