The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become Pregnant

The number of pregnant women with cancer is on the rise. These patients and their providers encounter complex medical management decisions. Standard-of-care systemic therapy and radiological imaging can impair fetal development and affect viability. Conversely, insufficient monitoring and treatment...

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Main Authors: Stacey A. Cohen, Anup Kasi, Nicole Hook, Michael Krainock, Griffin Budde, Allyson Koyen Malashevich, Jeffrey Meltzer, Russ Jelsema, Perry Olshan, Paul R. Billings, Alexey Aleshin, Andrew S. Poklepovic
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2022/9412201
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author Stacey A. Cohen
Anup Kasi
Nicole Hook
Michael Krainock
Griffin Budde
Allyson Koyen Malashevich
Jeffrey Meltzer
Russ Jelsema
Perry Olshan
Paul R. Billings
Alexey Aleshin
Andrew S. Poklepovic
author_facet Stacey A. Cohen
Anup Kasi
Nicole Hook
Michael Krainock
Griffin Budde
Allyson Koyen Malashevich
Jeffrey Meltzer
Russ Jelsema
Perry Olshan
Paul R. Billings
Alexey Aleshin
Andrew S. Poklepovic
author_sort Stacey A. Cohen
collection DOAJ
description The number of pregnant women with cancer is on the rise. These patients and their providers encounter complex medical management decisions. Standard-of-care systemic therapy and radiological imaging can impair fetal development and affect viability. Conversely, insufficient monitoring and treatment can lead to cancer progression, compromising the health of the patient. Personalized and tumor-informed circulating tumor DNA (ctDNA) testing (Signatera™, bespoke mPCR NGS assay) is a validated, noninvasive blood test that can accurately assess cancer progression and tumor response to treatment ahead of radiological imaging, across solid tumors. In this case series of four patients, we explore the clinical utility of longitudinal ctDNA testing in the medical management of pregnant patients with solid tumors, to aid in informed decision-making for patients and providers.
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institution Kabale University
issn 2090-6692
language English
publishDate 2022-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-d159d32c0baa423397d54d72db0ae4612025-02-03T01:10:35ZengWileyCase Reports in Obstetrics and Gynecology2090-66922022-01-01202210.1155/2022/9412201The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become PregnantStacey A. Cohen0Anup Kasi1Nicole Hook2Michael Krainock3Griffin Budde4Allyson Koyen Malashevich5Jeffrey Meltzer6Russ Jelsema7Perry Olshan8Paul R. Billings9Alexey Aleshin10Andrew S. Poklepovic11University of WashingtonUniversity of Kansas Medical CenterNateraNateraNateraNateraNateraNateraNateraNateraNateraVCU Health System Massey Cancer CenterThe number of pregnant women with cancer is on the rise. These patients and their providers encounter complex medical management decisions. Standard-of-care systemic therapy and radiological imaging can impair fetal development and affect viability. Conversely, insufficient monitoring and treatment can lead to cancer progression, compromising the health of the patient. Personalized and tumor-informed circulating tumor DNA (ctDNA) testing (Signatera™, bespoke mPCR NGS assay) is a validated, noninvasive blood test that can accurately assess cancer progression and tumor response to treatment ahead of radiological imaging, across solid tumors. In this case series of four patients, we explore the clinical utility of longitudinal ctDNA testing in the medical management of pregnant patients with solid tumors, to aid in informed decision-making for patients and providers.http://dx.doi.org/10.1155/2022/9412201
spellingShingle Stacey A. Cohen
Anup Kasi
Nicole Hook
Michael Krainock
Griffin Budde
Allyson Koyen Malashevich
Jeffrey Meltzer
Russ Jelsema
Perry Olshan
Paul R. Billings
Alexey Aleshin
Andrew S. Poklepovic
The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become Pregnant
Case Reports in Obstetrics and Gynecology
title The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become Pregnant
title_full The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become Pregnant
title_fullStr The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become Pregnant
title_full_unstemmed The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become Pregnant
title_short The Utility of Circulating Tumor DNA (ctDNA) Monitoring in Cancer Patients Who Are Pregnant or Planning to Become Pregnant
title_sort utility of circulating tumor dna ctdna monitoring in cancer patients who are pregnant or planning to become pregnant
url http://dx.doi.org/10.1155/2022/9412201
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