Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Clinique Générale Beaulieu, Geneva, Switzerland.
Curr Oncol Rep. 2021 Nov 4;23(12):136. doi: 10.1007/s11912-021-01131-w.
There has been a huge development in the assessment of malignancies through liquid biopsies last years, especially for NSCLC, where its use has become part of clinical practice in some settings. We aim to summarize current evidence about minimal residual disease and its use in lung cancer.
Recent studies using ctDNA in NSCLC but also in other types of cancer found strong correlations between the presence of ctDNA and the risk of disease progression or death after curative intent, despite current technical difficulties in performing this analysis (high sensitivity and specificity required). Evaluation of MRD in NSCLC, especially through ctDNA, could be an important point in future trial designs and could permit a more "targeted" adjuvant treatment.
近年来,液体活检在恶性肿瘤评估方面取得了巨大进展,尤其是在非小细胞肺癌(NSCLC)中,其在某些情况下已成为临床实践的一部分。我们旨在总结关于微小残留病灶(MRD)及其在肺癌中的应用的现有证据。
最近的研究发现,尽管目前在进行这种分析时存在技术困难(需要高灵敏度和特异性),但使用 ctDNA 检测 NSCLC 以及其他类型的癌症的最近研究发现 ctDNA 的存在与疾病进展或治愈后死亡的风险之间存在很强的相关性。评估 NSCLC 中的 MRD,特别是通过 ctDNA,可能是未来试验设计中的一个重要点,并可能允许更“有针对性”的辅助治疗。