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Correspondence
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Volume 339:1642-1644 November 26, 1998 Number 22
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Detection of Carcinoembryonic Antigen Messenger RNA in Lymph Nodes from Patients with Colorectal Cancer

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 by Liefers, G.-J.
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To the Editor: The study by Liefers et al. (July 23 issue)1 demonstrated the prognostic importance of micrometastases detected by the use of a tissue-specific reverse-transcriptase–polymerase-chain-reaction assay (PCR) in patients with colorectal cancer. However, certain issues are of concern. Only 192 lymph nodes were analyzed, an average of 7 per patient. Histologic assessment of lymph nodes in stage T3 colorectal cancer by Goldstein et al. has shown the importance of the number of nodes examined per specimen.2 When 5 to 8 nodes were examined, only 31 percent of the specimens were found to have metastases, but when 17 to 20 . . . [Full Text of this Article]

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