Screening of Colorectal Cancer by Fecal Occult Blood Testing Usefulness of Immunological Test

A new laboratory kit for detecting fecal occult blood has been developed by Labsystem Co.: it comprises the FECATWIN-S and FECA-EIA test, which employ the Guaiac test and enzymeimmunoassay, respectively. Fecal occult blood testing was performed in 283 subjects, including 131 normal subjects, 33 pati...

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Published inNippon Daicho Komonbyo Gakkai Zasshi Vol. 39; no. 6; pp. 721 - 726
Main Authors Shimizu, S., Okada, H., Watanabe, Y., Yoshinaka, M., Tada, M., Kawai, K.
Format Journal Article
LanguageEnglish
Published The Japan Society of Coloproctology 1986
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ISSN0047-1801
1882-9619
DOI10.3862/jcoloproctology.39.721

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Abstract A new laboratory kit for detecting fecal occult blood has been developed by Labsystem Co.: it comprises the FECATWIN-S and FECA-EIA test, which employ the Guaiac test and enzymeimmunoassay, respectively. Fecal occult blood testing was performed in 283 subjects, including 131 normal subjects, 33 patients with colorectal cancer, and 31 patients with polyps : its usefulness in the screening of colorectal cancer was evaluated. Without dietary restriction, a positive result was obtained in 74.8% by FECATWIN-S, and in 7.6% by FECA-EIA anong the normal subjects, showing a low false-positive rate of immunological testing. Fecal test for occult blood by FECA-EIA was positive in 90.9% of the patients with colorectal cancer and 22.6% of those with polyps, suggesting the reliability of this method in the screening of colorectal cancer. One limitation of the immunological method is the complexity of its technique. To conduct an effective screening program for colorectal cancer, the indication of the immunological test should be limited to the materials, which are positive by the FECATWIN-S test.
AbstractList A new laboratory kit for detecting fecal occult blood has been developed by Labsystem Co.: it comprises the FECATWIN-S and FECA-EIA test, which employ the Guaiac test and enzymeimmunoassay, respectively. Fecal occult blood testing was performed in 283 subjects, including 131 normal subjects, 33 patients with colorectal cancer, and 31 patients with polyps : its usefulness in the screening of colorectal cancer was evaluated. Without dietary restriction, a positive result was obtained in 74.8% by FECATWIN-S, and in 7.6% by FECA-EIA anong the normal subjects, showing a low false-positive rate of immunological testing. Fecal test for occult blood by FECA-EIA was positive in 90.9% of the patients with colorectal cancer and 22.6% of those with polyps, suggesting the reliability of this method in the screening of colorectal cancer. One limitation of the immunological method is the complexity of its technique. To conduct an effective screening program for colorectal cancer, the indication of the immunological test should be limited to the materials, which are positive by the FECATWIN-S test.
Author Tada, M.
Shimizu, S.
Yoshinaka, M.
Okada, H.
Kawai, K.
Watanabe, Y.
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References 7) 多田正大,赤坂裕三,川井啓市:大腸癌の早期発見のための便潜血検査の再評価.大腸肛門誌 34:317-320,1986
15) 吉井由利,小林世美,松浦昭ほか:外来診療における大腸癌のスクリーニング.大腸肛門誌37:699-705,1984
3) 小林世美:大腸癌集検の問題点と今後の方向.癌の臨 30:611-615,1984
5) 多田正大:大腸癌検診に関する臨床的研究.大腸肛門誌 32:537-545,1979
19) 斉藤博,相沢中,吉田豊ほか:Counterimmunoelectrophoresisを応用した免疫学的便潜血反応に関する研究.日消病会誌 81:2935-2939,1984
20) 竹下俊隆,杉本伸彦,芦沢真六:便潜血反応によるスクリーニング.大腸肛門誌 35:561-566,1982
10) 赤坂裕三,多田正大,川井啓市ほか:下部大腸癌検診における内視鏡検査の意義.日消集検誌58:61-65,1983
25) Adlercreutz H, Partanen P, Virkola P et al: Five guaiac based tests for occult blood in faeces compared in vitro and in vivo. Scand J Lab Invest 44 : 519-528, 1984
17) 松尾貞三:医師会による地域住民の大腸集検の試み.日本医事新報 3013:27-30,1982
21) 大島美奈子,渡辺和彦,吉原太郎ほか:ELISA法を用いた便潜検査.法.医のあゆみ 135:261-263,1985
