Molecular diagnosis and therapy for occult peritoneal metastasis in gastric cancer patients

Shunsuke Kagawa, Kunitoshi Shigeyasu, Michihiro Ishida, Megumi Watanabe, Hiroshi Tazawa, Takeshi Nagasaka, Yasuhiro Shirakawa, Toshiyoshi Fujiwara

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

To apply an individualized oncological approach to gastric cancer patients, the accurate diagnosis of disease entities is required. Peritoneal metastasis is the most frequent mode of metastasis in gastric cancer, and the tumor-node-metastasis classification includes cytological detection of intraperitoneal cancer cells as part of the staging process, denoting metastatic disease. The accuracy of cytological diagnosis leaves room for improvement; therefore, highly sensitive molecular diagnostics, such as an enzyme immunoassay, reverse transcription polymerase chain reaction, and virusguided imaging, have been developed to detect minute cancer cells in the peritoneal cavity. Molecular targeting therapy has also been spun off from basic research in the past decade. Although conventional cytology is still the mainstay, novel approaches could serve as practical complementary diagnostics to cytology in near future.

Original languageEnglish
Pages (from-to)17796-17803
Number of pages8
JournalWorld journal of gastroenterology
Volume20
Issue number47
DOIs
Publication statusPublished - Dec 21 2014

Keywords

  • Carcinoembryonic antigen
  • Cytology
  • Gastric cancer
  • Molecular diagnostic techniques
  • Peritoneal lavage
  • Reverse transcriptase polymerase chain reaction

ASJC Scopus subject areas

  • Gastroenterology

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