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Circulating tumor cells, or CTCs, are cancer cells that break off from the original tumor and enter the bloodstream. They’re thought of as the “seeds” that can travel and potentially form new tumors in other areas of the body. Not every cell that breaks away survives, but these are the cells involved in spread. Even if we surgically remove a tumor or shrink it with chemotherapy, those circulating cells may still be present in the blood. Removing a visible tumor does not always mean that all mali
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