eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
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SCImago Journal & Country Rank
1/2020
vol. 24
 
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abstract:
Review paper

Free cancer cells in gastric cancer – methods of detection, clinical and prognostic importance (meta-analysis)

Magdalena M. Kołomańska
1, 2
,
Stanisław Głuszek
1, 2

  1. Department of Surgery and Surgical Nursing with Laboratory of Genetics and Scientific Research, Collegium Medicum, Jan Kochanowski University, Kielce
  2. General, Oncological and Endocrinological Surgery Clinic, Provincial Integrated Hospital in Kielce, Poland
Contemp Oncol (Pozn) 2020; 24 (1): 67-74
Online publish date: 2020/03/30
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Gastric cancer (GC) is one of the most common malignant cancers worldwide. Intraperitoneal dissemination is the typical mechanism of the formation of metastases in GC. The diagnosis of the presence of intraperitoneal free cancer cells (IFCCs) is treated equally to the M (metastasis) category according to the 8th edition of the TNM classification by the American Joint Committee on Cancer. IFCCs are cells which have detached from the primary tumour through exfoliation into the peritoneal cavity. The source of IFCCs may be iatrogenic due to improper surgical technique during resection of the tumour and may lead to intraperitoneal dissemination. Cytological examination of peritoneal lavage is considered as a gold standard in the confirmation of the presence of IFCCs; however, its sensitivity is very low. In order to increase the sensitivity and reliability of the examination, molecular biology techniques should be applied. In the case of detection of the presence of IFCCs in patients with GC, the patient should be qualified for chemotherapy, or possibly the use of hyperthermic intraperitoneal chemotherapy should be considered.
keywords:

free cancer cells, peritoneal cytology, gastric cancer, intraperitoneal cancer cells

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