Abstract
With active screening for early detection and advancements in treatment, there has been a significant decrease in mortality from breast cancer. However, a significant proportion of patients with non-metastatic breast cancer at time of diagnosis will relapse. Therefore, it is suggested that the dissemination of bloodstream tumor cells (circulating tumor cells, CTCs) undetectable by currently available diagnostic tools occurs during the early stages of breast cancer progression, and may be the potential source of micrometastases responsible for treatment failures. Here, we review the clinical significance of CTCs, as detected by the FDA-approved CellSearch® System, in both metastatic and non-metastatic breast cancer patients. Studies so far suggest that CTCs are prognostic of poorer outcomes in breast cancer patients; however, there is currently insufficient data to support use of CTC data to guide treatment. Therefore, there are ongoing studies to evaluate the utility of assessing CTC phenotypes to develop personalized breast cancer treatment, which will be reviewed in this chapter.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Allard WJ, Matera J, Miller MC, Repollet M, Connelly MC, Rao C et al (2004) Tumor cells circulate in the peripheral blood of all major carcinomas but not in healthy subjects or patients with nonmalignant diseases. Clin Cancer Res 10(20):6897–6904
Arkadius Polasik AS, Friedl TWP, Rack BK, Trapp EK, Fasching PA, Taran F-A, Hartkopf AD, Schneeweiss A, Mueller V, Aktas B, Pantel K, Meier-Stiegen F, Wimberger P, Janni W, Tanja N (2016) The DETECT study concept: individualized therapy of metastatic breast cancer. J Clin Oncol 34(suppl; abstr TPS634)
Balic M, Lin H, Williams A, Datar RH, Cote RJ (2012) Progress in circulating tumor cell capture and analysis: implications for cancer management. Expert Rev Mol Diagn 12(3):303–312
Banys M, Hartkopf AD, Krawczyk N, Becker S, Fehm T (2012) Clinical implications of the detection of circulating tumor cells in breast cancer patients. Biomark Med 6(1):109–118
Banys-Paluchowski M, Krawczyk N, Fehm T (2016) Potential role of circulating tumor cell detection and monitoring in breast cancer: a review of current evidence. Front Oncol 6:255
Berruti A, Amoroso V, Gallo F, Bertaglia V, Simoncini E, Pedersini R et al (2014) Pathologic complete response as a potential surrogate for the clinical outcome in patients with breast cancer after neoadjuvant therapy: a meta-regression of 29 randomized prospective studies. J Clin Oncol 32(34):3883–3891
Bidard FC, Mathiot C, Delaloge S, Brain E, Giachetti S, de Cremoux P et al (2010) Single circulating tumor cell detection and overall survival in nonmetastatic breast cancer. Ann Oncol 21(4):729–733
Bidard FC, Fehm T, Ignatiadis M, Smerage JB, Alix-Panabieres C, Janni W et al (2013) Clinical application of circulating tumor cells in breast cancer: overview of the current interventional trials. Cancer Metastasis Rev 32(1–2):179–188
Bidard FC, Proudhon C, Pierga JY (2016) Circulating tumor cells in breast cancer. Mol Oncol 10(3):418–430
Braun S, Vogl FD, Naume B, Janni W, Osborne MP, Coombes RC et al (2005) A pooled analysis of bone marrow micrometastasis in breast cancer. N Engl J Med 353(8):793–802
Budd GT, Cristofanilli M, Ellis MJ, Stopeck A, Borden E, Miller MC et al (2006) Circulating tumor cells versus imaging–predicting overall survival in metastatic breast cancer. Clin Cancer Res 12(21):6403–6409
