Abstract
Background: Cell-free DNA (cfDNA) can be detected in the circulation of healthy individuals, but is found in higher concentrations in cancer patients. Furthermore, mutations in tumor cells can be identified in circulating DNA fragments. This has been the subject of significant interest in the field of cancer research, but little has been published in thyroid cancer.
Objectives: To assess all available evidence on the use of circulating cfDNA in the diagnosis, management and surveillance of patients with differentiated thyroid cancer, and collate it into a systematic review to guide future research.
Methods: A comprehensive literature search on the measurement of cfDNA in thyroid cancer was undertaken, and results from relevant studies collated into a systematic review.
Results: Nine studies were identified, with varying methodologies and findings. Key techniques and findings are summarized.
Conclusion: There is limited but promising evidence that somatic mutations in thyroid cancer can be detected in circulating cfDNA and are associated with more advanced disease. Further research is required to develop a clinically useful tool based on cfDNA to improve the management of thyroid cancers.
Objectives: To assess all available evidence on the use of circulating cfDNA in the diagnosis, management and surveillance of patients with differentiated thyroid cancer, and collate it into a systematic review to guide future research.
Methods: A comprehensive literature search on the measurement of cfDNA in thyroid cancer was undertaken, and results from relevant studies collated into a systematic review.
Results: Nine studies were identified, with varying methodologies and findings. Key techniques and findings are summarized.
Conclusion: There is limited but promising evidence that somatic mutations in thyroid cancer can be detected in circulating cfDNA and are associated with more advanced disease. Further research is required to develop a clinically useful tool based on cfDNA to improve the management of thyroid cancers.
| Original language | English |
|---|---|
| Article number | 132 |
| Journal | Frontiers in Oncology |
| Volume | 8 |
| Issue number | APR |
| DOIs | |
| Publication status | Published - 30 Apr 2018 |
Keywords
- Cell-free
- Cell-free DNA
- Cell-free systems
- Circulating DNA
- DNA
- Thyroid cancer
ASJC Scopus subject areas
- Oncology
- Cancer Research
Access to Document
- Fussey_et_al_The_clinical_uility_of_cell-free_DNA_Frontiers_in_Oncology_2018
Fussey Jonathan M., Bryant Jennifer L., Batis Nikolaos, Spruce Rachael J., Hartley Andrew, Good James S., McCabe Christopher J., Boelaert Kristien, Sharma Neil, Mehanna Hisham, The Clinical Utility of Cell-Free DNA Measurement in Differentiated Thyroid Cancer: A Systematic Review, Frontiers in Oncology, 8, 2018, pg. 132, https://www.frontiersin.org/article/10.3389/fonc.2018.00132, 10.3389/fonc.2018.00132, ISSN: 2234-943X Published in Frontiers in Oncology on 30/04/2018 DOI: 10.3389/fonc.2018.00132