Abstract

The detection of colorectal adenoma is determined by the level of plasma mSEPT9

Highlights

  • Colorectal cancer (CRC) is the third most common cancer in the world [1]

  • Our observation strongly suggests that the plasma level of methylated SEPT9 (mSEPT9) is an indicator for disease severity and detection sensitivity, and the assay itself is effective in adenoma detection

  • We first investigated the sensitivity of the mSEPT9 assay in normal subjects, and patients with hyperplastic polyps (HP), adenoma and CRC

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Summary

Introduction

Colorectal cancer (CRC) is the third most common cancer in the world [1]. Screening of CRC can reduce mortality and prolong the survival time. Current CRC screening methods, such as fecal immunochemical test (FIT), FIT-DNA test or the mSEPT9 DNA test, were designed to detect early-stage CRC and can detect some precancerous lesions as well. Detection of CRC reduces mortality while detection of precancerous lesions can reduce incidence. Screening aiming at precancerous lesions has great potential in cancer prevention. Detection of precancerous lesions in screening using current methods is accompanied by high false positive rate in other colorectal diseases and normal subjects, which hinders the use of screening methods, and further confirmatory diagnosis, such as colonoscopy, is still required. Detection of colorectal adenoma plays crucial roles in CRC early prevention and intervention. Current detection by colonoscopy is not suitable for mass screening due to its high costs and low compliance. Its ability in detecting adenoma has not been fully examined

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