Detection of micrometastases tumor is the main problem in misinterprets tumor staging and
leads to improper therapeutic management. The promoter 2 of Src homology-2-containing
protein-tyrosine phosphatase 1 (SHP1-P2) has been proved for specific hypermethylatedCpGs in epithelial cell. Here, we used SHP-1P2 methylation to detect the occult micrometastases of colon cancers in the lymph nodes by performing Combine Methylation Specific and Taqman Real-Time PCR (COMST Real-Time PCR). We evaluated Sixty colon cancer patients by selection of selected from histologically positive lymph nodes (case) were compared with matched histologically negative lymph nodes (control) (*). The results showed We found that the methylation level in the selected case group was significantly higher than the control group significantly (95% CI, 24.92 to 38.67; p<0.001). Moreover, By perforning assessments by the ROC curve analysis, the area under the curve was 0.8462 (95% CI, 0.7785 to 0.9138; p<0.001). At the cut-off was of 33.42%, sensitivity, specificity and likelihood ratio were 80.33%, 77.67%, and 3.44 respectively. Consequently, These mean the SHP-1 P2 methylation level has a potential value to differentiate between positive and negative lymph nodes and may have benefit in clinical application. Our ongoing study is examining to examine lymph nodes in the stage I colon cancer patients and the relationship to recurrence-free survival rate. ================================================================================== Comments: 1. (*) 60 patients 60 positive lymph nodes paper
Sixty positive lymph nodes from sixty patients were compared with 30 negative lymph nodes from 26 patients.