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1Significance of postoperative follow-up of patients with metastatic colorectal cancer using circulating tumor DNA显示文摘BACKGROUND One of the most notable applications for circulating tumor DNA(ctDNA)detection in peripheral blood of patients with metastatic colorectal cancer(mCRC)is a long-term postoperative follow-up.Sometimes referred to as a“liquid(re)biopsy”it is a minimally invasive procedure and can be performed repeatedly at relatively short intervals(months or even weeks).The presence of the disease and the actual extent of the tumor burden(tumor mass)within the patient’s body can be monitored.This is of particular importance,especially when evaluating radicality of surgical treatment as well as for early detection of disease progression or recurrence.AIM To confirm the radicality of surgery using ctDNA and compare available methods for detection of recurrence in metastatic colorectal cancer.METHODSA total of 47 patients with detected ctDNA and indications for resection of mCRC were enrolled in the multicenter study involving three surgical centers.Standard postoperative follow-ups using imaging techniques and the determination of tumor markers were supplemented by ctDNA sampling.In addition to the baseline ctDNA testing prior to surgery,a postoperative observation was conducted by evaluating ctDNA presence up to a week after surgery and subsequently at approximately three-month intervals.The presence of ctDNA was correlated with radicality of surgical treatment and the actual clinical status of the patient.RESULTS Among the monitored patients,the R0(curative)resection correlated with postoperative ctDNA negativity in 26 out of 28 cases of surgical procedures(26/28,93%).In the remaining cases of R0 surgeries that displayed ctDNA,both patients were diagnosed with a recurrence of the disease after 6 months.In 7 patients who underwent an R1 resection,4 ctDNA positivities(4/7,57%)were detected after surgery and associated with the confirmation of early disease recurrence(after 3 to 7 months).All 15 patients(15/15,100%)undergoing R2 resection remained constantly ctDNA positive during the entire follow-up period.In 22 cases of recurrence,ctDNA positivity was detected 22 times(22/22,100%)compared to 16 positives(16/22,73%)by imaging methods and 15 cases(15/22,68%)of elevated tumor markers.CONCLUSION ctDNA detection in patients with mCRC is a viable tool for early detection of disease recurrence as well as for confirmation of the radicality of surgical treatment.Lucie Benešová Tereza Hálková Renata Ptáčková Anastasiya Semyakina Kateřina Menclová JiříPudil Miroslav Ryska Miroslav Levý JaromírŠimša Filip Pazdírek JiříHoch Milan Blaha Marek Minárik 2019World Journal of Gastroenterology2019,25,48:3
2The apoptosis repressor with a CARD domain (ARC) gene is a direct hypoxiainducible factor 1 target gene and promotes survival and proliferation of VHL-deficient renal cancer cells显示文摘Razorenova OV Castellini L Colavitti R 2014Mol Cell Biol2014,34,:1
3Calcium signaling and pancreatic cell death: apoptpsis or necrosis? 显示文摘Criddle DN Gerasimenko JV Baumgartner HK Jaffar M Voronina S Sutton R Petersen OH Gerasimenko OV 2007Cell Death Differ2007,14,7:1
4Insulin resistance polycystic ovary syndrome and type 2 diabetes mellitus显示文摘Ov Ule F Azziz R 2002Feail Steril2002,77,6:1
5Idl regulates angiogenesis through transcriptional repression of thrombospondin-1显示文摘Volpert OV Pili R Sikder HA 2002Cancer Ce112002,2,6:1
6Do CSF total tau, phosphorylated tau, and beta - amyloid 42 help top redict progression of mild cognitive impairment to Alzheimerps disease? A systematic review and meta - analysis of the literature显示文摘DinizBS Pinto JA J r Forlenza OV 2008World J Biol Psychiatry2008,9,3:1
7Idl regulates angiogenesis through transcriptional repression of thrombospondin-1 显示文摘Volpert OV Pili R Sikder HA 2012Cancer cell2012,2,6:1
8Root anatomy and canal configuration of the permanent mandibular first molar : a systematic review 显示文摘de Pablo OV Estevez R P6ix Sdnchez M 2010J Endod2010,36,12:1
9Idl regulates angiogenesis through transcriptional repression of thrombospondin-1 显示文摘Volpert OV Pili R Sikder HA 2002Cancer Cell2002,2,:1
10Influence of effluent irrigation on community composition and function of ammonia- oxidizing bacteria in soil 显示文摘OVED T SHAVIV A GOLDRATH T MANDELBAUM R T MINZ D 2001Applied and Environmental Microbiology2001,67,8:1
11Gas chromatographic-mass spectrometric characterization of monomethylalkanes from fuel diesel显示文摘Krko?ová ? Kubinec R Addová G 2007Petroleum & Coal2007,49,3:1
12Id1 regulates angiogenesis through transcriptional repression of thromhospondin-1显示文摘Volpert OV Pili R Sikder HA 2002Cancer Cell2002,2,6:1
13Zucker diabetic fatty rat:a new model of impaired cutaneous wound repair with type II diabetes mellitus and obesity显示文摘Slavkovsky R Kohlerova R Tkacova V Jiroutova A Tahmazoglu B Velebny V Reza?ováM Sobotka L Kanta J 2011Wound Repair Regen2011,19,4:1
14Bioconversion of lignocellulosic biomass: biochemical and molecular perspectives 显示文摘Kumar R Singh S Singh OV 2008Journal of Industrial Microbiology Biotechnology2008,35,5:1
15Heterogeneous RNA-binding protein Md is a receptor for carcinoembryonic antigen in Kupffer cells 显示文摘Bajenova OV Zimmer R Stolper E 2001J Biol Chem2001,276,31:1
16Caries induced cytokine network in the odontoblast layer of human teeth 显示文摘Horst OV Horst J A Samudrala R 2011BMC Immunol2011,12,:1
17Idl regulates angiogenesis through transcriptional repression of thrombospondin-1 显示文摘Volpert OV Pili R Sikder HA 2002Cancer Cell2002,2,6:1
18Trimodality imaging of colonic lymphoma显示文摘J. Cyrany M. Pintér V. Ty?ová J. Krejsek D. Belada S. Rejchrt J. Bure? 2009Endoscopy (S )2009,,02:1
19Improvement of the stability of glucose oxidase via encapsulation in sodium alginate–cellulose sulfate–poly(methylene- co -guanidine) capsules显示文摘Alica Vikartovská Marek Bu?ko Danica Mislovi?ová Vladimír P?toprsty Igor Lacík Peter Gemeiner 2007Enzyme and Microbial Technology2007,,6:1
20Development of a DNA probe and a PCR based diagnostic assay for Rhizoctonia solani using a repetitive DNA sequence cloned from a Sri Lankan isolate 显示文摘Weerasena OV Chandrasekharan NV Wijesundera R L 2004Mycological Research2004,108,6:1
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