Canzoniero JV, Park BH (2016) Use of cell free DNA in breast oncology. Biochim Biophys Acta 1865(2):266–274
Cristofanilli M, Budd GT, Ellis MJ, Stopeck A, Matera J, Miller MC et al (2004) Circulating tumor cells, disease progression, and survival in metastatic breast cancer. N Engl J Med 351(8):781–791
Cristofanilli M, Hayes DF, Budd GT, Ellis MJ, Stopeck A, Reuben JM et al (2005) Circulating tumor cells: a novel prognostic factor for newly diagnosed metastatic breast cancer. J Clin Oncol 23(7):1420–1430
Dave B, Mittal V, Tan NM, Chang JC (2012) Epithelial-mesenchymal transition, cancer stem cells and treatment resistance. Breast Cancer Res 14(1):202
Dawson SJ, Tsui DW, Murtaza M, Biggs H, Rueda OM, Chin SF et al (2013) Analysis of circulating tumor DNA to monitor metastatic breast cancer. N Engl J Med 368(13):1199–1209
De Luca F, Rotunno G, Salvianti F, Galardi F, Pestrin M, Gabellini S et al (2016) Mutational analysis of single circulating tumor cells by next generation sequencing in metastatic breast cancer. Oncotarget 7(18):26107–26119
Deng G, Krishnakumar S, Powell AA, Zhang H, Mindrinos MN, Telli ML et al (2014) Single cell mutational analysis of PIK3CA in circulating tumor cells and metastases in breast cancer reveals heterogeneity, discordance, and mutation persistence in cultured disseminated tumor cells from bone marrow. BMC Cancer 14:456
DeSantis C, Siegel R, Bandi P, Jemal A (2011) Breast cancer statistics, 2011. CA Cancer J Clin 61(6):409–418
Ellsworth RE, Toro AL, Blackburn HL, Decewicz A, Deyarmin B, Mamula KA et al (2015) Molecular heterogeneity in primary breast carcinomas and axillary lymph node metastases assessed by genomic fingerprinting analysis. Cancer Growth Metastasis 8:15–24
Ellsworth RE, Blackburn HL, Shriver CD, Soon-Shiong P, Ellsworth DL (2017) Molecular heterogeneity in breast cancer: State of the science and implications for patient care. Semin Cell Dev Biol 64:65–72
Fehm T, Muller V, Aktas B, Janni W, Schneeweiss A, Stickeler E et al (2010) HER2 status of circulating tumor cells in patients with metastatic breast cancer: a prospective, multicenter trial. Breast Cancer Res Treat 124(2):403–412
Fisher B, Bauer M, Wickerham DL, Redmond CK, Fisher ER, Cruz AB et al (1983) Relation of number of positive axillary nodes to the prognosis of patients with primary breast cancer. An NSABP update. Cancer 52(9):1551–1557
Franken B, de Groot MR, Mastboom WJ, Vermes I, van der Palen J, Tibbe AG et al (2012) Circulating tumor cells, disease recurrence and survival in newly diagnosed breast cancer. Breast Cancer Res 14(5):R133
Gebreamlak EP, Tse GM, Niu Y (2013) Progress in evaluation of pathologic response to neoadjuvant chemotherapy of breast cancer. Anticancer Agents Med Chem 13(2):222–226
Gilbey AM, Burnett D, Coleman RE, Holen I (2004) The detection of circulating breast cancer cells in blood. J Clin Pathol 57(9):903–911
Giuliano AE, Hawes D, Ballman KV, Whitworth PW, Blumencranz PW, Reintgen DS et al (2011) Association of occult metastases in sentinel lymph nodes and bone marrow with survival among women with early-stage invasive breast cancer. JAMA 306(4):385–393
Green M, Hortobagyi GN (2002). Neoadjuvant chemotherapy for operable breast cancer. Oncology (Williston Park). 16(7):871–884, 889; discussion 889–890, 892–904, 997–998
Hall C, Krishnamurthy S, Lodhi A, Bhattacharyya A, Anderson A, Kuerer H et al (2012) Disseminated tumor cells predict survival after neoadjuvant therapy in primary breast cancer. Cancer 118(2):342–348
