Amato Ottavia, Giannopoulou Nefeli, Ignatiadis Michail
Department of Surgery, Oncology and Gastroenterology (DISCOG), University of Padova, Padova, Italy.
Medical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
NPJ Breast Cancer. 2024 Mar 12;10(1):21. doi: 10.1038/s41523-024-00626-6.
Following the first characterization of circulating tumor DNA (ctDNA) in the 1990s, recent advances led to its introduction in the clinics. At present, the European Society Of Medical Oncology (ESMO) recommendations endorse ctDNA testing in routine clinical practice for tumor genotyping to direct molecularly targeted therapies in patients with metastatic cancer. In studies on metastatic breast cancer, ctDNA has been utilized for treatment tailoring, tracking mechanisms of drug resistance, and for predicting disease response before imaging. We review the available evidence regarding ctDNA applications in metastatic breast cancer.
在20世纪90年代循环肿瘤DNA(ctDNA)首次被鉴定出来之后,最近的进展使其得以应用于临床。目前,欧洲医学肿瘤学会(ESMO)的建议支持在常规临床实践中进行ctDNA检测,以用于肿瘤基因分型,从而指导转移性癌症患者的分子靶向治疗。在转移性乳腺癌的研究中,ctDNA已被用于治疗方案的定制、追踪耐药机制以及在影像学检查之前预测疾病反应。我们综述了关于ctDNA在转移性乳腺癌中应用的现有证据。