Circulating Tumor Cells and Circulating Tumor DNA

Annual Review of Medicine - Tập 63 Số 1 - Trang 199-215 - 2012
Catherine Alix‐Panabières1,2,3, Heidi Schwarzenbach4, Klaus Pantel4
1University Institute of Clinical Research UM1 – EA2415 – Epidemiology, Biostatistics & Public Health;
2University Medical Center, Laboratory of Cell and Hormonal Biology, Arnaud de Villeneuve Hospital, Montpellier, France;
3University Medical Center, Saint-Eloi Hospital, Institute of Research in Biotherapy, Laboratory of Rare Human Circulating Cells, Montpellier, France;
4Institute of Tumor Biology, University Medical Center, Hamburg-Eppendorf, 20246 Hamburg, Germany;

Tóm tắt

Solid tumors derived from epithelial tissues (carcinomas) are responsible for 90% of all new cancers in Europe, and the main four tumor entities are breast, prostate, lung, and colon cancer. Present tumor staging is mainly based on local tumor extension, metastatic lymph node involvement, and evidence of overt distant metastasis obtained by imaging technologies. However, these staging procedures are not sensitive enough to detect early tumor cell dissemination as a key event in tumor progression. Many teams have therefore focused on the development of sensitive assays that allow the specific detection of single tumor cells or small amounts of cell-free tumor DNA in the peripheral blood of cancer patients. These methods allow the detection and characterization of early metastatic spread and will provide unique insights into the biology of metastatic progression of human tumors, including the effects of therapeutic interventions.

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