Skip to main content
Top
Published in: International Orthopaedics 4/2004

01-08-2004 | Original Paper

Intraoperative dissemination of tumour cells in patients with Ewing tumours detected by RT-PCR

Authors: J. G. Grohs, A. Zoubek, D. Jugovic, H. Kovar, R. Windhager

Published in: International Orthopaedics | Issue 4/2004

Login to get access

Abstract

Using reverse transcriptase polymerase chain reaction (RT-PCR) we evaluated the occurrence of tumour-cell ribonucleic acid (RNA) in the blood during surgery in patients with Ewing tumours. The patients received irradiation and chemotherapy according to the protocol of the European Intergroup Cooperative Ewing Sarcoma Study (EICESS) 92. Blood samples were taken from 15 patients. Intra-operative dissemination was found during 2/8 resections but showed no relation to patient survival. At second-look biopsy, detection of tumour-cell RNA was associated with relapse and metastases in 3/4 patients. The results suggest that pre-operative treatment did not completely prevent dissemination of tumour cells during surgery of Ewing tumours.
Literature
1.
go back to reference Brown DC, Purushotam AD, Birnie GD, George WD (1996) Detection of intraoperative tumor cell dissemination in patients with breast cancer by use of reverse transcription and polymerase chain reaction. Surgery 117:96–101 Brown DC, Purushotam AD, Birnie GD, George WD (1996) Detection of intraoperative tumor cell dissemination in patients with breast cancer by use of reverse transcription and polymerase chain reaction. Surgery 117:96–101
2.
go back to reference Chomoczynski P, Sacchi N (1987) Single step method of RNA isolation by acid guanidinium thiocyanate-phenolchloroform extraction. Anal Biochem 162:156–159PubMed Chomoczynski P, Sacchi N (1987) Single step method of RNA isolation by acid guanidinium thiocyanate-phenolchloroform extraction. Anal Biochem 162:156–159PubMed
3.
go back to reference Delattre O, Zucman J, Melot T, Garau XS, Zucker JM, Lenoir G, Ambros PF, Sheer D, Turc-Carel C, Triche T, Aurias A, Thomas G (1994) The Ewing family of tumors—A subgroup of small-round-cell tumors defined by specific chimeric transcripts. N Engl J Med 331:294–299PubMed Delattre O, Zucman J, Melot T, Garau XS, Zucker JM, Lenoir G, Ambros PF, Sheer D, Turc-Carel C, Triche T, Aurias A, Thomas G (1994) The Ewing family of tumors—A subgroup of small-round-cell tumors defined by specific chimeric transcripts. N Engl J Med 331:294–299PubMed
4.
go back to reference Dobrovic A, Hardingham A, Kotasek D, Eaton MC, Mi JX, Sage RE (1995) Detection of circulating tumor cells pre- and post- surgery for colorectal cancer using immunobead-PCR. Proc Am Assoc Cancer Res 36:214 Dobrovic A, Hardingham A, Kotasek D, Eaton MC, Mi JX, Sage RE (1995) Detection of circulating tumor cells pre- and post- surgery for colorectal cancer using immunobead-PCR. Proc Am Assoc Cancer Res 36:214
5.
go back to reference Fagnou C, Michon J, Peter M (1998) Presence of tumor cells in bone marrow but not in blood is associated with adverse prognosis in patients with Ewing’s tumor. J Clin Oncol 16:1707–1711PubMed Fagnou C, Michon J, Peter M (1998) Presence of tumor cells in bone marrow but not in blood is associated with adverse prognosis in patients with Ewing’s tumor. J Clin Oncol 16:1707–1711PubMed
6.
go back to reference Fidler I (1991) The biology of human cancer Metastasis. Acta Oncol 30:669–675 Fidler I (1991) The biology of human cancer Metastasis. Acta Oncol 30:669–675
