Evidence map›Paper›PMID 40586891›Full record

ArticleClinical and experimental medicine2025

Preoperative ctDNA retains prognostic relevance beyond postoperative assessment in stage II-III colon cancer.

Giulia Chisari, Emanuele Martorana, Sofia Paola Lombardo, Gabriele Raciti, Raffaella Giuffrida, Alberto Bardelli, Domenico Scionti, Marzia Mare, Carolina Picardo, Enrica Deiana and 4 more

Erratum issuedAbstract readLetter
In one paragraph

Article in Clinical and experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Beyond the biopsy: the new era of non-invasive staging and biomarkers in colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Giulia Chisari *Mediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Emanuele Martorana *Mediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Sofia Paola LombardoMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Gabriele RacitiMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Raffaella GiuffridaMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Alberto BardelliIFOM-ETS The AIRC Institute of Molecular Oncology, Milan, Italy.
Domenico SciontiCOGENTECH Società Benefit S.R.L.", Via Adamello 16, 20139, Milan, Italy.
Marzia MareMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Carolina PicardoMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Enrica DeianaMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Lorenzo MemeoMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Cristina ColarossiMediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy.
Giovanni Crisafulli *IFOM-ETS The AIRC Institute of Molecular Oncology, Milan, Italy.
Stefano Forte *Mediterranean Institute of Oncology, 95029, Viagrande, Catania, Italy. stefano.forte@grupposamed.com.

Funding

Ministero dell'Università e della Ricerca ARS01_00492
6 · The paper itself

Abstract

In cancer patients, only a small fraction of circulating cell-free DNA (cfDNA) consists of circulating tumor DNA (ctDNA), which contains tumor-specific features. Detecting ctDNA in peripheral blood through liquid biopsy offers a safe, noninvasive alternative to traditional tissue biopsy, with the added benefit of enabling repeated testing over time. This study investigates the potential of liquid biopsy as an innovative and noninvasive prognostic tool for patients with stage II-III colon cancer. Specifically, we analyzed the presence of cfDNA harboring tumor-specific mutations, previously identified in tumor tissue via next-generation sequencing (NGS), both before and after therapeutic surgery. Our aim was to assess its predictive value for relapse, ultimately guiding therapeutic decisions and improving patient outcomes. Our results demonstrate that the presence of ctDNA before surgery was significantly associated with disease relapse, indicating its potential as a predictive biomarker. In this cohort, ctDNA detection after surgery, during adjuvant chemotherapy, did not maintain the same predictive value. This suggests that preoperative ctDNA analysis may provide critical prognostic information, while post-surgical ctDNA monitoring, in this specific setting, may be influenced by treatment dynamics. In conclusion, we found that combining NGS profiling of the primary tumor tissue with droplet digital PCR (ddPCR)-based analysis of cfDNA provides a comprehensive approach to therapy monitoring in stage II-III colon cancer patients. Liquid biopsy offers valuable insights into treatment response and disease progression while serving as a noninvasive and repeatable method for routine clinical care.

Indexed as

Biomarkers, TumorCirculating Tumor DNAColonic NeoplasmsAgedAged, 80 and overFemaleHigh-Throughput Nucleotide SequencingHumansLiquid BiopsyMaleMiddle AgedMutationNeoplasm Recurrence, LocalNeoplasm StagingPostoperative PeriodPreoperative PeriodBiomarkers, TumorCirculating Tumor DNAColorectal cancerDroplet digital PCRLiquid biopsyTumoral cell-free DNA

Identifiers

PMID40586891
PMCPMC12209030

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.