{"id":26246,"date":"2020-07-31T08:10:33","date_gmt":"2020-07-31T08:10:33","guid":{"rendered":"https:\/\/scienceblog.cancerresearchuk.org\/?p=17778"},"modified":"2024-11-03T15:16:21","modified_gmt":"2024-11-03T15:16:21","slug":"a-sponge-on-a-string-test-to-detect-oesophageal-cancer-earlier","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/a-sponge-on-a-string-test-to-detect-oesophageal-cancer-earlier\/","title":{"rendered":"A \u2018sponge on a string\u2019 test to detect oesophageal cancer earlier"},"content":{"rendered":"<div class=\"image hero-image\" readability=\"7\"><img decoding=\"async\" src=\"https:\/\/zniup3zx6m0ydqfpv9y6sgtf-wpengine.netdna-ssl.com\/wp-content\/uploads\/2020\/07\/Cytosponge_hero1-hero.jpg\" class=\"img-responsive\" alt><\/p>\n<p>The Cytosponge can be used to detect oesophageal cancer earlier.<\/p>\n<\/div>\n<p><span data-contrast=\"auto\">Around 9,100 people are diagnosed with <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/oesophageal-cancer\">oesophageal cancer<\/a> each year in the UK.&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">A big challenge with this type of cancer is that many people don\u2019t realise there\u2019s a problem until they start to have trouble swallowing. Often, these symptoms aren\u2019t recognisable until a later stage in the disease.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">But there may be an opportunity to detect the disease earlier. Some people develop a condition \u2013 called <a href=\"https:\/\/about-cancer.cancerresearchuk.org\/about-cancer\/other-conditions\/barretts-oesophagus\/about-barrett%27\">Barrett\u2019s oesophagus<\/a><\/span><span data-contrast=\"auto\">&nbsp;\u2013 prior to developing into cancer.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Barrett\u2019s oesophagus is much more common than oesophageal cancer, and although it will only become cancer in a handful of cases, it presents an opportunity for doctors to spot a problem early and intervene before cancer develops. But the typical test for Barrett\u2019s oesophagus, endoscopy, is both invasive and expensive.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Enter the Cytosponge.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Cytosponge-TFF3 test is a \u2018sponge on a string\u2019 device coupled with a laboratory test called TFF3 developed by scientists funded by the Medical Research Council (MRC) and Cancer Research UK \u2013 a simple, quick and affordable test for Barrett\u2019s oesophagus that can be done in a GP surgery.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">And the latest results, published in<\/span> <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)31099-0\/fulltext\">The Lancet<\/a><span data-contrast=\"auto\">, suggest this Cytosponge-TFF3 test can identify ten times more people with Barrett\u2019s oesophagus than current GP care.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">We caught up with Professor Rebecca Fitzgerald, based at the University of Cambridge, whose team studies oesophageal cancer and has worked hard over the last decade to develop this innovative test.<\/span><\/p>\n<h2><span data-contrast=\"auto\">How does it work?<\/span><\/h2>\n<p><span data-contrast=\"auto\">Cytosponge<\/span> <span data-contrast=\"auto\">is a small coated pill on a string that contains the sponge. It\u2019s easy for people to swallow, and when the pill reaches the stomach, the coating dissolves and the sponge expands.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">When the sponge is pulled back up, it collects some of the cells lining the oesophagus on its way. The sponge is sent off for analysis in the lab, \u201cwhere we have developed a simple antibody test called TFF3 so that pathologists can easily spot the signs precancerous condition\u201d.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span class=\"embed-youtube\"><iframe loading=\"lazy\" class=\"youtube-player\" type=\"text\/html\" width=\"600\" height=\"338\" src=\"https:\/\/www.youtube.com\/embed\/s7X9z6qlNUI?version=3&amp;rel=1&amp;fs=1&amp;autohide=2&amp;showsearch=0&amp;showinfo=1&amp;iv_load_policy=1&amp;wmode=transparent\" allowfullscreen=\"true\">[embedded content]<\/iframe><\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">Planting the seeds<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:40,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/h2>\n<p aria-level=\"2\"><span data-contrast=\"auto\">A seed was planted for the idea for the Cytosponge in around 2000, whilst Fitzgerald was still in London.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cI was talking with my boss, Professor Mike Farthing, about how an endoscopy isn\u2019t ideal for patients and for sampling, and how what you really need is some kind of bottle brush for easy collection of cells.\u201d&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">But it was when Fitzgerald moved her research to Cambridge in 2002 that she began a prototype for this \u2018bottle-brush\u2019 idea. Over the years, the prototype evolved into what\u2019s now recognised as the Cytosponge, which has been tested on thousands of people across the country.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">The first real test for Cytosponge was to see if people were willing to try the sponge-on-a-string, and whether the process was feasible in a GP surgery.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">And once that hurdle was cleared, it was time to test the accuracy of Cytosponge in clinical trials.<\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">The latest results&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:40,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/h2>\n<p aria-level=\"2\"><span data-contrast=\"auto\">The latest Cytosponge trial compared Cytosponge to the current model for managing people with heartburn symptoms, the main risk factor for Barrett\u2019s and cancer of the oesophagus.