Micrometastases: marker of metastatic potential or evidence of residual disease?

Abstract:

BACKGROUND:Micrometastases within bone marrow have been shown to indicate a poor prognosis in patients with epithelial tumours. However, the degree to which micrometastases represent true residual disease or cell shedding and metastatic potential, is unclear. AIM:To explore whether micrometastases represent residual disease, bone marrow taken from carefully staged patients before and after (> 6 months) "curative" resection of a primary gastrointestinal cancer was studied prospectively. PATIENTS/METHODS:Seventy two consecutive patients were studied; the only exclusions were patients with known overt metastatic disease at the time of surgery. Micrometastatic cells were quantified per 10(5) marrow cells by flow cytometry after staining for contaminant cytokeratin-18 positive cells. RESULTS:Micrometastases were detected preoperatively in 22% (16/72) of all patients, comprising 11 (23%) of 48 with colorectal cancer, five (33%) of 15 with gastric adenocarcinoma and none (0%) of nine with oesophageal squamous cancer. Although fewer metastatic cells were detected in postoperative bone marrow, and clearance of marrow deposits was evident in most patients, the persistence of micrometastases in five of 16 patients after resection, without evidence of tumour recurrence, indicates a subset with true residual disease. Detection of micrometastases postoperatively (persistent or newly developed) was significantly associated with development of overt metastases during the subsequent 12-18 months of follow up (nine of 19 patients) when compared with patients testing negative for micrometastases (eight of 53; p < 0.01). CONCLUSIONS:Preoperative detection of micrometastases may reflect either transient shedding of cells, metastatic potential or residual disease, but postoperative micrometastases indicate minimal residual disease. Identification of these patients is important because they may benefit from adjuvant therapy.

journal_name

Gut

journal_title

Gut

authors

O'Sullivan GC,Collins JK,Kelly J,Morgan J,Madden M,Shanahan F

doi

10.1136/gut.40.4.512

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

512-5

issue

4

eissn

0017-5749

issn

1468-3288

journal_volume

40

pub_type

杂志文章

相关文献

GUT文献大全
  • Motor activity recorded in the unprepared colon of healthy humans.

    abstract::A manometric method was developed to study the motor activity in the unprepared human colon, and the results in eight healthy subjects were compared with those obtained in the same subjects after bowel cleansing with a non-absorbable solution containing polyethylene glycol 4000 (PEG). A tube assembly (4.5 m long, 12 l...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.5.649

    authors: Lémann M,Flourié B,Picon L,Coffin B,Jian R,Rambaud JC

    更新日期:1995-11-01 00:00:00

  • Why portal hypertensive varices bleed and bleed: a hypothesis.

    abstract::Continued bleeding or early rebleeding is associated with a poor prognosis in patients with variceal haemorrhage. It is not clear why bleeding stops in some patients and continues or restarts in others. It is suggested that secondary haemodynamic changes in the splanchnic circulation after a bleed may contribute to th...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.36.1.100

    authors: McCormick PA,Jenkins SA,McIntyre N,Burroughs AK

    更新日期:1995-01-01 00:00:00

  • Laboratory diagnosis of gastrointestinal bleeding.

    abstract::The value of four tests to detect occult alimentary blood loss has been compared in normal subjects, in patients with and without alimentary disease, and in patients with congestive heart failure, and the sensitivities of these tests have been compared using suspensions of blood alone and blood in faeces. The Occultes...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2.1.75

    authors: Steingold L,Roberts AA

    更新日期:1961-03-01 00:00:00

  • Papaverine stimulation of prostaglandin E2 production by cultured rabbit gastric mucosa.

    abstract::Prostaglandins (PGs) are synthesised by gastric mucosa, and have been shown to inhibit gastric acid secretion and ulcer formation in man and experimental animals. Recently exogenous PGs, mainly of the E group, have been used for the treatment of peptic ulcer disease. We therefore searched for a drug that would stimula...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.10.882

    authors: Ligumsky M,Rachmilewitz D,Zor U

    更新日期:1979-10-01 00:00:00

  • Computer aided positioning of manometric probe in the upper digestive tract.

