作者: François-Clément Bidard , Tanja Fehm , Michail Ignatiadis , Jeffrey B. Smerage , Catherine Alix-Panabières
DOI: 10.1007/S10555-012-9398-0
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摘要: In 2004, circulating tumor cells (CTC) enumeration by the CellSearch® technique at baseline and during treatment was reported to be associated with prognosis in metastatic breast cancer patients. 2008, first evidence of impact CTC detection this on survival cM0(i+) patients were reported. These findings confirmed other non-interventional studies, whereas also investigated as a surrogate for biology, mainly HER2 expression/amplification. The aim report is present current prospective large interventional studies that have been specifically designed demonstrate enumeration/characterization may improve management patients: STIC METABREAST (France) Endocrine Therapy Index (USA) assess CTC-guided hormone therapy vs chemotherapy decision M1 patients; SWOG0500 CirCe01 count changes DETECT III (M1 patients, Germany) Treat (cM0(i+) European Organization Research Treatment Cancer/Breast International Group) use anti-HER2 treatments HER2-negative selected basis detection/characterization. trials different designs various patient populations but are expected pivotal implementation routine