Liquid Biopsy in Solid Malignancy

Genet Test Mol Biomarkers. 2019 Apr;23(4):284-296. doi: 10.1089/gtmb.2018.0237. Epub 2019 Mar 27.

Abstract

The clinical utility of tissue biopsies in cancer management will continue to expand, especially with the evolving role of targeted therapies. "Liquid biopsy" refers to testing a patient's biofluid samples such as blood or urine to detect tumor-derived molecules and cells that can be used diagnostically and prognostically in the assessment of cancer. Many proof-of-concept and pilot studies have shown the clinical potential of liquid biopsies as diagnostic and prognostic markers which would provide a surrogate for the conventional "solid biopsy". In this review, we focus on three methods of liquid biopsy-circulating tumor cells, extracellular vesicles, and circulating tumor DNA-to provide a landscape view of their clinical applicability in cancer management and research.

Keywords: cancer; circulating DNA; circulating tumor cells; extracellular vesicles; liquid biopsy.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / blood
  • Biomarkers, Tumor / genetics
  • Biopsy
  • Body Fluids / chemistry
  • Circulating Tumor DNA / analysis*
  • DNA, Neoplasm / blood
  • Early Detection of Cancer / methods
  • Extracellular Vesicles / metabolism
  • Humans
  • Liquid Biopsy / methods*
  • Mutation
  • Neoplasms / genetics
  • Neoplastic Cells, Circulating / metabolism
  • Prognosis

Substances

  • Biomarkers, Tumor
  • Circulating Tumor DNA
  • DNA, Neoplasm