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循环肿瘤细胞的临床应用

Clinical application of circulating tumor cells.

作者信息

Stoecklein Nikolas H, Oles Julia, Franken Andre, Neubauer Hans, Terstappen Leon W M M, Neves Rui P L

机构信息

Heinrich-Heine University Düsseldorf General, Visceral and Pediatric Surgery University Hospital and Medical Faculty Düsseldorf Deutschland.

University Hospital and Medical Faculty of the Heinrich-Heine University Düsseldorf Department of Obstetrics and Gynecology Düsseldorf Deutschland.

出版信息

Med Genet. 2023 Dec 5;35(4):237-250. doi: 10.1515/medgen-2023-2056. eCollection 2023 Dec.

Abstract

This narrative review aims to provide a comprehensive overview of the current state of circulating tumor cell (CTC) analysis and its clinical significance in patients with epithelial cancers. The review explores the advancements in CTC detection methods, their clinical applications, and the challenges that lie ahead. By examining the important research findings in this field, this review offers the reader a solid foundation to understand the evolving landscape of CTC analysis and its potential implications for clinical practice. The comprehensive analysis of CTCs provides valuable insights into tumor biology, treatment response, minimal residual disease detection, and prognostic evaluation. Furthermore, the review highlights the potential of CTCs as a non-invasive biomarker for personalized medicine and the monitoring of treatment efficacy. Despite the progress made in CTC research, several challenges such as standardization, validation, and integration into routine clinical practice remain. The review concludes by discussing future directions and the potential impact of CTC analysis on improving patient outcomes and guiding therapeutic decision-making in epithelial cancers.

摘要

本叙述性综述旨在全面概述循环肿瘤细胞(CTC)分析的现状及其在上皮性癌患者中的临床意义。该综述探讨了CTC检测方法的进展、其临床应用以及未来面临的挑战。通过审视该领域的重要研究发现,本综述为读者提供了一个坚实的基础,以了解CTC分析不断演变的格局及其对临床实践的潜在影响。对CTC的综合分析为肿瘤生物学、治疗反应、微小残留病检测和预后评估提供了有价值的见解。此外,该综述强调了CTC作为个性化医疗和治疗疗效监测的非侵入性生物标志物的潜力。尽管CTC研究取得了进展,但仍存在一些挑战,如标准化、验证以及纳入常规临床实践等。综述最后讨论了未来的方向以及CTC分析对改善上皮性癌患者预后和指导治疗决策的潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347c/11110132/b80702c13d1e/j_medgen-2023-2056_fig_001.jpg

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