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Liquid Biopsy in Breast Cancer
Maggie Banys-Paluchowski1, Natalia Krawczyk2, Tanja Fehm2
1Frauenklinik, Asklepios Klinik Barmbek, Hamburg, Germany.
Geburtshilfe Und Frauenheilkunde
|November 11, 2020
Summary
Liquid biopsy, analyzing circulating tumor cells (CTCs) and ctDNA, is crucial for breast cancer prognosis and treatment monitoring. Emerging research explores liquid biopsy-guided therapies, with alpelisib as a key example.
Area of Science:
- Oncology
- Molecular Diagnostics
- Genomics
Background:
- Liquid biopsy, encompassing circulating tumor cells (CTCs) and cell-free nucleic acids, is gaining prominence in breast cancer management.
- Numerous studies confirm the significant prognostic value of CTC detection across early and advanced disease stages.
- Dynamic changes in CTCs and circulating tumor DNA (ctDNA) during treatment reflect therapeutic response.
Purpose of the Study:
- To highlight the growing importance of liquid biopsy in breast cancer diagnostics and monitoring.
- To underscore the prognostic and predictive value of CTCs and ctDNA.
- To discuss the current focus on developing liquid biopsy-guided therapeutic strategies for metastatic breast cancer.
Main Methods:
- Review of existing clinical trials and research findings on liquid biopsy in breast cancer.
- Analysis of the prognostic significance of CTC detection.
- Correlation of CTC and ctDNA level changes with treatment outcomes.
Main Results:
- CTC detection demonstrates high prognostic significance in both early and metastatic breast cancer.
- Monitoring CTC and ctDNA levels provides insights into treatment efficacy.
- Research is actively pursuing therapeutic interventions guided by liquid biopsy findings.
Conclusions:
- Liquid biopsy is a vital tool for breast cancer prognosis and treatment evaluation.
- The field is advancing towards personalized therapies based on liquid biopsy data.
- Alpelisib represents a pioneering example of a targeted therapy approved for use in conjunction with liquid biopsy insights.