4) 吉田豊,斉藤博,相沢中:大腸癌集団検診.外科治療 53:614-618,1985
9) 多田正大,渡辺能行,川井啓市ほか:大腸癌の内視鏡検診としてのleft colonoscopyの評価.日消集検誌 65:85-88,1984
23) Adlercreutz H : Is specific detection of human hemoglobin (h-Hb) in feces. Scand J Gastroenterol 17 (suppl. 78) : 329, 1982
2) 北条慶一:大腸癌の集団検診.大腸肛門誌 35:580-586,1982
22) 金子栄蔵,熊谷純一,花井洋行ほか:免疫学的糞便潜血反応法の臨床的意義.日消病会誌81:2930-2934,1984
16) 藤田昌英,中野陽典,田口鉄男ほか:便潜血検査による大腸癌の集団検診.癌の臨 27:1344-1348,1981
8) 多田正大,渡辺能行,川井啓市ほか:便潜血検査による大腸集検のための基礎的検討.大腸肛門誌36:119-124,1983
14) Newell GR, Boutwell WB, Morris DL et al: Epidemiology of cancer. Cancer (Principles and Practice of Oncology) (ed by DeVita VT Jr), Lippincott, Philadelphia, 1981, p3-32
6) 多田正大,川井啓市:大腸癌の早期診断のあり方をめぐる諸問題.癌の臨 28:537-542,1982
24) 大方高志:FECATWIN-S法とFECA-EIA法による便潜血反応の検討.第24回大腸癌研究会口演,1986年1月,東京
13) Mangla JC, et al : Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. J Am Geriat Soc 29:473-475, 1981
18) Adams EC, Layman KM : Immunochemical confirmation of gastrointestinal bleeding. Ann Clin Lab Sci 4 : 343-349, 1974
12) Winawer SJ, Andrews M, Flehinger B et al:. Progress report on controlled trial of fecal occult blood testing for the detaction of colo-rectal neoplasia. Cancer 45: 2959-2964, 1980
1) 川井啓市,多田正大,渡透能行ほか:大腸癌の集検.医のあゆみ 122:449-455,1982
11) Greegor DH : Occult blood testing for de-tection of asymptomatic colon cancer. Cancer 28: 131-133, 1971
References_xml – reference: 18) Adams EC, Layman KM : Immunochemical confirmation of gastrointestinal bleeding. Ann Clin Lab Sci 4 : 343-349, 1974
– reference: 5) 多田正大:大腸癌検診に関する臨床的研究.大腸肛門誌 32:537-545,1979
– reference: 21) 大島美奈子,渡辺和彦,吉原太郎ほか:ELISA法を用いた便潜検査.法.医のあゆみ 135:261-263,1985
– reference: 25) Adlercreutz H, Partanen P, Virkola P et al: Five guaiac based tests for occult blood in faeces compared in vitro and in vivo. Scand J Lab Invest 44 : 519-528, 1984
– reference: 24) 大方高志:FECATWIN-S法とFECA-EIA法による便潜血反応の検討.第24回大腸癌研究会口演,1986年1月,東京
– reference: 20) 竹下俊隆,杉本伸彦,芦沢真六:便潜血反応によるスクリーニング.大腸肛門誌 35:561-566,1982
– reference: 2) 北条慶一:大腸癌の集団検診.大腸肛門誌 35:580-586,1982
– reference: 7) 多田正大,赤坂裕三,川井啓市:大腸癌の早期発見のための便潜血検査の再評価.大腸肛門誌 34:317-320,1986
– reference: 19) 斉藤博,相沢中,吉田豊ほか:Counterimmunoelectrophoresisを応用した免疫学的便潜血反応に関する研究.日消病会誌 81:2935-2939,1984
– reference: 15) 吉井由利,小林世美,松浦昭ほか:外来診療における大腸癌のスクリーニング.大腸肛門誌37:699-705,1984
– reference: 10) 赤坂裕三,多田正大,川井啓市ほか:下部大腸癌検診における内視鏡検査の意義.日消集検誌58:61-65,1983
– reference: 6) 多田正大,川井啓市:大腸癌の早期診断のあり方をめぐる諸問題.癌の臨 28:537-542,1982
– reference: 9) 多田正大,渡辺能行,川井啓市ほか:大腸癌の内視鏡検診としてのleft colonoscopyの評価.日消集検誌 65:85-88,1984
– reference: 23) Adlercreutz H : Is specific detection of human hemoglobin (h-Hb) in feces. Scand J Gastroenterol 17 (suppl. 78) : 329, 1982
– reference: 12) Winawer SJ, Andrews M, Flehinger B et al:. Progress report on controlled trial of fecal occult blood testing for the detaction of colo-rectal neoplasia. Cancer 45: 2959-2964, 1980
– reference: 22) 金子栄蔵,熊谷純一,花井洋行ほか:免疫学的糞便潜血反応法の臨床的意義.日消病会誌81:2930-2934,1984
– reference: 4) 吉田豊,斉藤博,相沢中:大腸癌集団検診.外科治療 53:614-618,1985
– reference: 14) Newell GR, Boutwell WB, Morris DL et al: Epidemiology of cancer. Cancer (Principles and Practice of Oncology) (ed by DeVita VT Jr), Lippincott, Philadelphia, 1981, p3-32
– reference: 8) 多田正大,渡辺能行,川井啓市ほか:便潜血検査による大腸集検のための基礎的検討.大腸肛門誌36:119-124,1983
– reference: 13) Mangla JC, et al : Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. J Am Geriat Soc 29:473-475, 1981
– reference: 17) 松尾貞三:医師会による地域住民の大腸集検の試み.日本医事新報 3013:27-30,1982
– reference: 11) Greegor DH : Occult blood testing for de-tection of asymptomatic colon cancer. Cancer 28: 131-133, 1971
– reference: 3) 小林世美:大腸癌集検の問題点と今後の方向.癌の臨 30:611-615,1984
– reference: 16) 藤田昌英,中野陽典,田口鉄男ほか:便潜血検査による大腸癌の集団検診.癌の臨 27:1344-1348,1981
– reference: 1) 川井啓市,多田正大,渡透能行ほか:大腸癌の集検.医のあゆみ 122:449-455,1982
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Subtitle Usefulness of Immunological Test
Title Screening of Colorectal Cancer by Fecal Occult Blood Testing
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