Sunday Times (Sri Lanka)

Shuttler Niluka heads NOCSL Groundbrea­king blood test for early cancer detection

The eight cancers that could be diagnosed with a single blood test: It detects tumours in up to 98% of patients BEFORE they develop symptoms

- By Alexandra Thompson

Asingle blood test detects cancers with up to 98 percent accuracy in patients without any symptoms, new research suggests. The assessment, known as CancerSEEK, picks up on DNA shed by mutating cells into the blood.

The test can diagnose at least eight different types of cancer from ovarian to breast.

Although the test's accuracy varies according to the type of cancer, it averages at around 70 percent, which is better than any available early- diagnosis method, according to the researcher­s.

It is also able to detect the origins in around 80 percent of cases, the study found. If given as part of a routine- screening programme, the researcher­s believe the test could catch tumours early, maximizing patients' chances of surviving.

Study author Professor Bert Vogelstein from John Hopkins University, said: ' This test represents the next step in changing the focus of cancer research from late- stage disease to early disease, which I believe will be critical to reducing cancer deaths in the long term.'

In the US, around 39 percent of adults will be diagnosed with cancer at some point in their lives.

Critical to reducing cancer deaths

The researcher­s analyzed blood samples from 1,005 cancer patients suffering from early- stage ovarian, liver, stomach, pancreatic, esophageal, colorectum, lung or breast forms of the disease. None of the participan­ts' cancers appeared to have spread.

Results reveal CancerSEEK accurately detects more than 90 percent of ovarian and liver cancers.

It also reliably picks up on ovarian, stomach, pancreatic and esophageal cancers in at least 69 percent of cases. These forms of the disease are typically difficult to detect.

CancerSEEK only wrongly detects tumors in healthy people less than one percent of the time.

Professor Vogelstein said: ' This test represents the next step in changing the focus of cancer research from late- stage disease to early disease, which I believe will be critical to reducing cancer deaths in the long term.'

If available, the test is estimated to cost less than $ 500 per batch, which is in line with other cancer detectors, such as colonoscop­ies, and was described by Dr Anirban Maitra from the Anderson Cancer Center in Houston, as 'a very attractive number'.

Dr Maitra, who was not involved in the study, added, however, cancer-like proteins can be shed in patients with inflammato­ry diseases, such as arthritis, and therefore the test may be less accurate when given to sufferers of other conditions.

Yet, lead author Dr Nickolas Papadopoul­os argued: ' A test does not have to be perfect to be useful.'

Exciting progress

The scientists plan to conduct a five-year study of up to 50,000 women to assess CancerSEEK's accuracy in people who have seemingly never had cancer.

It is still unclear whether the test will pick up small tumours that may never grow large enough to cause symptoms, however, Dr Papadopoul­os added: ' The issue is not overdiagno­sis, but overtreatm­ent,'

Although it is uncertain when CancerSEEK may become available for real- life use, cancer researcher Nitzan Rosenfeld, f rom the Unive r s i t y o f Cambridge, who was not involved in the study, said: ' If people expect to suddenly catch all cancers, they'll be disappoint­ed.

' This is exciting progress but evaluating it in the real world will be a long process.

The findings were published in the journal Science.

This test represents the next step in changing the focus of cancer research from latestage disease to early disease, which I believe will be critical to reducing cancer deaths in the long term.

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 ??  ?? CancerSEEK can detect the origin of cancers in around 80% of cases
CancerSEEK can detect the origin of cancers in around 80% of cases
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