4.6 Review

Utility of Cell-Free DNA Detection in Transplant Oncology

Journal

CANCERS
Volume 14, Issue 3, Pages -

Publisher

MDPI
DOI: 10.3390/cancers14030743

Keywords

transplant oncology; liver transplantation; cholangiocarcinoma; neuroendocrine tumor; liver metastases; hepatocellular carcinoma; cell-free DNA; circulating tumor DNA; colorectal cancers; breast cancer; immunotherapy

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Transplant oncology is an emerging field that uses transplant medicine, surgery, and oncology to improve the survival and quality of life for cancer patients. cfDNA technology has revolutionized the management of cancer patients undergoing organ transplantation and allows for monitoring of tumor burden and transplant rejection.
Simple Summary Transplant oncology is an emerging field in cancer treatment that applies transplant medicine, surgery, and oncology to improve cancer patient survival and quality of life. This review aims to provide a comprehensive overview of the history and emergence of cfDNA technology, its applications to specifically monitor tumor burden at pre-and post-liver transplant stages, and evaluate transplant rejection. The use of ctDNA to evaluate transplant rejection has been extensively studied in non-hepatocellular carcinoma (HCC) diseases. Emerging studies have also investigated the use of ctDNA detection in evaluating HCC tumor burden pre-and post-surgery as well as transplant rejection. However, extensive studies still need to be conducted to evaluate the role of ctDNA detection in the medical management of transplant oncology patients. Transplant oncology is an emerging field in cancer treatment that applies transplant medicine, surgery, and oncology to improve cancer patient survival and quality of life. A critical concept that must be addressed to ensure the successful application of transplant oncology to patient care is efficient monitoring of tumor burden pre-and post-transplant and transplant rejection. Cell-free DNA (cfDNA) detection has emerged as a vital tool in revolutionizing the management of cancer patients who undergo organ transplantation. The advances in cfDNA technology have provided options to perform a pre-transplant evaluation of minimal residual disease (MRD) and post-transplant evaluation of cancer recurrence and transplant rejection. This review aims to provide a comprehensive overview of the history and emergence of cfDNA technology, its applications to specifically monitor tumor burden at pre-and post-transplant stages, and evaluate transplant rejection.

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