    abstract::A method not needing fluoroscopic control for positioning a manometric probe in the gastroduodenal tract is described. It is based on hydrostatic pressure variations occurring at each recording port of a multichannel perfused probe after changes in patient's position. The data are fed into a computer and the schematic...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.7.1007

    authors: Bortolotti M,Bersani G

    更新日期:1988-07-01 00:00:00

  • A comparison of the resection rate for cold and hot snare polypectomy for 4-9 mm colorectal polyps: a multicentre randomised controlled trial (CRESCENT study).

    abstract:OBJECTIVE:To investigate the success rate of cold snare polypectomy (CSP) for complete resection of 4-9 mm colorectal adenomatous polyps compared with that of hot snare polypectomy (HSP). DESIGN:A prospective, multicentre, randomised controlled, parallel, non-inferiority trial conducted in 12 Japanese endoscopy units....

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gutjnl-2017-314215

    authors: Kawamura T,Takeuchi Y,Asai S,Yokota I,Akamine E,Kato M,Akamatsu T,Tada K,Komeda Y,Iwatate M,Kawakami K,Nishikawa M,Watanabe D,Yamauchi A,Fukata N,Shimatani M,Ooi M,Fujita K,Sano Y,Kashida H,Hirose S,Iwagami H,

    更新日期:2018-11-01 00:00:00

  • Alterations of the PPP2R1B gene located at 11q23 in human colorectal cancers.

    abstract:BACKGROUND/AIMS:In 1998 the PPP2R1B gene encoding the A subunit of the serine/threonine protein phosphatase was identified as a putative tumour suppressor gene in lung and colon cancer in the chromosome region 11q22-24. The aim of the present study was to determine the type of alterations in primary rectal cancers as w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.47.2.268

    authors: Takagi Y,Futamura M,Yamaguchi K,Aoki S,Takahashi T,Saji S

    更新日期:2000-08-01 00:00:00

  • Five-year risk for advanced colorectal neoplasia after initial colonoscopy according to the baseline risk stratification: a prospective study in 2452 asymptomatic Koreans.

    abstract:OBJECTIVE:Postpolypectomy surveillance guidelines for colorectal cancer introduced the concept of 'risk stratification'; however, few studies have been conducted for validation of its usefulness. The aim of this study was to assess the 5-year incidence of advanced neoplasia recurrence based on the risk stratification s...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.232876

    authors: Chung SJ,Kim YS,Yang SY,Song JH,Kim D,Park MJ,Kim SG,Song IS,Kim JS

    更新日期:2011-11-01 00:00:00

  • SR-PSOX/CXCL16 plays a critical role in the progression of colonic inflammation.

    abstract:BACKGROUND AND AIMS:Inflammatory bowel disease (IBD) is initiated and perpetuated by a dysregulated immune response to unknown environmental antigens such as luminal bacteria in genetically susceptible hosts. SR-PSOX/CXCL16, a scavenger receptor that binds phosphatidylserine and oxidised lipoprotein, has both phagocyti...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.221879

    authors: Uza N,Nakase H,Yamamoto S,Yoshino T,Takeda Y,Ueno S,Inoue S,Mikami S,Matsuura M,Shimaoka T,Kume N,Minami M,Yonehara S,Ikeuchi H,Chiba T

    更新日期:2011-11-01 00:00:00

  • Effect of peptide histidine isoleucine on water and electrolyte transport in the human jejunum.

    abstract::Peptide histidine isoleucine, a 27 amino acid peptide with close amino acid sequence homology to vasoactive intestinal peptide and secretin, is distributed throughout the mammalian intestinal tract, where it has been localised to intramural neurones. An intestinal perfusion technique has been used to study the effect ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.6.624

    authors: Moriarty KJ,Hegarty JE,Tatemoto K,Mutt V,Christofides ND,Bloom SR,Wood JR

    更新日期:1984-06-01 00:00:00

  • Diversity in oat potential immunogenicity: basis for the selection of oat varieties with no toxicity in coeliac disease.

