Liquid Biopsy in Head and Neck Cancer: Promises and Challenges

Head and neck cancer is the sixth most common cancer worldwide. It remains one of the leading causes of death, and its early detection is crucial. Liquid biopsy has emerged as a promising tool for detecting and monitoring the disease status of patients with early and advanced cancers. Circulating tu...

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Veröffentlicht in:Journal of Dental Research 2018-06, Vol.97 (6), p.701-708
Hauptverfasser: Nonaka, T., Wong, D.T.W.
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description Head and neck cancer is the sixth most common cancer worldwide. It remains one of the leading causes of death, and its early detection is crucial. Liquid biopsy has emerged as a promising tool for detecting and monitoring the disease status of patients with early and advanced cancers. Circulating tumor DNA (ctDNA), circulating tumor cells (CTCs), and exosomal miRNAs have received enormous attention because of their apparent clinical implications. Analyses of these circulating biomarkers have paved the way for novel therapeutic approaches and precision medicine. A growing number of reports have implicated the use of circulating biomarkers for detection, treatment planning, response monitoring, and prognosis assessment. Although these new biomarkers can provide a wide range of possible clinical applications, no validated circulating biomarkers have yet been integrated into clinical practice for head and neck cancer. In this review, we summarize the current knowledge of circulating biomarkers in this field, focusing on their feasibility, limitations, and key areas of clinical applications. We also highlight recent advances in salivary diagnostics and their potential application in head and neck cancer.
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subjects Biomarkers
Biomarkers, Tumor - analysis
Biopsy
Body fluids
Breast cancer
Deoxyribonucleic acid
DNA
DNA, Neoplasm - analysis
Genomes
Head & neck cancer
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - pathology
Human papillomavirus
Humans
Larynx
Liquid Biopsy - methods
Lung cancer
Mutation
Oral cancer
Patients
Plasma
Polymerase chain reaction
Precision medicine
Reviews
Saliva - chemistry
Therapeutic applications
Tumor cells
title Liquid Biopsy in Head and Neck Cancer: Promises and Challenges
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