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Sputum Samples

Sputum is a thick mixture of saliva, mucus and other material that can be brought up from the throat and air passages leading to the lungs. Sputum contains cells and DNA and can be examined for abnormalities, including some that indicate the presence of lung cancer.(1)(2) Although it is not a very sensitive test, examination of cells in sputum is still used to detect lung cancer. In part because of the poor sensitivity of the test, routine screening for lung cancer via sputum samples is not recommended.(3)

Recent advances have improved the test considerably. The ThinPrep® preparation technique has been shown to provide additional sensitivity.(4) Research is now being performed to assess the value of looking at fluorescence in body fluids to detect cancer(5) and to look for the presence of genetic defects and specific genes that could indicate the presence of cancer.(6)(7)

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Last Modified: 10/28/2011 Print Email Page Share
References for this page:
  1. Mascaux C, Peled N, Garg K, Kato Y, Wynes MW, Hirsch FR. Early detection and screening of lung cancer. Expert Rev Mol Diagn. 2010 Sep;10(6):799-815. [PUBMED]
  2. Thunnissen FB. Sputum examination for early detection of lung cancer. J Clin Pathol. 2003 Nov;56(11):805-10. [PUBMED]
  3. Mascaux C, Peled N, Garg K, Kato Y, Wynes MW, Hirsch FR. Early detection and screening of lung cancer. Expert Rev Mol Diagn. 2010 Sep;10(6):799-815. [PUBMED]
  4. Choi YD, Han CW, Kim JH, Oh IJ, Lee JS, Nam JH, Juhng SW, Park CS. Effectiveness of sputum cytology using ThinPrep method for evaluation of lung cancer. Diagn Cytopathol. 2008 Mar;36(3):167-71. [PUBMED]
  5. Al-Salhi M, Masilamani V, Vijmasi T, Al-Nachawati H, Vijayaraghavan AP. Lung Cancer Detection by Native Fluorescence Spectra of Body Fluids-A Preliminary Study. J Fluoresc. 2010 Oct 19. [Epub ahead of print] [PUBMED]
  6. Varella-Garcia M, Schulte AP, Wolf HJ, Feser WJ, Zeng C, Braudrick S, Yin X, Hirsch FR, Kennedy TC, Keith RL, Barón AE, Belinsky SA, Miller YE, Byers T, Franklin WA. The detection of chromosomal aneusomy by fluorescence in situ hybridization in sputum predicts lung cancer incidence. Cancer Prev Res (Phila). 2010 Apr;3(4):447-53. Epub 2010 Mar 23. [PUBMED]
  7. Jiang FF, Todd N, Li R, Zhang H, Fang HB, Stass SA. A panel of sputum-based genomic marker for early detection of lung cancer. Cancer Prev Res (Phila). 2010 Sep 23. [Epub ahead of print] [PUBMED]
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