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A Simple Cervicovaginal Epigenetic Test for Screening and Rapid Triage of Women With Suspected Endometrial Cancer: Validation in Several Cohort and Case/Control Sets
C. Herzog, F. Marín, A. Jones, I. Evans, D. Reisel, E. Redl, L. Schreiberhuber, S. Paytubi, B. Pelegrina, Á. Carmona, P. Peremiquel-Trillas, J. Frias-Gomez, M. Pineda, J. Brunet, J. Ponce, X. Matias-Guiu, S. de Sanjosé, L. Alemany, A. Olaitan, M....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, práce podpořená grantem
Grantová podpora
IS-BRC-1215-20007
Department of Health - United Kingdom
NLK
Free Medical Journals
od 2004 do Před 1 rokem
Open Access Digital Library
od 1999-01-01
PubMed
36001862
DOI
10.1200/jco.22.00266
Knihovny.cz E-zdroje
- MeSH
- časná detekce nádoru metody MeSH
- epigeneze genetická MeSH
- infekce papilomavirem * diagnóza MeSH
- lidé MeSH
- nádory děložního čípku * diagnóza genetika MeSH
- nádory endometria * diagnóza genetika MeSH
- třídění pacientů MeSH
- vaginální stěr metody MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
PURPOSE: Endometrial cancer (EC) incidence has been rising over the past 10 years. Delays in diagnosis reduce survival and necessitate more aggressive treatment. We aimed to develop and validate a simple, noninvasive, and reliable triage test for EC to reduce the number of invasive diagnostic procedures and improve patient survival. METHODS: We developed a test to screen and triage women with suspected EC using 726 cervical smear samples from women with and without EC, and validated the test in 562 cervicovaginal samples using three different collection methods (cervical smear: n = 248; vaginal swab: n = 63; and self-collection: n = 251) and four different settings (case/control: n = 388; cohort of women presenting with postmenopausal bleeding: n = 63; a cohort of high-risk women with Lynch syndrome: n = 25; and a nested case/control setting from a screening cohort and samples taken up to 3 years before EC diagnosis: n = 86). RESULTS: We describe the Women's cancer risk IDentification - quantitative polymerase chain reaction test for Endometrial Cancer (WID-qEC), a three-marker test that evaluates DNA methylation in gene regions of GYPC and ZSCAN12. In cervical, self-collected, and vaginal swab samples derived from symptomatic patients, it detected EC with sensitivities of 97.2% (95% CI, 90.2 to 99.7), 90.1% (83.6 to 94.6), and 100% (63.1 to 100), respectively, and specificities of 75.8% (63.6 to 85.5), 86.7% (79.3 to 92.2), and 89.1% (77.8 to 95.9), respectively. The WID-qEC identified 90.9% (95% CI, 70.8 to 98.9) of EC cases in samples predating diagnosis up to 1 year. Test performance was similar across menopausal status, age, stage, grade, ethnicity, and histology. CONCLUSION: The WID-qEC is a noninvasive reliable test for triage of women with symptoms suggestive of ECs. Because of the potential for self-collection, it could improve early diagnosis and reduce the reliance for in-person visits.
Consortium for Biomedical Research in Cancer CIBERONC Carlos 3 Institute of Health Madrid Spain
Department of Clinical Science Center for Cancer Biomarkers CCBIO University of Bergen Bergen Norway
Department of Obstetrics and Gynaecology Haukeland University Hospital Bergen Norway
Department of Women's and Children's Health Karolinska Institutet Stockholm Sweden
Department of Women's Cancer University College London London United Kingdom
Division of Pathology Department of Laboratory Medicine Karolinska Institutet Stockholm Sweden
Hereditary Cancer Group Catalan Institute of Oncology IDIBGI Girona Spain
Institute for Biomedical Aging Research Universität Innsbruck Innsbruck Austria
Citace poskytuje Crossref.org
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