©The Author(s) 2025.
World J Gastrointest Pathophysiol. Dec 22, 2025; 16(4): 110961
Published online Dec 22, 2025. doi: 10.4291/wjgp.v16.i4.110961
Published online Dec 22, 2025. doi: 10.4291/wjgp.v16.i4.110961
Table 1 Summary of literature on factors influencing incidence and prognosis of colorectal cancer brain metastases
| Factor | Incidence | Prognosis | Ref. |
| Advanced age | Inconclusive | Inconclusive | [3,20-30] |
| Sex | Inconclusive | Inconclusive | [13,22,24,28,30-33] |
| African American race | Inconclusive | Worse | [15,25] |
| Poor access to health insurance | Inconclusive | Worse | [33] |
| Residence in urban areas | Inconclusive | Worse | [35] |
| Synchronicity with primary tumor | Lower | Inconclusive | [39-41] |
| Rectal primary tumor | Higher | Worse | [4,17,20,25,26,27,33,39,43] |
| Right-sided primary tumor | Higher | Worse | [4,17,25,33,43] |
| Tumor stage | Inconclusive | Worse | [5,25,35,44,45] |
| Adenocarcinoma histology | Higher | Worse | [20,22,24,25,26,46-49] |
| CEA levels | Higher | Inconclusive | [26,46,50] |
| HCMV infection | Inconclusive | Worse | [2,34,51] |
| Size of primary tumor | Higher | Inconclusive | [2] |
| Size of BM | - | Worse | [3,28,47,52,54] |
| Number of BMs | - | Inconclusive | [16,23,41,54] |
| Location of BM | - | Inconclusive | [25,30,34,56-59] |
| Multiple extracranial metastatic lesions | - | Worse | [60] |
| Concomitant lung metastasis | Higher | Worse | [18,24,22,38,44,52] |
| Concomitant liver metastasis | Higher | Inconclusive | [3,18,23,24,30,38,41,62,63] |
| Concomitant bone metastasis | Higher | Inconclusive | [5] |
| KPS > 70 | - | Worse | [41,42,51,52,65,66,68,69] |
| Higher RPA score | - | Worse | [42,64] |
- Citation: Hutchinson HJ, Gonzalez M, Feier D, Welch CE, Lucke-Wold B. Colorectal cancer metastasis to the brain: A scoping review of incidence, treatment, and outcomes. World J Gastrointest Pathophysiol 2025; 16(4): 110961
- URL: https://www.wjgnet.com/2150-5330/full/v16/i4/110961.htm
- DOI: https://dx.doi.org/10.4291/wjgp.v16.i4.110961