Micrometastasis
Micrometastasis refers to the spread of cancer cells in groups so small they can only be seen under a microscope. These tiny groups of cells can be found in the lymph nodes, bone marrow, or other parts of the body. The presence of micrometastases can influence the stage of the cancer and the patient's prognosis.
Definition
Micrometastasis is defined as the presence of a small number of cancer cells that have spread from their original location to another part of the body. These cells are typically too small to be detected by standard imaging techniques, such as CT scans or MRI, and are usually discovered during pathological examination of tissue samples.
Detection
The detection of micrometastases can be challenging due to their small size. They are typically identified through the examination of tissue samples under a microscope. This process, known as histopathological examination, involves the use of special stains and techniques to identify cancer cells. In some cases, molecular techniques such as PCR may be used to detect the presence of specific cancer-related genes in the tissue sample.
Clinical significance
The presence of micrometastases can have significant implications for the treatment and prognosis of cancer. They can indicate that the cancer is more advanced than initially thought, which may influence the choice of treatment. For example, if micrometastases are found in the lymph nodes during surgery for breast cancer, this may lead to a change in the surgical plan or the addition of chemotherapy or radiotherapy to the treatment regimen.
Research
Research into micrometastases is ongoing, with scientists seeking to better understand how these tiny groups of cancer cells form, how they can be detected, and how their presence influences the course of the disease. This research could lead to improved methods for detecting micrometastases and more effective treatments for cancer.
See also
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Contributors: Prab R. Tumpati, MD