Liquid biopsy enables serial molecular assessment when repeat tissue sampling is difficult, supporting monitoring of tumor evolution, treatment response, and recurrence risk.
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At ASCO 2026, studies linked post-treatment ctDNA positivity with worse disease-free survival and distant recurrence across several cancer settings.
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In early triple-negative breast cancer, PREDICT-RD showed that ctDNA surveillance could detect MRD before clinical or radiographic evidence of relapse.
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Researchers are combining mutation detection with methylation profiling and fragmentomics to improve sensitivity and add biological context to MRD assessment.
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Daraxonrasib activity in KRAS-mutant and nonmutant pancreatic cancer populations suggests that some therapies may target pathway activity beyond a single mutation.