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Testing For Cancer Using Body Fluid

Genetic testing of bodily fluids such as urine and saliva may one day reduce the need for biopsies to detect cancer.

A research group led by Dr. David Sidransky at Johns Hopkins University finds that urine, saliva and lung fluids display changes in genetic material that may indicate various cancers. They say it can detect cancers of the lung, bladder, head and neck or lungs.

Most cancer-related mutations have been found in the DNA located at the cell's nucleus. However, because every cell contains numerous copies of DNA, but only two copies of DNA in the nucleus, the researchers hypothesized that mutations would be easier to spot in body fluids.

Dr. Sidransky's group examined tissue from the biopsy samples of 41 tumors. Twenty-one of these samples had DNA mutations that were not present in the patients' normal blood cells. They then sampled body fluids from some of the patients with lung, head and neck or bladder cancer. In most of these cases, they were able to detect the same mutations found in the tissue specimens.

Testing urine, saliva and lung fluid is already standard practice in detecting cancers. Researchers hope that refining this method may provide them with greater accuracy.

"Our next goal will be to develop faster automated versions of this test and to examine other types of tumors for mutations," says Dr. Sidransky.


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