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Updated: Oct 7, 2025

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Detection and Monitoring of Tumor Associated Circulating DNA in Patient Biofluids
Published on: June 8, 2019
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Circulating Tumor DNA in Lymphoma: Principles and Future Directions
Mark Roschewski1, Davide Rossi2, David M Kurtz3
1Lymphoid Malignancies Branch, National Cancer Institute, Bethesda, Maryland. mark.roschewski@nih.gov.
Blood Cancer Discovery
|January 11, 2022
Summary
Circulating tumor DNA (ctDNA) offers a non-invasive method to analyze lymphoma genetics and monitor treatment effectiveness by detecting minimal residual disease. Further research is needed to standardize ctDNA use and confirm its clinical utility in lymphoma management.
Area of Science:
- Oncology
- Molecular Biology
- Biomarker Discovery
Background:
- Lymphomas exhibit significant genetic heterogeneity, complicating diagnosis and treatment response assessment.
- Current methods like imaging scans and tissue biopsies have limitations in detecting molecular details and spatial heterogeneity.
- Circulating tumor DNA (ctDNA) presents a minimally invasive alternative for molecular profiling in lymphoma.
Purpose of the Study:
- To review established principles of ctDNA in lymphoma.
- To highlight research questions and future directions for ctDNA application.
- To emphasize ctDNA's potential in aiding clinical decision-making for lymphoma patients.
Main Methods:
- Review of existing literature on ctDNA in lymphoma.
- Analysis of ctDNA's capabilities in providing genotypic information.
- Evaluation of ctDNA's role in assessing minimal residual disease and treatment effectiveness.
Main Results:
- ctDNA is an emerging biomarker for lymphomas, offering non-invasive genotypic insights.
- ctDNA can effectively measure treatment response by detecting minimal residual disease.
- Key principles for ctDNA in lymphoma have been identified.
Conclusions:
- ctDNA shows promise as a versatile biomarker in lymphoma, overcoming limitations of traditional methods.
- Standardization of ctDNA assays and further studies are crucial for establishing its clinical utility.
- ctDNA has the potential to significantly impact lymphoma management and patient outcomes.