7.
go back to reference Jürgens H, Exner U, Gadner H, Harms D, Michaelis J, Sauer R, Treuner J, Voute T, Winkelmann W, Winkler K, Göbel U (1988) Multidisciplinary treatment of primary Ewing’s sarcoma of bone. Cancer 61:23–31PubMed Jürgens H, Exner U, Gadner H, Harms D, Michaelis J, Sauer R, Treuner J, Voute T, Winkelmann W, Winkler K, Göbel U (1988) Multidisciplinary treatment of primary Ewing’s sarcoma of bone. Cancer 61:23–31PubMed
8.
go back to reference Katz AE, Olsson CA, Raffo AJ, Cama C, Perlman H, Seaman E, O’Toole K, McMahon D, Benson M, Buttyan R (1994) Molecular staging of prostate cancer with the use of an enhanced reverse transcriptase-PCR assay. Urology 43:765–774 Katz AE, Olsson CA, Raffo AJ, Cama C, Perlman H, Seaman E, O’Toole K, McMahon D, Benson M, Buttyan R (1994) Molecular staging of prostate cancer with the use of an enhanced reverse transcriptase-PCR assay. Urology 43:765–774
9.
go back to reference Mori M, Mimory K, Ueo H, Karimine N, Bernhard G, Sugimachi K, Akiyoshi T (1996) Molecular detection of circulating solid carcinoma cells in the peripheral blood: the concept of early systemic disease. Int J Cancer 68:739–743CrossRef Mori M, Mimory K, Ueo H, Karimine N, Bernhard G, Sugimachi K, Akiyoshi T (1996) Molecular detection of circulating solid carcinoma cells in the peripheral blood: the concept of early systemic disease. Int J Cancer 68:739–743CrossRef
10.
go back to reference Peter M, Magdelenat H, Michon J, Melot T, Oberlin O, Zucker JM, Thomas G, Delattre O (1995) Sensitiv detection of occult Ewing’s cells by reverse transcriptase-polymerase chain reaction. Br J Cancer 72:96–100PubMed Peter M, Magdelenat H, Michon J, Melot T, Oberlin O, Zucker JM, Thomas G, Delattre O (1995) Sensitiv detection of occult Ewing’s cells by reverse transcriptase-polymerase chain reaction. Br J Cancer 72:96–100PubMed
11.
go back to reference Pfleiderer C, Zoubek A, Gruber B, Kronberger M, Ambros PF, Lion T, Fink FM, Gadner H, Kovar H (1995) Detection of tumor cells in peripheral blood and bone marrow from Ewing tumor patients by RT-PCR. Int J Cancer 64:135–139PubMed Pfleiderer C, Zoubek A, Gruber B, Kronberger M, Ambros PF, Lion T, Fink FM, Gadner H, Kovar H (1995) Detection of tumor cells in peripheral blood and bone marrow from Ewing tumor patients by RT-PCR. Int J Cancer 64:135–139PubMed
12.
go back to reference Ross AA, Cooper BW, Lazarus HM, Mackay W, Moss TJ, Ciobanu N, Tallman MS, Kennedy MJ, Davidson NE, Sweet D, Winter C, Akard L, Jansen J, Copelan E, Meagher RC, Herzig RH, Klumpp TR, Kahn DG, Warner NE (1993) Detection and viability of tumor cells in peripheral blood stem cell collections from breast cancer patients using immunocytochemical and clonogenic assay techniques. Blood 82:2605–2610PubMed Ross AA, Cooper BW, Lazarus HM, Mackay W, Moss TJ, Ciobanu N, Tallman MS, Kennedy MJ, Davidson NE, Sweet D, Winter C, Akard L, Jansen J, Copelan E, Meagher RC, Herzig RH, Klumpp TR, Kahn DG, Warner NE (1993) Detection and viability of tumor cells in peripheral blood stem cell collections from breast cancer patients using immunocytochemical and clonogenic assay techniques. Blood 82:2605–2610PubMed
13.
