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Last Updated: Tuesday, 24 August, 2004, 23:43 GMT 00:43 UK
'Better' bowel cancer test found
Bowel scans
The scientists say further research is needed
Scientists believe they may have found a much more accurate way of diagnosing bowel cancer.

Researchers in Germany have discovered that a chemical from cancer tumours leaks into the bowel.

Writing in the British Journal of Cancer, they said this chemical, called Tumour M2-PK, can be found in the faeces of people with the disease.

They said testing for the chemical could also enable doctors to find out how advanced the disease is.

The UK Government is currently considering introducing a bowel-screening programme.

One of the tests under consideration is the faecal occult blood test (FOBT). It is used to detect blood in the faeces - a symptom of bowel cancer.

There is currently much interest in this area of research
Professor Robert Souhami,
Cancer Research UK
However, the test cannot tell whether the blood is caused by a tumour or whether it is the result of something less serious, such as piles.

Only about six out of every 100 people with a single positive FOBT will have bowel cancer.

This means that many people who do not have cancer may have to undergo unnecessary procedures.

More accurate

Scientists at Giessen University Hospital, in Germany, believe their test is much more accurate.

They obtained faecal samples from 204 patients who were about to undergo colonoscopies, which involves inserting a tiny camera into the rectum. The colonoscopy established that 60 of these had bowel cancer.

The scientists found that patients with the disease had much higher levels of Tumour M2-PK.

"We found a significant difference in the level of Tumour M2-PK between those with a confirmed diagnosis of bowel cancer and those who were disease free," said Dr Philip Hardt, who led the study.

"There was also a very strong link between the amount of enzyme found and how far the cancer had spread."

The scientists are now planning further studies but they are confident their findings could lead to a new test for bowel cancer.

"We will now look to test Tumour M2-PK in a large trial, but this enzyme has the potential to be an excellent safety net," said Dr Hardt.

"It could detect more cases of the disease and possibly save unnecessary medical procedures due to fewer false positive results."

Professor Robert Souhami, director of policy and communication at Cancer Research UK, which owns the British Journal of Cancer, welcomed the study.

"There is currently much interest in this area of research," he said.

"We hope that enzymes such as this one will eventually offer not only useful screening tools, but also an effective method of monitoring bowel cancer patients in remission, so that any return of disease can be quickly detected and acted upon."


SEE ALSO:
Milk 'reduces bowel cancer risk'
07 Jul 04  |  Health
Men 'wait to check cancer signs'
25 May 04  |  Health


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