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MINI REVIEW article

Front. Oncol.

Sec. Breast Cancer

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1634859

This article is part of the Research TopicLiquid Biopsy and Circulating Tumor DNA Assays in the Management of Breast CancerView all 4 articles

Liquid Clues: Tracking Early-Stage Breast Cancer with ctDNA - A Mini Review

Provisionally accepted
Saumya  EasawSaumya EasawJohann  HsuJohann HsuNury  SteuerwaldNury SteuerwaldArielle  L HeekeArielle L Heeke*
  • Levine Cancer Institute, Charlotte, United States

The final, formatted version of the article will be published soon.

Circulating tumor DNA (ctDNA) is a testing modality that has several potential applications in the management of non-metastatic breast cancer. In this mini review, we discuss its role in early detection, treatment response assessment, and surveillance for minimal residual disease (MRD). We also review technological advances that may increase assay sensitivity.Finally, we highlight key prospective therapeutic intervention trials that evaluate the incorporation of ctDNA into clinical management of early breast cancer.

Keywords: CtDNA, early breast cancer (EBC), MRD - minimal residual disease, personalized medicine, recurrence risk

Received: 25 May 2025; Accepted: 11 Aug 2025.

Copyright: © 2025 Easaw, Hsu, Steuerwald and Heeke. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Arielle L Heeke, Levine Cancer Institute, Charlotte, United States

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