Tissue biopsy |
Patient discomfort |
Restricted or extremely risky access possibilities |
Difficult to repeat (re-biopsies) |
Tissue sample does not reflect the status of multiple sites |
Tissues are usually collected months or years before treatment |
A difficult tissue sample to run all the molecular tests |
Impractical for periodic monitoring for progression/treatment resistance |
Liquid biopsy |
Non-invasive |
Easily repeated |
A blood sample can provide genetic information of the whole neoplastic process (primary and metastases) |
Real-time monitoring: CTC persistence after treatment |
Diagnostic: biomarker assessment for molecular profiling to choose the targeted agent |
Prognosis: prediction of drug-response and resistance to treatment |