K-ras mutations in stools and tissue samples from patients with malignant and nonmalignant pancreatic diseases

Clin Chem. 1998 Oct;44(10):2103-7.

Abstract

Mutant-enriched PCR and reverse dot blot hybridization in microplates were applied for examining K-ras status in stools and tissue samples from patients with pancreatic tumors and chronic pancreatitis. In tissue samples, K-ras mutations were found in 32 of 35 cases of ductal adenocarcinoma, in 5 of 7 periampullary cancers, in 1 cystadenocarcinoma, and in 3 of 5 patients with chronic pancreatitis. In stools, mutated K-ras was seen in 10 of 25 cases of ductal adenocarcinoma, in 1 case of cystadenocarcinoma, and in 2 of 6 cases of chronic pancreatitis. These data indicate that the K-ras status of stool samples may help identify pancreatic carcinoma and persons at risk for cancer development; however, it does not allow discrimination of malignant from nonmalignant diseases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma / chemistry
  • Adenocarcinoma / genetics*
  • Adenocarcinoma / pathology
  • Biomarkers, Tumor / analysis
  • CA-19-9 Antigen / analysis
  • Carcinoembryonic Antigen / analysis
  • Chronic Disease
  • DNA / genetics
  • DNA / isolation & purification
  • DNA, Neoplasm / genetics
  • DNA, Neoplasm / isolation & purification
  • Feces / chemistry*
  • Humans
  • Immunoenzyme Techniques
  • Oncogene Protein p21(ras) / analysis
  • Oncogene Protein p21(ras) / genetics*
  • Pancreas / chemistry*
  • Pancreatic Ducts*
  • Pancreatic Neoplasms / chemistry
  • Pancreatic Neoplasms / genetics*
  • Pancreatic Neoplasms / pathology
  • Pancreatitis / genetics*
  • Point Mutation*
  • Polymerase Chain Reaction

Substances

  • Biomarkers, Tumor
  • CA-19-9 Antigen
  • Carcinoembryonic Antigen
  • DNA, Neoplasm
  • DNA
  • Oncogene Protein p21(ras)