ArticleGynecologic oncology reports2026
Peri-treatment ctDNA dynamics in locally advanced cervical cancer: pilot study from a safety-net hospital.
Article in Gynecologic oncology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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11 authors.
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Abstract
Objective: Real-time kinetics of circulating tumor DNA (ctDNA) during active concurrent chemoradiotherapy (CCRT) for locally advanced cervical cancer (LACC) remain poorly characterized. We evaluated peri-treatment ctDNA dynamics in a real-world safety-net cohort using a commercially available tumor-informed assay. Methods: We retrospectively reviewed serial ctDNA measurements (Signatera) in 17 LACC patients who underwent definitive CCRT, with or without induction chemotherapy and immune checkpoint inhibitor therapy. Patients were classified by longitudinal ctDNA kinetics as Sustained clearance, Persistent/ Results: Baseline ctDNA was detectable in 15 of 17 patients (88%); patients were classified as Sustained clearance ( Conclusions: Detectable ctDNA declined rapidly during CCRT but frequently followed a non-monotonic trajectory. Serial rather than isolated measurements appear necessary to interpret molecular response during active treatment. Prospective studies are warranted to determine whether trajectory-based ctDNA monitoring can improve risk stratification and recurrence detection.
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