Frequency and mechanism of Lewis antigen expression in human urinary bladder and colon carcinoma patients
1991

Lewis Antigen Expression in Bladder and Colon Cancer Patients

Sample size: 103 publication Evidence: moderate

Author Information

Author(s): N.C. Langkilde, H. Wolf, P. Meldgard, T.F. Orntoft

Primary Institution: The Danish Cancer Society

Hypothesis

Is there an increased risk of cancer development among Lewis negative patients?

Conclusion

The study found that Lewis negative individuals have a higher frequency of invasive cancer and unfavorable disease parameters.

Supporting Evidence

  • An increased frequency of Lewis negative individuals was found among colon cancer patients.
  • The Lewis negative phenotype was associated with high grade of atypia in bladder cancer patients.
  • Four out of eight Lewis negative cancer patients had Lewis transferase activity in saliva.

Takeaway

Some people with bladder and colon cancer lose a specific marker in their blood, which might mean their cancer is more serious.

Methodology

Blood and saliva samples were collected from cancer patients and analyzed for Lewis phenotypes and disease parameters.

Potential Biases

Potential bias in patient selection and the interpretation of phenotypes.

Limitations

The study did not include a diverse population and focused only on specific cancer types.

Participant Demographics

82 bladder cancer patients, 21 colon cancer patients, and 45 patients with benign urological diseases.

Statistical Information

P-Value

p<0.004

Statistical Significance

p<0.004

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