Value of RT-PCR analysis of sentinel nodes in determining the pathological nodal status in colon cancer.

Abstract:

BACKGROUND:Pathological examination of sentinel lymph nodes (SLNs) and non-SLNs in colon cancer is frequently not performed to the same extent. We examined whether non-SLNs were truly negative in tumors with tumor-negative SLNs using reverse transcriptase-polymerase chain reaction (RT-PCR). PATIENTS AND METHODS:RT-PCR with carcinoembryonic antigen (CEA) was performed in hematoxylin-eosin (H&E) and immunohistochemical (IHC) tumor-negative SLNs. In RT-PCR negative SLNs, we also performed RT-PCR on non-SLNs. Statistical analyses indicated the requirement for a minimum of 72 accurate comparisons of non- SLNs and SLNs, which could be fulfilled using tissues from 12 patients. RESULTS:Negative and positive controls were performed. In nine of the 12 colon tumors, H&E and IHC-negative SLNs were also negative with CEA-RT-PCR. A total of 102 lymph nodes, including 99 non-SLNs were retrieved in these nine specimens and none of the non-SLNs were CEA RT-PCR-positive. CONCLUSION:In this study, all CEA RT-PCR tumor-negative SLNs correctly reflect the tumor-negative status of the non-SLN's in primary colon tumors. The reliability of this method in colon cancer seems promising.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Kelder W,Braat A,van den Berg A,Platteel I,Hollema H,Groen H,Plukker J

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

2855-9

issue

4C

eissn

0250-7005

issn

1791-7530

journal_volume

27

pub_type

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