Clinical Significance of Circulating Tumor Cells in Gastrointestinal Carcinomas

The idea of a liquid biopsy to screen, surveil and treat cancer patients is an intensively discussed and highly awaited tool in the field of oncology. Despite intensive research in this field, the clinical application has not been implemented yet and further research has to be conducted. However, on...

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Main Authors: Leonie Konczalla, Anna Wöstemeier, Marius Kemper, Karl-Frederik Karstens, Jakob Izbicki, Matthias Reeh
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/4/192
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author Leonie Konczalla
Anna Wöstemeier
Marius Kemper
Karl-Frederik Karstens
Jakob Izbicki
Matthias Reeh
author_facet Leonie Konczalla
Anna Wöstemeier
Marius Kemper
Karl-Frederik Karstens
Jakob Izbicki
Matthias Reeh
author_sort Leonie Konczalla
collection DOAJ
description The idea of a liquid biopsy to screen, surveil and treat cancer patients is an intensively discussed and highly awaited tool in the field of oncology. Despite intensive research in this field, the clinical application has not been implemented yet and further research has to be conducted. However, one component of the liquid biopsy is circulating tumor cells (CTCs) whose potential for clinical application is evaluated in the following. CTCs can shed from primary tumors to the peripheral blood at any time point during the progress of a malignant disease. Following, one single CTC can be the origin for distant metastasis at later cancer stage. Thus, CTCs have great potential to either be used in cancer diagnostics and patient stratification or to function as a target for new therapeutic approaches to stop tumor dissemination and metastasis at the very early beginning. Due to the biological fundamental role of CTCs in tumor progression, here, we provide an overview of CTCs in gastrointestinal cancers and their potential use in the clinical setting. In particular, we discuss the usage of CTC for screening and stratifying patients’ risk. Moreover, we will discuss the potential role of CTCs for treatment specification and treatment monitoring.
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spelling doaj.art-bcb14f41b3a14db79a985a2e872876b92023-11-19T20:08:25ZengMDPI AGDiagnostics2075-44182020-03-0110419210.3390/diagnostics10040192Clinical Significance of Circulating Tumor Cells in Gastrointestinal CarcinomasLeonie Konczalla0Anna Wöstemeier1Marius Kemper2Karl-Frederik Karstens3Jakob Izbicki4Matthias Reeh5Department of General, Visceral and Thoracic Surgery, University Medical Centre, Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, GermanyDepartment of General, Visceral and Thoracic Surgery, University Medical Centre, Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, GermanyDepartment of General, Visceral and Thoracic Surgery, University Medical Centre, Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, GermanyDepartment of General, Visceral and Thoracic Surgery, University Medical Centre, Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, GermanyDepartment of General, Visceral and Thoracic Surgery, University Medical Centre, Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, GermanyDepartment of General, Visceral and Thoracic Surgery, University Medical Centre, Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, GermanyThe idea of a liquid biopsy to screen, surveil and treat cancer patients is an intensively discussed and highly awaited tool in the field of oncology. Despite intensive research in this field, the clinical application has not been implemented yet and further research has to be conducted. However, one component of the liquid biopsy is circulating tumor cells (CTCs) whose potential for clinical application is evaluated in the following. CTCs can shed from primary tumors to the peripheral blood at any time point during the progress of a malignant disease. Following, one single CTC can be the origin for distant metastasis at later cancer stage. Thus, CTCs have great potential to either be used in cancer diagnostics and patient stratification or to function as a target for new therapeutic approaches to stop tumor dissemination and metastasis at the very early beginning. Due to the biological fundamental role of CTCs in tumor progression, here, we provide an overview of CTCs in gastrointestinal cancers and their potential use in the clinical setting. In particular, we discuss the usage of CTC for screening and stratifying patients’ risk. Moreover, we will discuss the potential role of CTCs for treatment specification and treatment monitoring.https://www.mdpi.com/2075-4418/10/4/192liquid biopsycancer diagnosissolid cancer/tumorcirculating tumor cellsfree DNA
spellingShingle Leonie Konczalla
Anna Wöstemeier
Marius Kemper
Karl-Frederik Karstens
Jakob Izbicki
Matthias Reeh
Clinical Significance of Circulating Tumor Cells in Gastrointestinal Carcinomas
Diagnostics
liquid biopsy
cancer diagnosis
solid cancer/tumor
circulating tumor cells
free DNA
title Clinical Significance of Circulating Tumor Cells in Gastrointestinal Carcinomas
title_full Clinical Significance of Circulating Tumor Cells in Gastrointestinal Carcinomas
title_fullStr Clinical Significance of Circulating Tumor Cells in Gastrointestinal Carcinomas
title_full_unstemmed Clinical Significance of Circulating Tumor Cells in Gastrointestinal Carcinomas
title_short Clinical Significance of Circulating Tumor Cells in Gastrointestinal Carcinomas
title_sort clinical significance of circulating tumor cells in gastrointestinal carcinomas
topic liquid biopsy
cancer diagnosis
solid cancer/tumor
circulating tumor cells
free DNA
url https://www.mdpi.com/2075-4418/10/4/192
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