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CTCs are intact cancer cells that have shed from a primary tumor into the bloodstream. They can exist as single cells or clusters and are capable of forming metastases in distant organs
CTCs are heterogeneous; a pressing question concerns which CTCs represent those directly involved in metastasis, the major cause of cancer-related death.
Increasing evidence suggests that CTC count can serve as a prognostic biomarker for epithelial tumors, including metastatic breast, colon, prostate and lung cancer.
Hall et al. 2016 C…