“…One such method is utilized by the CellSearch System (Veridex, LLC, Warren, NJ, USA), a device approved by the US Food and Drug Administration (FDA) in 2004 for the detection of CTCs in the peripheral blood of patients with MBC. Another approach is to perform RT-PCR measurement of cytokeratin (CK) mRNA expression levels (CK19, CK20) which are used as surrogate for the presence of CTCs in the peripheral blood and which have been shown to correlate with disease outcome and the results from CellSearch [23,24]. The great hope regarding the CTCsʼ clinical relevance is that by characterizing their individual phenotype and/or genotype clinicians will be able to target the Achilles heel of these CTCs which are finally responsible for metastasis in order to improve prognosis and prediction.…”