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Cambridge GPs first to offer 'sponge on a string' cancer check

A new device to detect the early signs of cancer is being offered for the first time to GP patients in the UK.

The cytosponge has been developed by researchers from Addenbrooke's Hospital and the University of Cambridge as a quick and simply way of checking patients who may be at risk of developing oesophageal cancer.

The 10 minute procedure has been trialled in hospital and, as part of a pilot scheme, is now being offered to GP patients in Cambridgeshire.

Liz Chipchase, cytosponge patient

Link: https://youtu.be/C52e2Qz1HOM

Cambridge Cancer - Cytosponge video transcript

00:00:01 - 00:00:06

Text: 'Cambridge Cancer. Rewriting the story.'

00:00:07 - 00:00:10

Text: 'Detecting early signs of cancer and saving lives...'

00:00:11 - 00:00:14

Text: 'The Cytosponge'

00:00:15 - 00:00:19

Hello. I'm Liz, and I'm here because I took part in a medical trial

00:00:20 - 00:00:24

that was designed to look for early stages of cancer.

00:00:25 - 00:00:30

All I had to do was swallow a pill on a string and have that retrieved

00:00:31 - 00:00:33

And the cells that were collected by it

00:00:33 - 00:00:37

were then analysed for signs of pre-cancer.

00:00:38 - 00:00:43

When I was actually diagnosed with oesophageal cancer it really hit home.

00:00:43 - 00:00:49

I was devastated and also terribly surprised because I couldn't believe

00:00:49 - 00:00:53

I had a disease that could kill me and yet feel perfectly healthy.

00:00:54 - 00:00:56

Because my cancer was caught at such an early stage,

00:00:57 - 00:00:59

my treatment was really very straightforward and simple.

00:01:00 - 00:01:05

All that was required were two visits, two half-day visits, to outpatients,

00:01:06 - 00:01:08

where the cancer could be removed by endoscopy.

00:01:09 - 00:01:13

Then a few more visits to remove the remaining pre-cancerous cells.

00:01:14 - 00:01:18

Swallowing that little pill on a string has made an enormous difference to my life,

00:01:19 - 00:01:21

and I hope it's going to have the same effect

00:01:22 - 00:01:24

on an enormous number of people in the future.

Liz Chipchase was one of the first patients to trial the cytosponge, after being treated for years for acid reflex / heartburn.

To her surprise, her cytosponge test revealed she had the early stages oesophageal cancer.

With only 17% of patients living beyond five years or more after a diagnosis, Liz says early detection saved her life.

How does the cytosponge work?

Cytosponge
The cytosponge

The procedure involves the patient swallowing a pill on a string, which once inside the stomach, expands into a small sponge.

After a few minutes the sponge is pulled up through the oesophagus using the string. The cells it collects along the way can be checked in a lab for abnormalities.

Research shows that 59% of cases of cancer of the oesophagus in the UK are preventable, meaning the new test has the potential to both cut waiting lists and save lives.

Early diagnosis is key to survival for oesophageal cancer. The cytosponge and lab test is a game-changer

Dr James Morrow, Granta Medical Practices

Dr James Morrow, managing partner at Granta Medical Practices says: “At present, we have to send people we’re concerned about to hospital for an endoscopy. But this test is a quicker, cheaper, easier and a less invasive way to look for and monitor people who could be at risk of this dangerous, but often preventable, cancer.”

Testing will be carried out in a mobile unit, with the first patients expected at Shelford GP surgery on Friday 11 June.

After Cambridge, the mobile testing unit will move on to surgeries in Essex and then Suffolk, with the aim of testing being available across the UK in the future.

It's funded and equipped jointly by Heartburn Cancer UK (HCUK) and Innovate UK funded Project DELTA.

Heartburn Cancer UK (HCUK) (opens in a new tab), promotes awareness and champions early oesophageal cancer diagnosis.