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©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
Table 1 Summary of literature on factors influencing incidence and prognosis of colorectal cancer brain metastases
Factor
Incidence
Prognosis
Ref.
Advanced ageInconclusiveInconclusive[3,20-30]
SexInconclusiveInconclusive[13,22,24,28,30-33]
African American raceInconclusiveWorse[15,25]
Poor access to health insuranceInconclusiveWorse[33]
Residence in urban areasInconclusiveWorse[35]
Synchronicity with primary tumorLowerInconclusive[39-41]
Rectal primary tumorHigherWorse[4,17,20,25,26,27,33,39,43]
Right-sided primary tumorHigherWorse[4,17,25,33,43]
Tumor stageInconclusiveWorse[5,25,35,44,45]
Adenocarcinoma histologyHigherWorse[20,22,24,25,26,46-49]
CEA levelsHigherInconclusive[26,46,50]
HCMV infectionInconclusiveWorse[2,34,51]
Size of primary tumorHigherInconclusive[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 metastasisHigherWorse[18,24,22,38,44,52]
Concomitant liver metastasisHigherInconclusive[3,18,23,24,30,38,41,62,63]
Concomitant bone metastasisHigherInconclusive[5]
KPS > 70-Worse[41,42,51,52,65,66,68,69]
Higher RPA score-Worse[42,64]


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