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10.1016/j.xcrm.2025.102334

http://scihub22266oqcxt.onion/10.1016/j.xcrm.2025.102334
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suck abstract from ncbi


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pmid40914168      Cell+Rep+Med 2025 ; ä (ä): 102334
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  • ctDNA detects residual disease after neoadjuvant chemoradiotherapy and guides adjuvant therapy in esophageal squamous cell carcinoma #MMPMID40914168
  • Liu Z; Wang G; Yang Y; Su Y; Zhang H; Liu J; Cui P; Fan X; Yang J; Zhang Z; Gao X; Chao Y; Mostert B; van Lanschot JJB; Wijnhoven BPL; Law S; Li C; Cai S; Li Z
  • Cell Rep Med 2025[Aug]; ä (ä): 102334 PMID40914168show ga
  • The diagnostic accuracy of circulating tumor DNA (ctDNA) for detecting molecular residual disease (MRD) after multimodal treatment remains unclear. In a prospective cohort of 132 patients with locally advanced esophageal squamous cell carcinoma (ESCC) undergoing neoadjuvant chemoradiotherapy (nCRT) followed by clinical response evaluation and surgery, tumor-informed personalized-panel and fixed-panel ctDNA assays are applied to serial blood samples. Personalized ctDNA assay demonstrates a superior baseline detection rate (99.2%) and outperforms fixed panels in diagnosing post-nCRT residual disease. Integrating personalized ctDNA with conventional clinical diagnostic methods increases sensitivity for predicting non-pathological complete response (non-pCR) from 78.4%-80.7% to 92.0%-93.2%. Patients with detectable MRD post-nCRT and/or post-surgery exhibit worse survival outcomes. In non-pCR patients, adjuvant immunotherapy improves disease-free survival in post-surgery MRD-positive cases, whereas MRD-negative patients derive no benefit. These findings support incorporating ctDNA into response assessment to guide organ-sparing strategies and adjuvant therapy decisions in ESCC. This study is registered at ClinicalTrials.gov (NCT03937362).
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