Review Article

Circulating Tumor Cells in Gastrointestinal Malignancies: Current Techniques and Clinical Implications

Table 2

CTCs studies and clinical outcome in gastrointestinal malignancies.

Patients analyzedType of cancerMethod of CTC detectionResultsReference

53 esophageal cancer patients22 benign patients who underwent thoracotomy30 healthy volunteersEsophageal cancer (1) Density gradient separation (OncoQuick)(2) Real-time RT-PCR (CEA-based)Patients with high levels of CTCs (CEA) were more likely to show recurrent diseaseLiu et al. [43]
62 esophageal cancer patients (25 SCC/37 EA)Esophageal cancer(1) Density gradient separation (OncoQuick)(2) Real-time RT-PCR (survivin-based)Survivn mRNA levels fall after surgical resectionHoffmann et al. [60]
44 patients with GI malignancy-24 esophageal cancer-5 gastric cancer-8 colorectal cancer-3 pancreaticGI malignancies(1) Density gradient separation (OncoQuick)(2) Real-time RT-PCR (survivin-based)Survivn mRNA levels fall after surgical resectionHoffmann et al. [31]
29 locally advanced esophageal cancer patients (11 SCC/18 EA)Esophageal cancer(1) Density gradient separation (OncoQuick)(2) Real-time RT-PCR (ERCC1-based)ERCC1 mRNA expression associated with response to neoadjuvant radiochemotherapyBrabender et al. [71]
59 locally advanced esophageal cancer patients (24 SCC/35 EA)Esophageal cancer(1) Density gradient separation(2) Methylation specific real-time RT-PCR (DAPK and APC-based)DAPK and APC methylation associated with unfavourable prognosisHoffmann et al. [44]
57 gastric cancer patients15 patients with benign diseae15 healthy volunteersGastric cancer(1) Density gradient separation(2) Real-time RT-PCR (CEA-based)Patients with high levels of CTCs (CEA) were more likely to show recurrent diseaseMiyazono et al. [63]
59 gastric cancer patients15 patients with benign diseaeGastric cancer(1) CTC-enrichment was not performed(2) Real-time RT-PCR (CEA-based)High levels of CEA were associated with lower risk of tumor recurrenceIkeguchi et al. [64]
430 mCRC patients beginning a new first-, second-, or third-line systemic therapyColorectal cancerImmunomagnetic CTC enumeration (CellSearch, Veridex)Patients with high CTCs had poor PFS and OSCohen et al. [66]
430 mCRC patients beginning a new first-, second-, or third-line systemic therapy (follow-up study)Colorectal cancerImmunomagnetic CTC enumeration (CellSearch, Veridex)Patients with high CTCs had poor PFS and OS (also within subgroups with longer follow up)Cohen et al. [67]