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Murray. J Cancer Metastasis Treat 2016;2:453-62                                     Journal of
           DOI: 10.20517/2394-4722.2016.55
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Topic: Circulating Tumor Cells: Diagnostics and Clinical Applications               Open Access


           The significance and clinical utility of the

           detection of primary malignant circulating

           prostate cells: a review of the evidence



           Nigel P. Murray 1,2

           1 Hospital Carabineros of Chile, Nunoa, 7770199 Santiago, Chile.
           2 Faculty of Medicine, University Finis Terrae, Providencia, 7501015 Santiago, Chile.

           Correspondence to: Dr. Nigel P. Murray, Faculty of Medicine, University Finis Terrae, Providencia, 7501015 Santiago, Chile.
           E-mail: nigelpetermurray@gmail.com
           How to cite this article: Murray NP. The significance and clinical utility of the detection of primary malignant circulating prostate cells: a review of
           the evidence. J Cancer Metastasis Treat 2016;2:453-62.
                           Dr. Nigel P. Murray is currently a Professor in Hematology and Internal Medicine in the University Finis Terrae,
                           Santiago, Chile where he heads the Circulating Tumor Cell unit and is the Head of Hematology, Hospital de
                           Carabineros de Chile, Santiago, Chile. His research interests included the use of primary and secondary circulating
                           prostate cells in the diagnosis and management of prostate cancer, with over 30 publications in PubMed.





                                         ABSTRACT
            Article history:              Primary malignant  circulating prostate cells (CPCs) are  those detected in blood before
            Received: 21-09-2016          definitive treatment for prostate cancer. CPCs can be detected in men with benign prostate
            Accepted: 01-12-2016          disease;  however,  some  methods  to  distinguish  between  benign  and  malignant  prostate
            Published: 16-12-2016         cells have to be validated. This study presents a review of the subject, including theoretical
                                          considerations for the selection of markers to detect them, the different methods used, and the
            Key words:                    utility of their detection in identifying men with prostate cancer and as a prognostic factor.
            Prostate cancer,
            circulating prostate cells,
            cancer detection,
            prognostic factor

           INTRODUCTION                                       changes and the aging population, the number of men
                                                              with this cancer has steadily increased.  The natural
           Prostate cancer is the most common tumor diagnosed   history of untreated prostate cancer is one of evolution
           in men in the Western world. With demographic      to a metastatic disease,  especially  disseminating  to

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