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cWhat GPs ordinarily do if you\u2019ve got reflux symptoms is to give you medication to get rid of the heartburn. So, most patients that see their GP with heartburn won\u2019t get an endoscopy test,\u201d Fitzgerald explains.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cBecause the Cytosponge is such a simple test that you can do, basically in 10 minutes in a GP surgery, we wanted to compare what GP\u2019s ordinarily do, with offering all patients who usually receive medication for heartburn the Cytosponge test.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">13,000 patients were enrolled in the study from GP surgeries across England. Half of these patients were offered the standard clinical care, while the other half were offered the Cytosponge.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">At the end of the trial, the team analysed how many cases of Barrett\u2019s oesophagus were picked up in each of the two arms of the trial, and the results were quite remarkable.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cWe found 10 times more cases of Barrett\u2019s oesophagus in the people that were offered a Cytosponge compared with what GP\u2019s ordinarily do,\u201d says Fitzgerald.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">What\u2019s more, the trial picked up a number of early stage cancers too.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cIf the cancer is detected early you can cure the disease. You can remove it completely at endoscopy and the patient may not need to have chemotherapy and surgery to remove the oesophagus,\u201d Fitzgerald explains.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">The results will not only change the way Barrett\u2019s oesophagus and oesophageal cancer is detected in the future, the success of the BEST3 trial has meant that cancers have been successfully detected and treated in those who took part.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Liz is one of those cases.<\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">Liz\u2019s story<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:40,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/h2>\n<div id=\"attachment_17780\" class=\"wp-caption aligncenter\" readability=\"32\"><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"17780\" data-permalink=\"https:\/\/scienceblog.cancerresearchuk.org\/2020\/07\/31\/a-sponge-on-a-string-test-to-detect-oesophageal-cancer-earlier\/liz_hero-2\/\" data-orig-file=\"https:\/\/scienceblog.cancerresearchuk.org\/wp-content\/uploads\/2020\/07\/Liz_hero.jpg\" data-orig-size=\"620,348\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Liz_hero\" data-image-description data-medium-file=\"https:\/\/scienceblog.cancerresearchuk.org\/wp-content\/uploads\/2020\/07\/Liz_hero-300x168.jpg\" data-large-file=\"https:\/\/scienceblog.cancerresearchuk.org\/wp-content\/uploads\/2020\/07\/Liz_hero.jpg\" class=\"wp-image-17780 size-full\" src=\"https:\/\/zniup3zx6m0ydqfpv9y6sgtf-wpengine.netdna-ssl.com\/wp-content\/uploads\/2020\/07\/Liz_hero.jpg\" alt=\"Woman doing pottery\" width=\"620\" height=\"348\" srcset=\"https:\/\/zniup3zx6m0ydqfpv9y6sgtf-wpengine.netdna-ssl.com\/wp-content\/uploads\/2020\/07\/Liz_hero.jpg 620w, https:\/\/zniup3zx6m0ydqfpv9y6sgtf-wpengine.netdna-ssl.com\/wp-content\/uploads\/2020\/07\/Liz_hero-300x168.jpg 300w, https:\/\/zniup3zx6m0ydqfpv9y6sgtf-wpengine.netdna-ssl.com\/wp-content\/uploads\/2020\/07\/Liz_hero-220x123.jpg 220w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\"><\/p>\n<p class=\"wp-caption-text\">Liz took part in the BEST3 trial in 2017.<\/p>\n<\/div>\n<p aria-level=\"2\"><span data-contrast=\"auto\">Liz had suffered with acid reflux for many years. When she received a letter from her GP about the BEST3 trial, she signed up out of pure curiosity.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cI was curious about the trial because I\u2019d never heard of Barrett\u2019s oesophagus and so I just took part out of interest,\u201d Liz explains.&nbsp;&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">A fortnight after having the Cytosponge test at her local GP surgery, Liz received a letter saying that the test indicated she did have Barrett\u2019s oesophagus. Next, Liz required an endoscopy to clarify the results.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cI went and had an endoscopy and even I could see that things were not very good in my oesophagus. It was extremely inflamed and bleeding and not healthy looking at all.\u201d&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">The endoscopy also revealed that she had early stage oesophageal cancer, \u201cthat was the moment when you suddenly think, oh, this is bad\u201d.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Thankfully, the cancer had been caught early by the Cytosponge. \u201cI didn\u2019t have to have any harmful treatments at all. They could remove it by doing an endoscopic resection,\u201d says Liz.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Liz is a retired scientist, who has experience of working in research labs. \u201cI understood about a lot of the processes,\u201d she explains, \u201cthere\u2019s a huge amount of science behind it, but the procedure itself is so simple. It is, to my mind, a perfect test that could easily be carried out widely in the community.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">This was in 2017, at the beginning of the BEST3 trial. Since then, Liz has been busy enjoying life to the full. \u201cLast year, as well as enjoying a 90-mile walk along the Ridgeway, I was able to put my hobby of pottery to good use by making a hundred coasters bearing an image of the Cytosponge. These were sent as a small thank you gift to the research nurses involved in the BEST3 trial.