ctDNA Test Guides Breast Care in Elderly - Summary - MDSpire

ctDNA Test Guides Breast Care in Elderly

  • March 31, 2026

  • 2 min

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Objective:

To evaluate the role of circulating tumor DNA (ctDNA) in guiding treatment decisions for older women with estrogen receptor-positive breast cancer.

Key Findings:
  • ctDNA status closely tracked with imaging results.
  • Persistent ctDNA after 6 months indicated tumor progression.
  • No patients with negative ctDNA at baseline experienced progression.
  • Pretreatment ctDNA positivity was linked to increased progression risk.
  • ctDNA testing allows for decentralized monitoring through routine blood draws.
Interpretation:

ctDNA testing may serve as a minimally invasive biomarker to stratify treatment and monitor disease progression in older breast cancer patients, potentially reducing the need for invasive procedures.

Limitations:
  • The study involved a small sample size.
  • Findings are not yet practice-changing.
Conclusion:

If validated in larger trials, ctDNA testing could lead to more personalized and less invasive management of breast cancer in elderly patients.

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