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UT M.D. Anderson Cancer Center
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UT Austin
British Columbia Cancer Agency
Rice University
University of Wisconsin
Associated Clinical Trials
GYN97-243
GYN97-244
ID95-001
Collaborating Researchers
Michele Follen, M.D., M.S.
Rebecca Richards-Kortum, Ph.D.
E. Neely Atkinson, Ph.D.
Karen Basen-Enquist, Ph.D., M.P.H.
Scott B. Cantor, Ph.D.
Urs Utzinger, Ph.D.
Calum MacAulay, Ph.D.
Anais Malpica, M.D.
Dennis Cox, B.A., M.S.
Nirmala Ramanujam, B.S., M.S., Ph.D.
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Clinical Trial Update

For years, the Pap smear has been the best tool for detecting cervical cancer.

Now a new fiber-optic probe is being studied which could someday replace the Pap smear as a faster, cheaper, more accurate way to detect cervical cancer.

 

Paula Roberts, a busy administrative assistant, is taking part in a clinical trial at the Unversity of Texas M. D. Anderson Cancer Center in Houston, Texas. The study is testing a new fiber-optic cervical probe comparing it to the Pap smear. One advantage of the probe is that unlike the Pap smear, results of the exam are immediate.

" With the probe they can immediately tell if there's a problem and take a biopsy or whatever they need right then."

"I think this will give us a whole new step to go toward at finding cancer in the earlier stages, possibly being able to find a cure also."

The probe is placed painlessly against the cervix, shining light onto the tissue.

A computer interprets the probe's reading looking for cancer or pre-cancerous cells which absorb light differently than normal cells. The probe also measures the way light reflects off the nucleus of a cell.

The information is fed into a computer which interprets the probe's reading in minutes.

The results do not have to be read by a doctor. In fact, physicians assistants and hospital aides have used the device successfully in the trial.

That means more women will have easier access to cervical cancer screening.

 

Dr. Michele Follen of The University of Texas M. D. Anderson Cancer Center explains the detection process as follows.

" What happens is as cells get more dysplastic and move toward cancer, the nuclei actually get crinkled so they reflect light in a more scattered way."

The probe may also be used in the future to detect cancers in the mouth, colon and bladder.