go back to reference Salzer-Kuntschik M, Delling D, Beron G, Sigmund R (1983) Morphological grades of regression on osteosarcoma after polychemotherapy: Study COSS 80. J Cancer Res Clin Oncol 106 [Suppl]:21–24 Salzer-Kuntschik M, Delling D, Beron G, Sigmund R (1983) Morphological grades of regression on osteosarcoma after polychemotherapy: Study COSS 80. J Cancer Res Clin Oncol 106 [Suppl]:21–24
14.
go back to reference Schleiermacher G, Peter M, Oberlin O, Philip T, Rubie H, Mechinaud F, Sommelet-Olive D, Landman-Parker J, Bours D, Michon J, Delattre O (2003) Increased risk of systemic relapses associated with bone marrow micrometastasis and circulating tumor cells in localized Ewing Tumor. J Clin Oncol 21:85–91CrossRefPubMed Schleiermacher G, Peter M, Oberlin O, Philip T, Rubie H, Mechinaud F, Sommelet-Olive D, Landman-Parker J, Bours D, Michon J, Delattre O (2003) Increased risk of systemic relapses associated with bone marrow micrometastasis and circulating tumor cells in localized Ewing Tumor. J Clin Oncol 21:85–91CrossRefPubMed
15.
go back to reference Sorensen PHB, Liu XF, Delattre O, Roeland JM, Biggs CA, Thomas G, Triche TJ (1993) Reverse transcriptase PCR amplification of EWS/FLI-1 fusion transcripts as a diagnostic test for peripheral primitive neuroectodermal tumors of childhood. Diag Molec Pathol 2:147–57 Sorensen PHB, Liu XF, Delattre O, Roeland JM, Biggs CA, Thomas G, Triche TJ (1993) Reverse transcriptase PCR amplification of EWS/FLI-1 fusion transcripts as a diagnostic test for peripheral primitive neuroectodermal tumors of childhood. Diag Molec Pathol 2:147–57
16.
go back to reference Zoubek A, Pfleiderer C, Salzer-Kuntschik M, Amann G, Windhager R, Fink FM, Koscielniak E, Delattre O, Strehl S, Ambros PF, Gadner H, Kovar H (1994) Variability of EWS chimaeric transcripts in Ewing tumours: a comparison of clinical and molecular data. Br J Cancer 70:908–913PubMed Zoubek A, Pfleiderer C, Salzer-Kuntschik M, Amann G, Windhager R, Fink FM, Koscielniak E, Delattre O, Strehl S, Ambros PF, Gadner H, Kovar H (1994) Variability of EWS chimaeric transcripts in Ewing tumours: a comparison of clinical and molecular data. Br J Cancer 70:908–913PubMed
17.
go back to reference Zoubek A, Kovar H, Gruber B, Kronberger M, Windhager R, Amann G, Gadner H (1996) Mobilization of tumor cells during biopsy in an infant with Ewing’s sarcoma. Eur J Pediatr 155:373–376CrossRefPubMed Zoubek A, Kovar H, Gruber B, Kronberger M, Windhager R, Amann G, Gadner H (1996) Mobilization of tumor cells during biopsy in an infant with Ewing’s sarcoma. Eur J Pediatr 155:373–376CrossRefPubMed
18.
go back to reference Zoubek A, Ladenstein R, Windhager R, Amann G, Fischmeister G, Kager L, Jugovic D, Ambros PF, Gadner H, Kovar H (1998) Predictive potential of testing for bone marrow involvement in Ewing tumor patients by RT-PCR: a preliminary evaluation. Int J Cancer 79:56–60CrossRefPubMed Zoubek A, Ladenstein R, Windhager R, Amann G, Fischmeister G, Kager L, Jugovic D, Ambros PF, Gadner H, Kovar H (1998) Predictive potential of testing for bone marrow involvement in Ewing tumor patients by RT-PCR: a preliminary evaluation. Int J Cancer 79:56–60CrossRefPubMed
Metadata
Title
Intraoperative dissemination of tumour cells in patients with Ewing tumours detected by RT-PCR
Authors
J. G. Grohs
A. Zoubek
D. Jugovic
H. Kovar
R. Windhager
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2004
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-004-0551-4

Other articles of this Issue 4/2004

International Orthopaedics 4/2004 Go to the issue