    abstract:BACKGROUND AND AIMS:Coeliac disease (CD) is triggered by an abnormal reaction to gluten. Peptides resulting from partially digested gluten of wheat, barley or rye cause inflammation of the small intestinal mucosa. Previous contradictory studies suggest that oats may trigger the abnormal immunological response in patien...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.225268

    authors: Comino I,Real A,de Lorenzo L,Cornell H,López-Casado MÁ,Barro F,Lorite P,Torres MI,Cebolla A,Sousa C

    更新日期:2011-07-01 00:00:00

  • The relation of sensation in the anal canal to the functional anal sphincter: a possible factor in anal continence.

    abstract::In normal subjects the length of the functional anal sphincter has been compared with the extent of sensation to light touch in the anal canal. At rest, the sphincteric zone was the longer. On distension of the rectum, a decrease in pressure in the anal canal so shortened the functional sphincter that intrarectal pres...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.4.2.179

    authors: Duthie HL,Bennett RC

    更新日期:1963-06-01 00:00:00

  • Selective affective biasing in recognition memory in the irritable bowel syndrome.

    abstract::The cognitive model of depression assigns a central role to negatively biased information processing in the pathogenesis of the emotional disorder. The relationship between depression and irritable bowel syndrome (IBS) was explored from a cognitive perspective. A word recognition memory task was constructed: subjects ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.9.1230

    authors: Gomborone JE,Dewsnap PA,Libby GW,Farthing MJ

    更新日期:1993-09-01 00:00:00

  • Lactate and pH in faeces from patients with colonic adenomas or cancer.

    abstract::Earlier studies have reported that faecal pH is more alkaline in patients with colonic cancer, indicating a reduction in colonic carbohydrate fermentation to organic acids. The pH of faeces from 11 pre and 14 postoperative, selected colonic cancer patients without intestinal obstruction, major loss of appetite or weig...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.5.625

    authors: Hove H,Rye Clausen M,Brøbech Mortensen P

    更新日期:1993-05-01 00:00:00

  • Controlled trial of disodium cromoglycate in chronic persistent ulcerative colitis.

    abstract::Oral disodium cromoglycate (200 mg qds) has been tested in 26 patients with ulcerative colitis that was resistant to medical treatment. In a double-blind crossover trial disodium cromoglycate and placebo were added to conventional treatment in random order, each for four weeks. There was no significant difference in t...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.19.12.1140

    authors: Buckell NA,Gould SR,Day DW,Lennard-Jones JE,Edwards AM

    更新日期:1978-12-01 00:00:00

  • Randomised placebo-controlled trial of teduglutide in reducing parenteral nutrition and/or intravenous fluid requirements in patients with short bowel syndrome.

    abstract:BACKGROUND AND AIMS:Teduglutide, a GLP-2 analogue, may restore intestinal structural and functional integrity by promoting repair and growth of the mucosa and reducing gastric emptying and secretion, thereby increasing fluid and nutrient absorption in patients with short bowel syndrome (SBS). This 24-week placebo-contr...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gut.2010.218271

    authors: Jeppesen PB,Gilroy R,Pertkiewicz M,Allard JP,Messing B,O'Keefe SJ

    更新日期:2011-07-01 00:00:00

  • Tripotassium dicitrato bismuthate (TDB) versus two different dosages of cimetidine in the treatment of resistant duodenal ulcers.

    abstract::The use of tripotassium dicitrato bismuthate (TDB) has been suggested recently for cimetidine resistant duodenal ulcers. This study compares the efficacy of TDB with two different cimetidine dosages in the treatment of duodenal ulcer patients who failed to respond to an eight week therapy with H2-blockers. Fifty two p...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.28.7.907

    authors: Bianchi Porro G,Parente F,Lazzaroni M

    更新日期:1987-07-01 00:00:00

  • Chromoendoscopy versus narrow band imaging in UC: a prospective randomised controlled trial.