Hall CS, Karhade M, Laubacher BA, Kuerer HM, Krishnamurthy S, DeSnyder S et al (2015) Circulating tumor cells and recurrence after primary systemic therapy in stage III inflammatory breast cancer. J Natl Cancer Inst 107(11)
Hall C, Valad L, Lucci A (2016a) Circulating tumor cells in breast cancer patients. Crit Rev Oncog 21(1–2):125–139
Hall CS, Karhade MG, Bowman Bauldry JB, Valad LM, Kuerer HM, DeSnyder SM et al (2016b) Prognostic value of circulating tumor cells identified before surgical resection in nonmetastatic breast cancer patients. J Am Coll Surg 223(1):20–29
Harbeck N, Thomssen C (2011) A new look at node-negative breast cancer. Oncologist 16(Suppl 1):51–60
Harris LN, Ismaila N, McShane LM, Andre F, Collyar DE, Gonzalez-Angulo AM et al (2016) Use of biomarkers to guide decisions on adjuvant systemic therapy for women with early-stage invasive breast cancer: american society of clinical oncology clinical practice guideline. J Clin Oncol 34(10):1134–1150
Hughes AD, Mattison J, Powderly JD, Greene BT, King MR (2012) Rapid isolation of viable circulating tumor cells from patient blood samples. J Vis Exp 64:e4248
Janni WJ, Rack B, Terstappen LW, Pierga JY, Taran FA, Fehm T et al (2016) Pooled analysis of the prognostic relevance of circulating tumor cells in primary breast cancer. Clin Cancer Res 22(10):2583–2593
Jemal A, Siegel R, Xu J, Ward E (2010) Cancer statistics, 2010. CA Cancer J Clin 60(5):277–300
Krawczyk N, Meier-Stiegen F, Banys M, Neubauer H, Ruckhaeberle E, Fehm T (2014) Expression of stem cell and epithelial-mesenchymal transition markers in circulating tumor cells of breast cancer patients. Biomed Res Int 2014:415721
Krishnamurthy S, Cristofanilli M, Singh B, Reuben J, Gao H, Cohen EN et al (2010) Detection of minimal residual disease in blood and bone marrow in early stage breast cancer. Cancer 116(14):3330–3337
Kuukasjarvi T, Karhu R, Tanner M, Kahkonen M, Schaffer A, Nupponen N et al (1997) Genetic heterogeneity and clonal evolution underlying development of asynchronous metastasis in human breast cancer. Cancer Res 57(8):1597–1604
Liang DH, Ensor JE, Liu ZB, Patel A, Patel TA, Chang JC et al (2016) Cell-free DNA as a molecular tool for monitoring disease progression and response to therapy in breast cancer patients. Breast Cancer Res Treat 155(1):139–149
Lucci A, Hall CS, Lodhi AK, Bhattacharyya A, Anderson AE, Xiao L et al (2012) Circulating tumour cells in non-metastatic breast cancer: a prospective study. Lancet Oncol. 13(7):688–695
Ma QC, Ennis CA, Aparicio S (2012) Opening Pandora’s box—the new biology of driver mutations and clonal evolution in cancer as revealed by next generation sequencing. Curr Opin Genet Dev 22(1):3–9
Mansi JL, Berger U, Easton D, McDonnell T, Redding WH, Gazet JC et al (1987) Micrometastases in bone marrow in patients with primary breast cancer: evaluation as an early predictor of bone metastases. Br Med J (Clin Res Ed) 295(6606):1093–1096
Mansi JL, Easton D, Berger U, Gazet JC, Ford HT, Dearnaley D et al (1991) Bone marrow micrometastases in primary breast cancer: prognostic significance after 6 years’ follow-up. Eur J Cancer 27(12):1552–1555
Mansi JL, Gogas H, Bliss JM, Gazet JC, Berger U, Coombes RC (1999) Outcome of primary-breast-cancer patients with micrometastases: a long-term follow-up study. Lancet 354(9174):197–202
Mansi J, Morden J, Bliss JM, Neville M, Coombes RC (2016) Bone marrow micrometastases in early breast cancer-30-year outcome. Br J Cancer 114(3):243–247
