Review Article

K-ras Mutational Status in Cytohistological Tissue as a Molecular Marker for the Diagnosis of Pancreatic Cancer: A Systematic Review and Meta-Analysis

Table 1

Main characteristics of the studies included.

StudyCountryTP/FP/FN/TNNumberInvasiveAssay type

Trümper et al., 1994 [14]Germany16/0/0/111ModeratePCR-SSCP + enriched PCR-RFLP
Watanabe et al., 1998 [15]Japan19/1/10/362ModeratePCR-HPA
22/5/6/323VeryPCR-RFLP
Mora et al., 1998 [16]Spain35/0/8/164MinimalEnriched RFLP-PCR + SSCP
Wenger et al., 1999 [17]Germany28/3/8/125VeryPCR + hybridization
Castells et al., 1999 [18]Spain28/4/11/226MinimalPCR-RFLP + SSCP
Okai et al., 1999 [19]Japan14/2/5/157ModeratePCR-RFLP
Futakawa et al., 2000 [20]Japan8/4/10/248ModeratePCR-RFLP
Tada et al., 2002a [21]Japan20/0/6/89MinimalEnriched PCR and enzyme linked minisequence assay
12/0/7/510Moderate
Dianxu et al., 2002 [22]China33/1/3/1311VeryPCR-RFLP
Tada et al., 2002b [23]Japan10/5/28/5712ModeratePCR-PHFA
18/8/20/5413ModeratePCR-ELMA
Zheng et al., 2003 [24]China45/0/9/1214MinimalPCR-RFLP
Liu et al., 2003 [25]China14/1/6/1415ModeratePCR-SSCP
Talar-Wojnarowska et al., 2005 [26]Poland20/8/6/1516VeryPCR-RFLP
Shi et al., 2008 [27]USA16/1/1/817ModerateLigAmp strategy
Parker et al., 2011 [28]Spain94/20/27/7118VeryPCR-RFLP
Ogura et al., 2012 [29]Japan266/0/40/4719ModeratePCR-direct sequence assay

TP: true positive; FP: false positive; FN: false negative; and TN: true negative.
*According to how the material was obtained, the types of sample used for K-ras analysis were divided into three groups: fine needle aspiration (FNA) was considered minimally invasive, endoscopic retrograde cholangio-pancreatography (ERCP) moderately invasive, and surgery very invasive.