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To study the sensitivity and specificity of NGS in detecting Microsatellite State in blood and to evaluate its potential application in gastrointestinal cancer.
NGS can not only detect tissue samples, but also blood samples. For some inoperable cancer patients, the acquisition of tissue samples is difficult and traumatic. It is of great significance for the diagnosis and treatment of these patients to determine MSI status by blood testing. In addition, the heterogeneity of malignant tumors is usually strong, blood testing can overcome the heterogeneity of tissue, and can dynamically monitor the patient's condition. 50 patients with gastric cancer, duodenal cancer and small intestinal cancer will be enrolled in the study. Among them, 30 patients with MSI-H and 20 patients with MSS confirmed by IHC/PCR.The investigators will use 520 gene panel for NGS sequencing of tissue and blood samples from selected patients to study the sensitivity and specificity of NGS in detecting Microsatellite State in blood.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MSI-H | Experimental | IHC/PCR tested as dMMR/ MSI-H |
|
| MSS | Experimental | IHC/PCR tested as pMMR/ MSS |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Next generation sequencing | Diagnostic Test | NGS can provide genetic and MSI test for patients |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity and specificity of blood MSI detected by NGS | To study the sensitivity and specificity of blood MSI detected by NGS. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Ideal sequencing depth of MSI in blood test | To study the ideal sequencing depth of MSI in blood test. | 1 year |
| Correlation between MSI status and TMB | To study the correlation between MSI status and TMB. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yunpeng Liu, ph.D | Contact | +86(0)24 961200 | cmuliuyunpeng@hotmail.com | |
| Xiujuan Qu | Contact | +86(0)24 83282542 | qu_xiujuan@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of China Medical University | Recruiting | Shenyang | Liaoning | 110001 | China |
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| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
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| 1 year |
| Correlation between MMR gene and other gene mutations | To study thecorrelation between MMR gene and other gene mutations. | 1 year |
| D005767 |
| Gastrointestinal Diseases |