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Blood test detects colorectal cancer recurrence earlier than imaging in stage III patients — Cancer Diagnosis & Prognosis

A retrospective case series of four patients with stage III colorectal cancer demonstrated the clinical utility of the Signatera assay, a personalized circulating tumor DNA (ctDNA) test. The assay detected minimal residual disease (MRD) and predicted recurrence earlier than traditional imaging scans. Signatera is a tumor-informed ctDNA test that reports results in mean tumor molecules per milliliter (MTM/ml), offering dynamic monitoring beyond traditional mutant allele frequency methods.

What this means

If you've completed treatment for stage III colorectal cancer, ctDNA testing may catch recurrence weeks or months before it shows up on a CT scan, potentially allowing for earlier curative intervention. Ask your oncologist whether ctDNA monitoring is appropriate for your follow-up care.