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Detection of Minimal Residual Disease

  • John Gribben
  • Lee Nadler
Part of the Cancer Treatment and Research book series (CTAR, volume 76)

Abstract

The ability to detect neoplastic infiltration is important not only for the accurate staging of disease at diagnosis but also to monitor the response to therapy. Although adult patients with advanced malignancies often achieve clinical complete remission, the majority of these patients ultimately relapse. The source of such relapse is most likely residual cancer cells that are below the limit of detection using standard diagnostic techniques. Therefore considerable effort has been made over the past decade to develop new techniques that have greatly increased the sensitivity of detection of minimal residual neoplastic cells. In particular, the identification of specific gene rearrangements and chromosomal translocations in neoplastic cells has permitted the development of sensitive molecular techniques that are capable of detecting minimal residual malignant cells. With the development of these more sensitive techniques, especially by the application of PCR technology, the presence of residual neoplastic cells in patients in complete clinical remission, commonly called minimal residual disease (MRD), has been demonstrated clearly.

Keywords

Follicular Lymphoma Minimal Residual Disease Gene Rearrangement Autologous Bone Marrow Autologous Bone Marrow Transplantation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer Science+Business Media New York 1995

Authors and Affiliations

  • John Gribben
  • Lee Nadler

There are no affiliations available

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