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Potdar. J Cancer Metastasis Treat 2017;3:1-5                                        Journal of
           DOI: 10.20517/2394-4722.2016.72
                                                             Cancer Metastasis and Treatment

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


           Circulating tumor cells: hope to diagnose

           and treat metastatic cancer



           Pravin D. Potdar

           Department of Molecular Medicine and Biology, Jaslok Hospital and Research Centre, Mumbai 400026, India.
           Correspondence to: Dr. Pravin D. Potdar, Department of Molecular Medicine and Biology, Jaslok Hospital and Research Centre, Mumbai 400026,
           India. E-mail: ppotdar@jaslokhospital.net; ppravin012@gmail.com
           How to cite this article: Potdar PD. Circulating tumor cells: hope to diagnose and treat metastatic cancer. J Cancer Metastasis Treat 2017;3:1-5.
           Article history:  Received: 19-12-2016      Accepted: 22-12-2016      Published: 12-01-2017


                           Dr. Pravin D. Potdar’s present interest is to study molecular profiling of circulating tumor cells (CTC), circulating
                           tumor DNA, cancer associated fibroblasts and cancer stem cells involved in metastatic process of cancers,
                           and to see how this process can be reverted back to normal by using innovated technologies which include
                           nanotechnology and nanomedicine.






           CHARACTERISTICS OF CIRCULATING                     bloodstream,  and  their heterogeneity  affecting their
           TUMOR CELLS                                        cell surface markers in isolation.  However, tissue
                                                              biopsies have limited effectiveness as a diagnostic tool
           In 1869,  Thomas Ashworth, an Australian physician,   because they are invasive and not suited to repeated
           for  the  first  time  observed  the  cells  which  are   sampling; biopsies also cannot monitor the treatment
           morphologically identical to cancer cells in the blood   of metastatic cancer patients during therapy. Analysis
           circulation  of metastatic cancer patients.  Today,   of CTCs analysis is non-invasive and can be carried
           these cells  are known  as circulating  tumor cells   out easily in combination with available liquid biopsies
           (CTCs).   Since most  cancer deaths are associated   such  as  blood  and  body  fluids  of  metastatic  cancer
                  [1]
           with metastases, there is a need  to study the exact   patients. Multiple samples can also be made available
           mechanism of this cancer spread.
                                                              to  monitor treatment  protocols  of  metastatic  cancer
           Until recently,  primary biopsy  has been the basis of   patients  during therapy. In addition,  CTCs analysis
           cancer diagnosis,  as  it  has  been  difficult  to  develop   allows clinicians to monitor disease progression over
           a research or diagnostic test  based on  Thomas    a period of time and  provide  appropriate  treatment
           Ashworth’s  finding.  The  major  reason  for  this  is   modification in a patient’s therapy, thus improving the
           the extremely small number (6-10) of CTCs in the   patient’s prognosis and quality of life.


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