Nature Reviews Clinical Oncology
"Circulating tumour cells for early detection of clinically relevant cancer "CTCs have been detected in patients with early-stage cancers and, owing to their association with metastasis, might indicate the presence of aggressive disease, thus providing a possible means to expedite diagnosis and treatment initiation for such patients while avoiding overdiagnosis and overtreatment of those with slow-growing, indolent tumors." "Globally, cancer is the second most common cause of death1, driven by mortality rates that increase with disease stage at diagnosis. Detecting cancer at an advanced stage severely limits treatment options and typically results in a poor prognosis. Indeed, the options available for patients with metastatic solid tumors are very rarely curative."