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Application of ctDNA in the diagnosis and treatment of colorectal cancer |
LIU Li JIANG Ping▲ GE Wei |
Department of Oncology, Taikang Tongji (Wuhan) Hospital, Hubei Province, Wuhan 430050, China |
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Abstract Colorectal cancer is the fifth leading cause of death among malignancies in China. Screening methods for colorectal cancer are of great significance for early diagnosis, selection of targeted drugs and immunotherapy and prognosis. With the continuous development of high-throughput sequencing technology and tumor genomics, circulating tumor DNA (ctDNA) detection technology has been widely used and studied in clinic due to its non-invasive and high specificity. The methylation level, mutation and copy number variation of colorectal cancer related genes detected by ctDNA can achieve early screening effect. ctDNA detection of RAS, HER2 and other target genes plays an important guiding role in individualized medication and prognosis monitoring of patients. In this review, the recent advances in the application of ctDNA in the early screening, treatment and prognosis of colorectal cancer are reviewed.
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