Home > Publications database > Circulating tumour cells in patients with lung cancer universally indicate poor prognosis. |
Journal Article (Review Article) | DKFZ-2022-03087 |
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2022
Soc.
Sheffield
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Please use a persistent id in citations: doi:10.1183/16000617.0151-2022
Abstract: In lung cancer, the relevance of various circulating tumour cell (CTC) subgroups in different lung cancer subtypes is unclear. We performed a comprehensive meta-analysis to assess the prognostic value of CTCs in the different histological types of lung cancer, with particular respect to CTC subtypes, cut-offs and time points of CTC enumeration.We searched MEDLINE, Web of Science and Embase alongside relevant studies evaluating the prognostic value of CTCs in lung cancer patients. A random-effects model was used for meta-analysis, calculating hazard ratios (HRs), 95% confidence intervals and p-values.27 studies enrolling 2957 patients were included. CTC detection indicates poor prognosis, especially in small cell lung cancer (SCLC) patients (overall survival HR 3.11, 95% CI 2.59-3.73) and predicts a worse outcome compared to nonsmall cell lung cancer patients. Epithelial CTCs predict a worse outcome for lung cancer than mesenchymal CTCs or epithelial-mesenchymal hybrids.CTCs indicate poor prognosis in patients with primary lung cancer, with CTCs in SCLC having a more pronounced prognostic effect. The prognostic value of CTCs detected by different markers varies; most evidence is available for the strong negative prognostic effect of epithelial CTCs.
Keyword(s): Humans (MeSH) ; Neoplastic Cells, Circulating: pathology (MeSH) ; Lung Neoplasms: pathology (MeSH) ; Carcinoma, Non-Small-Cell Lung (MeSH) ; Prognosis (MeSH) ; Biomarkers, Tumor (MeSH) ; Biomarkers, Tumor
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