Contents
1. Colorectal carcinoma
   
2. Colorectal metastases to the liver - stage IV no more?

What is colonoscopy?

   
3.

New chemotherapy agents and regimens in colorectal cancer treatment

Role of radiotherapy in colorectal cancer

   
4. Radiological imaging in colonic carcinoma
   
5.

Managing a blocked gut

Care of the ileostomy

   
6.

Molecular biology of colon carcinogenesis

   
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NCC Roundup
 
New technology at NCC
Spectral karyotyping: unmasking the cancer genome

 

Human solid tumours are genetically unstable. They commonly show abnormal chromosome number (aneuploidy) and structure, which are due to rearrangements such as translocations, deletions, and additions. High-quality visualisation of solid-tumour chromosomes is technically difficult, unlike that of leukaemias. Molecular cytogenetic techniques, such as fluorescence in-situ hybridisation (FISH) and comparative genomic hybridisation, improve the accuracy of interpretation of chromosomal aberrations in solid tumours. Spectral karyotyping (SKY) is another method that can be used to characterise the chromosomes of cancer cells. It employs the basic principles of FISH and combinatorial ratio labelling to generate a 24-colour probe panel (effectively a “paint box”) with a distinct spectrum (or “colour”) for each of the 22 autosomes and both sex chromosomes. Images are obtained by use of a spectral cube consisting of a Fourier-transformed spectrometer and a CCD (charged-couple device) camera. Each spectrum recovered by Fourier transformation is converted to display colours. SKY allows rapid analysis of the ploidy status of each metaphase and identifies subtle chromosomal rearrangements that may not be visible in classic G-banded chromosomes. This property could be especially useful in identifying complex and pathognomonic chromosomal rearrangements in solid tumours that could lead to new anti-cancer targets and better diagnosis. Panels (b) and (c) below are SKY images of a primary gastric adenocarcinoma.

Panel (a) shows DAPI (4’, 6-diamid ino-2-phenylindole) banding and panel (b) is the classified spectral image of a metaphase prepared from direct harvesting of cells from a primary gastric adenocarcinoma. In panel (c), SKY analysis shows numerical as well as structural abnormalities in a hyperdiploid tumour cell with 64 chromosomes.


(a)

(b)

(c)
(Images supplied by the Laboratory of Applied Human Genetics, NCC.)

 


International Society for Cancer Gene Therapy (ISCGT)
2004 Singapore conference

A comprehensive and stimulating array of clinical and research symposia and a technical poster exhibition to showcase the latest advances in medical sciences have been lined up for the ISCGT conference held on 21-22 February at the Concorde Hotel, Singapore. 31 invited speakers from the USA, Europe, Australia, Singapore, Japan, Hong Kong, and Korea will speak on topics related to gene therapeutics, cellular and molecular therapy of cancer, and the construction of viral and non-viral vectors for efficient gene delivery. The conference is jointly organised by ISCGT and the National Cancer Centre Singapore.

NCC Research Lab acquires new eyes to see tumour!

National Cancer Centre Research Division’s LSM 510 META confocal laser scanning microscope system was launched in 26 February 2003, being the first of its kind in Southeast Asia. NCC is also Carl Zeiss’ official reference site for the system.

The LSM 510 META system has been designed for applications in almost all biomedical research disciplines, from cell biology to the neurosciences and cytogenetics. The centrepiece of the system is a multi-channel detector of fluorescence dyes and allows experimental opportunities not previously available.

The system has received more than 3 awards, such as R & D 100 Award by R&D Magazine and Readers Choice Award by The Scientist magazine.


 

Congratulations!
The editorial team extends their heartfelt congratulations to the following physicians for their recent appointments:

Medical Oncology
Dr Leong Swan Swan – Senior Consultant
Dr Sandeep Rajan – Senior Consultant
Dr Tay Miah Hiang – Associate Consultant
Dr Wong Zee Wan – Associate Consultant
Dr Lim Soon Thye – Associate Consultant
Dr Darren Lim - Associate Consultant
Dr Wong Nan Soon – Associate Consultant

Surgical Oncology
Dr Ho Gay Hui – Consultant
Dr Koong Heng Nung – Senior Consultant
Dr Philip Karuman – Consultant


HMDP Returnee

NCC congratulate Dr See Hui Ti, Associate Consultant with Medical Oncology NCC, for her return from University of Texas MD Anderson Cancer Centre, USA, after her speciality training in gynaecological cancer as well as head and neck cancer.

Farewell to Dr Bhupinder Singh Mann
Dr Mann, a Senior Consultant with Department of Medical Oncology, NCC, will be leaving soon for his new assignment with the US Food and Drugs Administration at Washington D.C. The editorial team would like to thank him for his active contributions to Cancer Update and wish him good luck in his new position.