    abstract:BACKGROUND:Patients with long-standing UC have an increased risk for the development of colonic neoplastic lesions. Chromoendoscopy (CE) has been proven to enhance neoplasia detection while the role of virtual chromoendoscopy (VC) is still to be defined. OBJECTIVE:To compare the performance of CE to VC for the detecti...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gutjnl-2016-313213

    authors: Bisschops R,Bessissow T,Joseph JA,Baert F,Ferrante M,Ballet V,Willekens H,Demedts I,Geboes K,De Hertogh G,Vermeire S,Rutgeerts P,Van Assche G

    更新日期:2018-06-01 00:00:00

  • Different HLA associated gene combinations contribute to susceptibility for coeliac disease and dermatitis herpetiformis.

    abstract::Forty two white patients of British or Irish descent with coeliac disease and 28 with dermatitis herpetiformis were typed for class I HLA-A, B, and C, and class II DR and DQ antigens. In coeliac disease there was a significant increase in the frequencies of A1, B8, DR3, DR7, and DQw2 compared with controls but no incr...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.5.515

    authors: Sachs JA,Awad J,McCloskey D,Navarrete C,Festenstein H,Elliot E,Walker-Smith JA,Griffiths CE,Leonard JN,Fry L

    更新日期:1986-05-01 00:00:00

  • Calcium palmitate and alpha-palmitic acid in gallstones.

    abstract::Calcium palmitate occurred in 20% of the gallstones studied in this laboratory by x-ray diffraction and was the most important crystalline constituent after the different forms of cholesterol and calcium carbonate. Only one calculus contained alpha-palmitic acid. The gallstones came from America, England, Australia, S...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.11.7.618

    authors: Sutor DJ

    更新日期:1970-07-01 00:00:00

  • Machine learning in GI endoscopy: practical guidance in how to interpret a novel field.

    abstract::There has been a vast increase in GI literature focused on the use of machine learning in endoscopy. The relative novelty of this field poses a challenge for reviewers and readers of GI journals. To appreciate scientific quality and novelty of machine learning studies, understanding of the technical basis and commonly...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gutjnl-2019-320466

    authors: van der Sommen F,de Groof J,Struyvenberg M,van der Putten J,Boers T,Fockens K,Schoon EJ,Curvers W,de With P,Mori Y,Byrne M,Bergman JJGHM

    更新日期:2020-11-01 00:00:00

  • Use and abuse of hydrogen breath tests.

    abstract::Hydrogen breath tests are widely used to explore the pathophysiology of functional gastrointestinal disorders. Small intestinal bacterial overgrowth and carbohydrate malabsorption are disorders detected by these tests that have been proposed to be of great importance for symptoms in, for instance, irritable bowel synd...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.2005.075127

    authors: Simrén M,Stotzer PO

    更新日期:2006-03-01 00:00:00

  • Comparison of the composition of faecal fluid in Crohn's disease and ulcerative colitis.

    abstract::We determined the ionic composition of faecal fluid from 13 patients with Crohn's disease limited to the colon, 10 with diffuse ulcerative colitis, and eight with ulcerative proctitis. The Crohn's and colitis groups had similar proportions of colon surface involved radiographically and similar 24 hour faecal weights. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.4.326

    authors: Schilli R,Breuer RI,Klein F,Dunn K,Gnaedinger A,Bernstein J,Paige M,Kaufman M

    更新日期:1982-04-01 00:00:00

  • Integrative analysis of array-comparative genomic hybridisation and matched gene expression profiling data reveals novel genes with prognostic significance in oesophageal adenocarcinoma.

    abstract:BACKGROUND AND AIMS:The incidence of oesophageal adenocarcinoma (OAC) has been increasing rapidly with a dismal survival rate of less than 20%. Understanding the genomic aberrations and biology of this cancer may enhance disease interventions. This study aimed to use genome-wide genomic and expression data to enhance t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.234179

    authors: Goh XY,Rees JR,Paterson AL,Chin SF,Marioni JC,Save V,O'Donovan M,Eijk PP,Alderson D,Ylstra B,Caldas C,Fitzgerald RC

