S. Thorban et al., IMMUNOCYTOCHEMICAL DETECTION OF ISOLATED EPITHELIAL TUMOR-CELLS IN BONE-MARROW OF PATIENTS WITH PANCREATIC-CARCINOMA, The American journal of surgery, 172(3), 1996, pp. 297-298
Epithelial cells in the bone marrow of 42 patients with pancreatic car
cinoma were identified immunocytochemically with monoclonal antibodies
directed to epithelial cytokeratins. The occurrence of tumor relapse
in patients who underwent complete surgical resection was significantl
y associated with cytokeratin-positivity in bone marrow. The presence
of these cells is indicative of an increased disseminative capability
of the primary tumor and defines a new category of patients for neoadj
uvant therapy.