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Watch Out for Hidden Cancer Cells in the Body!

About the Article

Even when a cancer patient successfully completes their surgical, chemotherapy, or radiotherapy treatment and all PET/CT scans show "the tumor has completely disappeared (Remission)," the danger is never considered 100% over. Dormant cancer cells at a level of one in a million circulating in the blood or marrow, which are too small for imaging devices to see, medically referred to as Minimal Residual Disease (MRD), are the primary cause of the disease relapsing (recurring) years later.

Minimal Residual Disease (MRD) and Early Diagnosis

The importance of finding invisible cancer cells and liquid biopsy methods.
What is MRD (Minimal Residual Disease)?

It refers to the extremely small number of cancer cells remaining in the body that can only be found with a microscope or molecular (DNA) tests. Even if there is just 1 cancer cell hiding among 1 million healthy cells in your body, this cell can wake up and multiply years later, causing the cancer to erupt again.

If the machines say clear, how are these cells detected?

Older MRI or PET machines can only see tumors that have reached a certain size (the size of a pea). Today, thanks to "Liquid Biopsy" and next-generation sequencing (NGS) technologies, the free DNA (ctDNA) of that sparse cancerous cell circulating in the blood can be found by taking just one tube of blood from the patient, detecting the hidden risk.

What is done if these hidden cells are found?

If the MRD test comes back "positive (cells present)" at the end of treatment, this is a strong signal that the cancer will return soon. Doctors can increase the patient's chemotherapy dose, switch to targeted smart drugs, or decide on a bone marrow transplant to completely uproot the disease without waiting for the cancer to relapse (grow).

The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.


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