Mego M, Mani SA, Cristofanilli M (2010) Molecular mechanisms of metastasis in breast cancer–clinical applications. Nat Rev Clin Oncol. 7(12):693–701
Murtaza M, Dawson SJ, Tsui DW, Gale D, Forshew T, Piskorz AM et al (2013) Non-invasive analysis of acquired resistance to cancer therapy by sequencing of plasma DNA. Nature 497(7447):108–112
Nadal R, Lorente JA, Rosell R, Serrano MJ (2013) Relevance of molecular characterization of circulating tumor cells in breast cancer in the era of targeted therapies. Expert Rev Mol Diagn. 13(3):295–307
Navin N, Kendall J, Troge J, Andrews P, Rodgers L, McIndoo J et al (2011) Tumour evolution inferred by single-cell sequencing. Nature 472(7341):90–94
Paoletti C, Muniz MC, Thomas DG, Griffith KA, Kidwell KM, Tokudome N et al (2015) Development of circulating tumor cell-endocrine therapy index in patients with hormone receptor-positive breast cancer. Clin Cancer Res 21(11):2487–2498
Pierga JY, Bidard FC, Autret A, Petit T, Andre F, Dalenc F et al (2017) Circulating tumour cells and pathological complete response: independent prognostic factors in inflammatory breast cancer in a pooled analysis of two multicentre phase II trials (BEVERLY-1 and -2) of neoadjuvant chemotherapy combined with bevacizumab. Ann Oncol 28(1):103–109
Schramm A, Friedl TW, Schochter F, Scholz C, de Gregorio N, Huober J et al (2016) Therapeutic intervention based on circulating tumor cell phenotype in metastatic breast cancer: concept of the DETECT study program. Arch Gynecol Obstet 293(2):271–281
Shaw JA, Guttery DS, Hills A, Fernandez-Garcia D, Page K, Rosales BM et al (2017) Mutation analysis of cell-free dna and single circulating tumor cells in metastatic breast cancer patients with high circulating tumor cell counts. Clin Cancer Res 23(1):88–96
Siegel RL, Miller KD, Jemal A (2017) Cancer Statistics, 2017. CA Cancer J Clin 67(1):7–30
Sloane JP, Ormerod MG, Neville AM (1980) Potential pathological application of immunocytochemical methods to the detection of micrometastases. Cancer Res 40(8 Pt 2):3079–3082
Smerage JB, Barlow WE, Hortobagyi GN, Winer EP, Leyland-Jones B, Srkalovic G et al (2014) Circulating tumor cells and response to chemotherapy in metastatic breast cancer: SWOG S0500. J Clin Oncol 32(31):3483–3489
Torres L, Ribeiro FR, Pandis N, Andersen JA, Heim S, Teixeira MR (2007) Intratumor genomic heterogeneity in breast cancer with clonal divergence between primary carcinomas and lymph node metastases. Breast Cancer Res Treat 102(2):143–155
van Dalum G, van der Stam GJ, Tibbe AG, Franken B, Mastboom WJ, Vermes I et al (2015) Circulating tumor cells before and during follow-up after breast cancer surgery. Int J Oncol 46(1):407–413
Van Poznak C, Somerfield MR, Bast RC, Cristofanilli M, Goetz MP, Gonzalez-Angulo AM et al (2015) Use of biomarkers to guide decisions on systemic therapy for women with metastatic breast cancer: american society of clinical oncology clinical practice guideline. J Clin Oncol 33(24):2695–2704
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Liang, D.H., Hall, C., Lucci, A. (2020). Circulating Tumor Cells in Breast Cancer. In: Schaffner, F., Merlin, JL., von Bubnoff, N. (eds) Tumor Liquid Biopsies. Recent Results in Cancer Research, vol 215. Springer, Cham. https://doi.org/10.1007/978-3-030-26439-0_7
Download citation
DOI: https://doi.org/10.1007/978-3-030-26439-0_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-26438-3
Online ISBN: 978-3-030-26439-0
eBook Packages: MedicineMedicine (R0)