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Molecular detection of disseminated cancer cells in the peripheral blood of patients with gastric cancer.

This study was designed to determine whether circulating cancer cells in patients with gastric cancer can be identified by a RT-PCR method and to assess the clinical significance of the hematogenic dissemination of cancer cell in gastric cancer patients. A total of 41 patients with gastric cancer were enrolled in this study. Peripheral blood samples from 41 patients with gastric cancer were analyzed for CEA mRNA using RT-PCR. Of the 36 patients undergoing radical gastrectomy, eight had a positive CEA mRNA signal in their peripheral blood before the gastrectomy. In four patients, the CEA mRNA signal was negative, positive and then negative again, before, during and after the surgery, respectively. Of the five inoperable patients with peritoneal metastasis, four had positive CEA mRNA signals despite no metastasis in any other organs. The RT-PCR method is a useful diagnostic modality to determine patient selection for chemotherapy after surgery.