    更新日期:2011-10-01 00:00:00

  • CDK1/2/5 inhibition overcomes IFNG-mediated adaptive immune resistance in pancreatic cancer.

    abstract:OBJECTIVE:Adaptive immune resistance mediated by the cytokine interferon gamma (IFNG) still constitutes a major problem in cancer immunotherapy. We develop strategies for overcoming IFNG-mediated adaptive immune resistance in pancreatic ductal adenocarcinoma cancer (PDAC). DESIGN:We screened 429 kinase inhibitors for ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-320441

    authors: Huang J,Chen P,Liu K,Liu J,Zhou B,Wu R,Peng Q,Liu ZX,Li C,Kroemer G,Lotze M,Zeh H,Kang R,Tang D

    更新日期:2020-08-14 00:00:00

  • Colorectal cancer screening with odour material by canine scent detection.

    abstract:OBJECTIVE:Early detection and early treatment are of vital importance to the successful treatment of various cancers. The development of a novel screening method that is as economical and non-invasive as the faecal occult blood test (FOBT) for early detection of colorectal cancer (CRC) is needed. A study was undertaken...

    journal_title:Gut

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/gut.2010.218305

    authors: Sonoda H,Kohnoe S,Yamazato T,Satoh Y,Morizono G,Shikata K,Morita M,Watanabe A,Morita M,Kakeji Y,Inoue F,Maehara Y

    更新日期:2011-06-01 00:00:00

  • Relation between GB virus C/hepatitis G virus and fulminant hepatic failure may be secondary to treatment with contaminated blood and/or blood products.

    abstract:BACKGROUND:The role of the recently discovered GB virus C (GBV-C)/hepatitis G virus in fulminant hepatic failure (FHF) has been debated. Although GBV-C RNA has been detected in many cases of FHF, recent data suggest that the relation between GBV-C and FHF may be accidental. AIMS:To retrospectively investigate the poss...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.44.2.274

    authors: Halasz R,Barkholt L,Lara C,Hultgren C,Ando Y,Broomé U,Fischler B,Nemeth A,Ericzon BG,Sönnerborg A,Sällberg M

    更新日期:1999-02-01 00:00:00

  • Low power interstitial Nd YAG laser photocoagulation in normal and neoplastic rat colon.

    abstract::The effects of low power (1-2 Watts), long exposure (30-400 seconds), interstitial Nd YAG laser therapy on dimethylhydrazine induced rat colonic neoplasms and normal rat colon have been studied. After a single exposure with appropriate laser parameters, dimethylhydrazine induced rat colonic neoplasms underwent coagula...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.1.27

    authors: Matthewson K,Barton T,Lewin MR,O'Sullivan JP,Northfield TC,Bown SG

    更新日期:1988-01-01 00:00:00

  • Changes in glucose tolerance and serum insulin following partial gastrectomy and intestinal resection.

    abstract::Partial gastrectomy and intestinal resection significantly impaired glucose tolerance (p < 0.05) and significantly decreased the release of insulin by intravenous glucose (p < 0.05) or a meal of minced beef (p < 0.01). There was a significantly greater release of insulin one hour after oral glucose in the gastrectomy ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.13.11.871

    authors: Wapnick S,Jones JJ

    更新日期:1972-11-01 00:00:00

  • Role of TLR4 in the gut-brain axis in Parkinson's disease: a translational study from men to mice.

    abstract:OBJECTIVE:Recent evidence suggesting an important role of gut-derived inflammation in brain disorders has opened up new directions to explore the possible role of the gut-brain axis in neurodegenerative diseases. Given the prominence of dysbiosis and colonic dysfunction in patients with Parkinson's disease (PD), we pro...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2018-316844

    authors: Perez-Pardo P,Dodiya HB,Engen PA,Forsyth CB,Huschens AM,Shaikh M,Voigt RM,Naqib A,Green SJ,Kordower JH,Shannon KM,Garssen J,Kraneveld AD,Keshavarzian A

    更新日期:2019-05-01 00:00:00