DNA Marker in Stool Led to a Second High-Quality Colonoscopy Within Three Months and Removal of an Undetected High-Risk Polyp

Clin Lab. 2024 Jan 1;70(1). doi: 10.7754/Clin.Lab.2023.230716.

Abstract

Background: In this case study, the patient first had a colonoscopy based on an incidental episode of vomiting and abdominal pain.

Materials and methods: Two months after recovery, a multitarget stool test (ColoAlert®) was performed and showed a known somatic mutation in the oncogene KRAS, reported to be associated with colorectal cancer. As a result, a second complete colonoscopy was performed at another center.

Results: This procedure led to the diagnosis and removal of a later classified high-risk polyp that had been missed during the initial colonoscopy.

Conclusions: This case report shows the use of genetic markers in stool testing has the potential to detect colon cancer in very early stages when treatment is inexpensive and effective.

Publication types

  • Case Reports

MeSH terms

  • Colonic Neoplasms* / diagnosis
  • Colonic Neoplasms* / genetics
  • Colonoscopy / methods
  • Colorectal Neoplasms* / diagnosis
  • Colorectal Neoplasms* / genetics
  • Early Detection of Cancer / methods
  • Feces
  • Genetic Markers
  • Humans

Substances

  • Genetic Markers