\u201d&nbsp;&nbsp;<\/span><\/p>\n<h2><span data-contrast=\"none\">A COVID-response<\/span> <span data-contrast=\"none\">Cytosponge<\/span> <span data-contrast=\"none\">clinic<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:278}\">&nbsp;<\/span><\/h2>\n<p><span data-contrast=\"auto\">The team recently received a grant to begin implementing the<\/span> <span data-contrast=\"auto\">Cytosponge<\/span> <span data-contrast=\"auto\">test, both in GPs and in secondary care across England in the coming years.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">But the<\/span> <span data-contrast=\"auto\">onset of the<\/span> <span data-contrast=\"auto\">coronavirus pandemic<\/span> <span data-contrast=\"auto\">meant that plans were<\/span> <span data-contrast=\"auto\">quickly adjusted.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cCOVID-19 means that endoscopy services<\/span> <span data-contrast=\"auto\">were<\/span> <span data-contrast=\"auto\">pretty much shut down,\u201d Fitzgerald explains, \u201cit means that there are people out there who just<\/span> <span data-contrast=\"auto\">weren\u2019t<\/span> <span data-contrast=\"auto\">being referred, or who<\/span> <span data-contrast=\"auto\">had<\/span> <span data-contrast=\"auto\">been referred and<\/span> <span data-contrast=\"auto\">were<\/span> <span data-contrast=\"auto\">being stalled and not getting access to diagnostic tests.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">The team received permission to begin procedures immediately, setting up a \u2018COVID<\/span> <span data-contrast=\"auto\">Cytosponge<\/span> <span data-contrast=\"auto\">clinic\u2019 at the Addenbrooke\u2019s hospital in Cambridge.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cWe<\/span> <span data-contrast=\"auto\">were<\/span> <span data-contrast=\"auto\">taking patients referred by the two<\/span> <span data-contrast=\"auto\">week<\/span> <span data-contrast=\"auto\">wait from their GP,\u201d says Fitzgerald. \u201cThese are people who can still swallow capsules, who don\u2019t sound quite so poorly, but otherwise<\/span> <span data-contrast=\"auto\">would<\/span> <span data-contrast=\"auto\">have<\/span> <span data-contrast=\"auto\">had a<\/span> <span data-contrast=\"auto\">delay in getting the endoscopy, who<\/span> <span data-contrast=\"auto\">got<\/span> <span data-contrast=\"auto\">the<\/span> <span data-contrast=\"auto\">Cytosponge<\/span> <span data-contrast=\"auto\">test.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><\/span> <span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2 SCXW52594419 BCX4\">Cytosponge<\/span><\/span> <span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW52594419 BCX4\">than had been tested in the<\/span><\/span><span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW52594419 BCX4\">&nbsp;previous<\/span><\/span> <span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW52594419 BCX4\">trials, but analysing the data collected in this Addenbrooke\u2019s pilot will<\/span><\/span><span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW52594419 BCX4\">&nbsp;help to<\/span><\/span><span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW52594419 BCX4\">&nbsp;find out if<\/span><\/span> <span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2 SCXW52594419 BCX4\">Cytosponge<\/span><\/span><span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW52594419 BCX4\">&nbsp;<\/span><\/span><span class=\"TextRun SCXW52594419 BCX4\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW52594419 BCX4\">can play a useful role in working out who would benefit from an endoscopy the soonest.&nbsp;<\/span><\/span><span class=\"EOP SCXW52594419 BCX4\" data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">The<\/span> <span data-contrast=\"auto\">Cytosponge<\/span> <span data-contrast=\"auto\">test has reaffirmed the need to continue searching for innovative diagnostic tools, that detect pre-cancerous conditions quickly and non-invasively. One that can help save lives in today\u2019s uncertain circumstances and into the future.&nbsp;&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<p><em>Lilly<\/em><\/p>\n<h2>Reference<\/h2>\n<p><em>Fitzgerald RC, et al.<\/em> (2020). \u2018A pragmatic randomised, controlled trial of an offer of Cytosponge-TFF3 test compared with usual care to identify Barrett\u2019s oesophagus in primary care.\u2019 <em>The Lancet.<\/em> DOI:&nbsp;<a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)31099-0\/fulltext\">https:\/\/doi.org\/10.1016\/S0140-6736(20)31099-0<\/a><\/p>\n<blockquote class=\"center\">\n<p>Read more<\/p>\n<\/blockquote>\n<p><h3 class=\"panel-title\">More on this topic<\/h3>\n<\/p>\n<p> <a href=\"http:\/\/feedproxy.google.com\/~r\/cancerresearchuk\/SHhE\/~3\/RiDw_Zn2KSY\/\">Source<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Cytosponge can be used to detect oesophageal cancer earlier. Around 9,100 people are diagnosed with oesophageal cancer each year in the UK.&nbsp; A big challenge with this type of cancer is that many people don\u2019t realise there\u2019s a problem until they start to have trouble swallowing. Often, these symptoms aren\u2019t recognisable until a later [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-26246","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/26246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=26246"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/26246\/revisions"}],"predecessor-version":[{"id":44204,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/26246\/revisions\/44204"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=26246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=26246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=26246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}