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Cited by 453

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Serial monitoring of circulating tumor DNA in patients with primary breast cancer for detection of occult metastatic disease

Open access
Olsson, Eleonor, Winter, Christof, George, Anthony, Chen, Yilun, Howlin, Jillian, Tang, Man‐Hung Eric, Dahlgren, Malin, Schulz, Ralph, Grabau, Dorthe, van Westen, Danielle, Fernö, Mårten, Ingvar, Christian, Rose, Carsten, Bendahl, Pär‐Ola, Rydén, Lisa, Borg, Åke, Gruvberger‐Saal, Sofia K, Jernström, Helena, Saal, Lao H·2015·EMBO Molecular Medicine

Abstract

Metastatic breast cancer is usually diagnosed after becoming symptomatic, at which point it is rarely curable. Cell-free circulating tumor DNA (ctDNA) contains tumor-specific chromosomal rearrangements that may be interrogated in blood plasma. We evaluated serial monitoring of ctDNA for earlier detection of metastasis in a retrospective study of 20 patients diagnosed with primary breast cancer and long follow-up. Using an approach combining low-coverage whole-genome sequencing of primary tumors and quantification of tumor-specific rearrangements in plasma by droplet digital PCR, we identify for the first time that ctDNA monitoring is highly accurate for postsurgical discrimination between patients with (93%) and without (100%) eventual clinically detected recurrence. ctDNA-based detection preceded clinical detection of metastasis in 86% of patients with an average lead time of 11 months (range 0-37 months), whereas patients with long-term disease-free survival had undetectable ctDNA postoperatively. ctDNA quantity was predictive of poor survival. These findings establish the rationale for larger validation studies in early breast cancer to evaluate ctDNA as a monitoring tool for early metastasis detection, therapy modification, and to aid in avoidance of overtreatment.

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Metadata

Authors
Olsson, E., Winter, C., George, A., Chen, Y., Howlin, J., Tang, M. E., Dahlgren, M., Schulz, R., Grabau, D., van Westen, D., Fernö, M., Ingvar, C., Rose, C., Bendahl, P., Rydén, L., Borg, Å., Gruvberger‐Saal, S. K., Jernström, H., & Saal, L. H.
Venue
EMBO Molecular Medicine
Published
2015-05-18
Volume
7
Issue
8
Pages
1034-1047
ISSN
  • 1757-4676 (ISSN-L)
  • 1757-4684
OpenAlex
W2116805592
Cited by
453
References
9
FWCI
15.11
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Serial monitoring of circulating tumor DNA in patients with primary breast cancer for detection of occult metastatic disease. https://app.cochat.ai/papers/10.15252/emmm.201404913
The paper
Olsson, E., Winter, C., George, A., Chen, Y., Howlin, J., Tang, M. E., Dahlgren, M., Schulz, R., Grabau, D., van Westen, D., Fernö, M., Ingvar, C., Rose, C., Bendahl, P., Rydén, L., Borg, Å., Gruvberger‐Saal, S. K., Jernström, H., & Saal, L. H. (2015). Serial monitoring of circulating tumor DNA in patients with primary breast cancer for detection of occult metastatic disease. EMBO Molecular Medicine. https://doi.org/10.15252/emmm.201404913

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.