IMR Press / FBS / Volume 17 / Issue 2 / DOI: 10.31083/FBS26972
Open Access Review
Circulating Tumor DNA in Primary and Secondary Liver Cancers: A Comprehensive Review
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Affiliation
1 Department of Hepato-Pancreato-Biliary & Liver Transplant Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
2 Department of Inflammation & Immunity, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
3 Department of Gastroenterology, Cleveland Clinic Foundation, Digestive Diseases and Surgery Institute, Hepatology, and Nutrition, Cleveland, OH 44195, USA
*Correspondence: wehrlec@ccf.org (Chase J Wehrle)
These authors contributed equally.
Front. Biosci. (Schol Ed) 2025, 17(2), 26972; https://doi.org/10.31083/FBS26972
Submitted: 15 October 2024 | Revised: 6 January 2025 | Accepted: 10 January 2025 | Published: 18 June 2025
Copyright: © 2025 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Similar to many other cancer types, liver malignancies pose the common challenges of late detection of primary tumors and recurrences. Liquid biopsies, which assess the presence of circulating tumor DNA, have emerged as a novel, non-invasive clinical tool for diagnostic and surveillance purposes. This review represents an introductory and comprehensive overview of the current circulating tumor DNA (ctDNA) literature relevant to primary and secondary liver malignancies. Herein, we highlight key findings, landmark discoveries, challenges, and future directions.

Keywords
circulating tumor DNA
ctDNA
liquid biopsy
liver cancer
liver malignancy
Figures
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