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            Special Issue

            Circulating Tumor Cells: Diagnostics and

            Clinical Applications



            Guest Editor:                     Special Issue Introduction
            Prof. Pravin D. Potdar            Major cause of relatively high mortality in cancer patients are due to the
                                              dissemination of tumor cells from primary tumor to distance organs which cannot
            Head, Department of               be detected early by present imaging technology. However, one of the most
            Molecular Medicine and            promising development in cancer diagnosis & therapies is an introduction of
                                              Circulating Tumor Cells (CTCs) as a minimally invasive technology for monitoring
            Biology, Jaslok Hospital and
                                              the therapies of metastatic cancers. CTCs are originating from shredding of solid
            Research Centre, Mumbai           tumor cells in blood circulation and represent the tumour counterpart in vivo.
                                              Enumeration and molecular profiling of these CTCs in peripheral blood of
            400026, India.
                                              metastatic cancer patients allow clinicians to monitor intensity of metastasis
            E-mail:                           cancer along with tumour cell phenotypes for using molecular targeted therapy
                                              for better cure. These liquid biopsies allow the characterization of specific
            ppravin012@gmail.com
                                              biomarkers of CTCs in metastatic cancer patient more precisely than the old
                                              method of histopathology of biopsy specimen. Therefore this technology may
                                              revolutionize cancer detection and possible therapies for metastatic cancer in
                                              near future. However, it remains technically challenging because of very low
                                              concentration of CTCs in blood stream of cancer patients and there is a need for
                                              establishing well standardised protocol for enumeration of these CTCs according
                                              to their original phenotype. Molecular characterization of CTCs is one of the most
                                              active areas of translational cancer research and soon, CTCs characterization will
                                              contribute to have very specific targeted therapies for metastatic cancer patients
                                              and become the hallmark of Personalized Medicine. This special issue on
                                              “Circulating Tumor Cells: - Diagnostics & clinical application” mainly discusses an
                                              important technical and theoretical aspects of CTCs technologies, including
                                              validation of enumeration of  CTCs protocols and establishment of various
                                              biomarkers involved in cancer  development by innovated molecular
                                              technologies. It also further evaluates an exact mechanism of metastasis process
                                              of various cancers for more specific treatment and cure of this disease.

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