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Detection of breast cancer cells in the bone marrow or peripheral blood: methods and prognostic significance.

Abstract
Tumor cells can reach every anatomic district, organ and tissue through the peripheral blood circulation. Tumor cell shedding is considered an early event in the multi-phase process of metastasis, and the possibility of detecting tumor cells in the bloodstream and/or bone marrow before clinical evidence of distant metastases needs to be explored. The use of new sophisticated diagnostic and investigative techniques has boosted the study of tumor cell contamination of bone marrow and peripheral blood. Molecular techniques, such as reverse-transcriptase polymerase chain reaction, may be useful tools to reach this target, but, today, immunocytochemistry is still considered the gold standard to assess new techniques to detect isolated tumor cells in hematopoietic tissue. Little is known about the biology of isolated tumor cells in the peripheral blood or bone marrow. Two crucial points need to be evaluated: the identification of specific markers of breast cancer cells with clonogenic potential and their biologic properties, and the prognostic impact of the detection of isolated tumor cells in the bone marrow or peripheral blood stem cell collections.
AuthorsM Lalle, L De Rosa, L Marzetti, A Montuoro
JournalTumori (Tumori) 2000 May-Jun Vol. 86 Issue 3 Pg. 183-90 ISSN: 0300-8916 [Print] United States
PMID10939595 (Publication Type: Journal Article, Review)
Chemical References
  • Biomarkers, Tumor
  • DNA, Neoplasm
Topics
  • Biomarkers, Tumor (analysis, blood)
  • Bone Marrow Neoplasms (diagnosis, genetics, secondary, surgery)
  • Breast Neoplasms (diagnosis, genetics, secondary, surgery)
  • DNA, Neoplasm (analysis)
  • Disease Progression
  • Female
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Immunohistochemistry
  • Neoplastic Cells, Circulating (pathology)
  • Predictive Value of Tests
  • Prevalence
  • Prognosis
  • Randomized Controlled Trials as Topic
  • Reverse Transcriptase Polymerase Chain Reaction
  • Transplantation, Autologous

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