Development of an ELISA to detect early local relapse of colorectal cancer
1989

Detecting Early Local Relapse of Colorectal Cancer

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): L.G. Durrant, H. Jones, N.C. Armitage, R.W. Baldwin

Primary Institution: University of Nottingham

Hypothesis

Can the Y haptenic blood group determinant be used to detect early local relapse of colorectal cancer?

Conclusion

The study found that recognizing antigens bearing the Y hapten may help detect early local relapse of colorectal cancer.

Supporting Evidence

  • 67% of patients with local or abdominal recurrent disease secreted antigens expressing the Y hapten.
  • 30% of patients with overt hepatic metastases secreted a similar antigen.
  • 34% of colorectal cancer patients with extensive disease secreted an antigen recognized by two C14 molecules.

Takeaway

This study created a test to find a specific marker in the blood that can show if colorectal cancer is coming back early, which could help doctors treat it better.

Methodology

An enzyme-linked immunosorbent assay (ELISA) was developed to measure serum levels of Y haptenic antigens in patients with colorectal cancer.

Limitations

The sensitivity of the test for detecting recurrent disease is lower compared to carcinoembryonic antigen (CEA) tests.

Participant Demographics

55 patients with extensive colorectal carcinomas, including those with liver metastases and recurrent disease.

Statistical Information

P-Value

0.05

Statistical Significance

p<0.05

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