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Our study aims to improve sensitivity and accuracy of detecting abdominal free cancer cells in patients with gastric cancer.
Gastric cancer (GC) remains one of the most common causes of cancer-related mortality worldwide. Surgery has always been considered as the most effective treatment for GC. Peritoneal metastasis is the common pattern of postoperative recurrence, especially patients with T4 stage or serosal invasion. What is worse, patients with peritoneal metastasis have a poor prognosis. However, it is often difficult to diagnose peritoneal metastasis at an early stage. As we know, the implantation of peritoneal free cancer cells exfoliating from serosa-invasive tumors is main reason of peritoneal seeding. Cytological examination of peritoneal lavage fluid is always performed to predict peritoneal micrometastases. However, more than half of patients with negative cytological results develop peritoneal recurrence. Low sensitivity and poor negative predictive value of this method have heralded the development of advanced techniques in detecting peritoneal free cancer cells.
In this study, novel genetic techniques will be used to detect mutated DNA of shed cancer cells in abdominal cavity. The present clinical trial aims to find a better tool to detect abdominal micrometastasis in GC patients, which may become a valid clinical index to predict postoperative relapse and direct treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Observational study | Patients with gastric cancer and non-cancerous disease planned to have laparotomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational study | Other | Lavage of the Peritoneal Cavity |
|
| Measure | Description | Time Frame |
|---|---|---|
| prognostic molecular markers | prognostic molecular markers | 3-year |
| Measure | Description | Time Frame |
|---|---|---|
| OS | Overall survival | 3-year |
| DFS | Disease-free survival | 3-year |
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Inclusion Criteria:
Exclusion Criteria:
1. Female in pregnancy or lactation. 2. Patients participating in any other clinical trials currently,or participated in other trails within 1 months. 3. Patients with poor compliance or considered to be poor compliance.
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Patients suffering gastric cancer and non-cancerous disease planned to have laparotomy.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Center of Sun Yat-sen University | Guangzhou | Guangdong | China |
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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tumor biopsy, peritoneal lavage
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |