Isaac Kinde Endometrial Cancers Evaluation of DNA from the Papanicolaou Test to Detect Ovarian

approval, women will have even more reasons to make sure they get their Pap smears routinely. are fully validated and the new test gains et al. is possible with existing methods. Once the findings of Kinde approach cannot identify every ovarian tumor, it may be able to detect more of them earlier and more accurately than woman as harboring a cancer, raising the possibility of its eventual use as a screening test for cancer. Even if this healthy doctors use to collect sample cells for the Pap test. Importantly, though, the new test has not misclassified any larger groups of patients and to improve the yield of screening for ovarian tumors, perhaps by modifying the technique diagnosing genital tract tumors, particularly ovarian cancer. More research is needed to validate the current results in This new approach to Pap testing is not yet ready for clinical use and will not serve as a foolproof method of cancers were detectable by this method. mutations found in the cancer cells. In the initial set of samples, 100% of endometrial cancers and 41% of ovarian the authors used massively parallel sequencing to test patients' Pap specimens for some of the more common that such cells may be detectable among the cervical cells in a Pap smear, if one knew how to identify them. Thus, then hypothesized that ovarian and endometrial cancers likely shed cells from their surfaces and et al. their list. Kinde endometrial or ovarian cancers and confirmed that all 46 harbored at least some of the common genetic changes on data for ovarian cancer and new data on 22 endometrial tumors. They tested 46 samples from patients with The authors first assembled a catalog of common mutations in these cancers, drawing on previously published endometrial and the dreaded ovarian cancer, which is essentially untreatable unless it is caught early. that may make the Pap smear even more versatile by expanding it into a test for multiple cancers, including technique papillomavirus, the pathogen known to cause cervical cancer. Now, Kinde and coauthors have developed a woman's cervix before they turn into an invasive cancer, was updated a decade ago to screen for DNA from human lives in the decades since its inception. The now-routine smear, which allows doctors to detect abnormal cells in a Patients generally do not enjoy getting a Pap smear, but the procedure has saved hundreds of thousands of New Adventures of Old Pap Smear

[1]  Anthony E Brenneman,et al.  Screening for ovarian cancer. , 2013, JAAPA : official journal of the American Academy of Physician Assistants.

[2]  Tian-Li Wang,et al.  Identification of molecular pathway aberrations in uterine serous carcinoma by genome-wide analyses. , 2012, Journal of the National Cancer Institute.

[3]  E. Mohammadi,et al.  Barriers and facilitators related to the implementation of a physiological track and trigger system: A systematic review of the qualitative evidence , 2017, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[4]  Stephen S Raab,et al.  Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis. Performance, error root cause analysis, and quality improvement. , 2012, American journal of clinical pathology.

[5]  H. Takagi,et al.  Transitional cell carcinoma of the ovary (Review). , 2012, Oncology letters.

[6]  K. Kinzler,et al.  Detection and quantification of rare mutations with massively parallel sequencing , 2011, Proceedings of the National Academy of Sciences.

[7]  K. Kinzler,et al.  IgH gene rearrangements as plasma biomarkers in Non-Hodgkin's Lymphoma patients , 2011, Oncotarget.

[8]  Mingming Jia,et al.  COSMIC: mining complete cancer genomes in the Catalogue of Somatic Mutations in Cancer , 2010, Nucleic Acids Res..

[9]  Tian-Li Wang,et al.  Frequent Mutations of Chromatin Remodeling Gene ARID1A in Ovarian Clear Cell Carcinoma , 2010, Science.

[10]  J. Dungan Results From Four Rounds of Ovarian Cancer Screening in a Randomized Trial , 2010 .

[11]  S. Pecorelli Revised FIGO staging for carcinoma of the vulva, cervix, and endometrium , 2009 .

[12]  D. Evans,et al.  Cumulative lifetime incidence of extracolonic cancers in Lynch syndrome: a report of 121 families with proven mutations , 2009, Clinical genetics.

[13]  A. P. Frank Human papillomavirus DNA versus papanicolaou screening tests for cervical cancer. , 2008, The New England journal of medicine.

[14]  F. Schmidt Meta-Analysis , 2008 .

[15]  J. Dillner,et al.  Human Papillomavirus and Papanicolaou Tests to Screen for Cervical Cancer , 2008 .

[16]  K. Kinzler,et al.  Serial assessment of human tumor burdens in mice by the analysis of circulating DNA. , 2007, Cancer research.

[17]  C. Desimone,et al.  Rate of Pathology From Atypical Glandular Cell Pap Tests Classified by the Bethesda 2001 Nomenclature , 2006, Obstetrics and gynecology.

[18]  M. Hendrickson,et al.  Uterine papillary serous and clear cell carcinomas predict for poorer survival compared to grade 3 endometrioid corpus cancers , 2006, British Journal of Cancer.

[19]  Frank McCormick,et al.  High frequency of coexistent mutations of PIK3CA and PTEN genes in endometrial carcinoma. , 2005, Cancer research.

[20]  A. du Bois,et al.  Survival benefit for patients with advanced-stage transitional cell carcinomas vs. other subtypes of ovarian carcinoma after chemotherapy with platinum and paclitaxel. , 2005, Gynecologic oncology.

[21]  P Barton,et al.  Cervical screening programmes: can automation help? Evidence from systematic reviews, an economic analysis and a simulation modelling exercise applied to the UK. , 2005, Health technology assessment.

[22]  K. Kinzler,et al.  Cancer genes and the pathways they control , 2004, Nature Medicine.

[23]  Michael T Deavers,et al.  Grading Ovarian Serous Carcinoma Using a Two-Tier System , 2004, The American journal of surgical pathology.

[24]  Elizabeth M. Smigielski,et al.  dbSNP: the NCBI database of genetic variation , 2001, Nucleic Acids Res..

[25]  J. Cooper,et al.  Endometrial sampling techniques in the diagnosis of abnormal uterine bleeding. , 2000, Obstetrics and gynecology clinics of North America.

[26]  S Rozen,et al.  Primer3 on the WWW for general users and for biologist programmers. , 2000, Methods in molecular biology.

[27]  H. Meden,et al.  CA 125 in Benign Gynecological Conditions , 1998, The International journal of biological markers.

[28]  S. Leeder,et al.  A population based study , 1993, The Medical journal of Australia.

[29]  G. Giles,et al.  Accuracy and Survival Benefit of Cytological Prediction of Endometrial Carcinoma on Routine Cervical Smears , 1993, International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists.

[30]  G. Papanicolaou,et al.  Cancer of the Uterus: The Vaginal Smear in Its Diagnosis. , 1943, California and western medicine.