THE ROLE OF LIQUID BIOPSY IN THE DIAGNOSIS OF ENDOMETRIAL CANCER: A BIBLIOMETRIC ANALYSIS

Keywords: liquid biopsy, endometrial cancer, bibliometric analysis, ctDNA, biomarkers, oncogynecology

Abstract

Background. Liquid biopsy has emerged as one of the most promising approaches in modern oncological diagnostics, enabling the detection of tumor-derived components in biological fluids using minimally invasive methods. In recent years, this technique has attracted increasing attention in gynecologic oncology, particularly in the study of endometrial cancer.

Aim. Perform a bibliometric analysis of scientific publications dedicated to the application of liquid biopsy in endometrial cancer research.

Materials and methods. The analysis was conducted using the Scopus database and covered publications from 1956 to January 30, 2026.

Results. In total, 736 relevant documents were identified and analyzed. Bibliometric visualization and network analysis were performed using the software VOSviewer. The results demonstrated a significant increase in publications after 2016, indicating growing scientific interest in the clinical potential of liquid biopsy for cancer diagnostics and monitoring. Geographic analysis revealed that the largest contributions to this field come from China and the United States, followed by several European countries. Subject-area analysis showed a strong interdisciplinary nature to the research, with medicine, biochemistry, chemistry, computer science, and chemical engineering being the most represented disciplines. Cluster analysis identified four major research directions: oncology, gynecologic oncology, molecular biology, and diagnostic technologies. Chronological analysis revealed a gradual shift in research focus from traditional clinical diagnostic approaches to molecular and integrative technologies involving circulating tumor DNA, microRNA, and exosomes. gies involving circulating tumor DNA, microRNA, and exosomes.

Conclusions. The results confirm the growing scientific and clinical importance of liquid biopsy as a promising tool for early detection, monitoring, and personalized management of endometrial cancer.

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References

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-249. https://doi.org/10.3322/caac.21660.

Crosbie EJ, Kitson SJ, McAlpine JN, Mukhopadhyay A, Powell ME, Singh N. Endometrial cancer. Lancet. 2022;399:1412-1428.

Karkia R, Wali S, Payne A, Karteris E, Chatterjee J. Diagnostic accuracy of liquid biomarkers for the non-invasive diagnosis of endometrial cancer: A systematic review and meta-analysis. Cancers (Basel). 2022;14(19):4666. https://doi.org/10.3390/cancers14194666.

Shen Y, Yang W, Liu J, Zhang Y. Minimally invasive approaches for the early detection of endometrial cancer. Mol Cancer. 2023;22(1):53. https://doi.org/10.1186/s12943-023-01757-3.

Shen Y, Shi R, Zhao R, Wang H. Clinical application of liquid biopsy in endometrial carcinoma. Med Oncol. 2023;40(3):92. https://doi.org/10.1007/s12032-023-01956-4.

Mohanty A, Mohanty SK, Rout S, Pani C. Liquid biopsy, the hype vs. hope in molecular and clinical oncology. Semin Oncol. 2021;48(3):259-267. https://doi.org/10.1053/j.seminoncol.2021.06.002.

Łukasiewicz M, Pastuszak K, Łapińska-Szumczyk S, Różański R, Bieńkowski M, Stokowy T, Ratajska M, Best MG, Würdinger T, Żaczek AJ, Supernat A, Jassem J. Diagnostic accuracy of liquid biopsy in endometrial cancer. Cancers (Basel). 2021;13(22):5731. https://doi.org/10.3390/cancers13225731.

Ashley CW, Selenica P, Patel J, Wu M, Nincevic J, Lakhman Y, Zhou Q, Shah RH, Berger MF, Da Cruz Paula A, Brown DN, Marra A, Iasonos A, Momeni-Boroujeni A, Alektiar KM, Long Roche K, Zivanovic O, Mueller JJ, Zamarin D, Broach VA, Sonoda Y, Leitao MM, Friedman CF, Jewell E, Reis-Filho JS, Ellenson LH, Aghajanian C, Abu-Rustum NR, Cadoo K, Weigelt B. High-sensitivity mutation analysis of cell-free DNA for disease monitoring in endometrial cancer. Clin Cancer Res. 2023;29(2):410-421. https://doi.org/10.1158/1078-0432.CCR-22-1134.

Alimirzaie S, Bagherzadeh M, Akbari MR. Liquid biopsy in breast cancer: A comprehensive review. Clin Genet. 2019;95(6):643–660. https://doi.org/10.1111/cge.13514.

Asante DB, Calapre L, Ziman M, Meniawy TM, Gray ES. Liquid biopsy in ovarian cancer using circulating tumor DNA and cells: Ready for prime time? Cancer Lett. 2020;468:59-71. https://doi.org/10.1016/j.canlet.2019.10.014.

Nikanjam M, Kato S, Kurzrock R. Liquid biopsy: Current technology and clinical applications. J Hematol Oncol. 2022;15(1):131. https://doi.org/10.1186/s13045-022-01351-y.

Alix-Panabières C, Pantel K. Liquid biopsy: From discovery to clinical implementation. Mol Oncol. 2021;15(6):1617-1621. https://doi.org/10.1002/1878-0261.12997.

Mandel P, Métais P. Nucleic acids in human blood plasma. C R Acad Sci Paris. 1948;226:241-243.

Leon SA, Shapiro B, Sklaroff DM, Yaros MJ. Free DNA in the serum of cancer patients and the effect of therapy. Cancer Res. 1977;37:646-650.

Thierry AR, El Messaoudi S, Gahan PB, Anker P, Stroun M. Origins, structures, and functions of circulating DNA in oncology. Cancer Metastasis Rev. 2016;35(3):347-376. https://doi.org/10.1007/s10555-016-9629-x.

Eszlinger M, Lau L, Ghaznavi S, Symonds C, Chandarana SP, Khalil M, Paschke R. Molecular profiling of thyroid nodule fine-needle aspiration cytology. Nat Rev Endocrinol. 2017;13(7):415-424. https://doi.org/10.1038/nrendo.2017.24.

Wan JCM, Massie C, Garcia-Corbacho J, et al. Liquid biopsies come of age: Towards implementation of circulating tumour DNA. Nat Rev Cancer. 2017;17:223-238. https://doi.org/10.1038/nrc.2017.7.

Heitzer E, Haque IS, Roberts CES, Speicher MR. Current and future perspectives of liquid biopsies in genomics-driven oncology. Nat Rev Genet. 2019;20(2):71-88. https://doi.org/10.1038/s41576-018-0071-5.

Bettegowda C, Sausen M, Leary RJ, Kinde I, Wang Y, Agrawal N, et al. Detection of circulating tumor DNA in early- and late-stage human malignancies. Sci Transl Med. 2014;6(224):224ra24. https://doi.org/10.1126/scitranslmed.3007094.

Tie J, Wang Y, Tomasetti C, Li L, Springer S, Kinde I, et al. Circulating tumor DNA analyses as markers of recurrence risk and benefit of adjuvant therapy for stage III colon cancer. JAMA Oncol. 2019;5(12):1710-1717. https://doi.org/10.1001/jamaoncol.2019.5667.

Kalluri R, LeBleu VS. The biology, function, and biomedical applications of exosomes. Science. 2020;367(6478):eaau6977. https://doi.org/10.1126/science.aau6977.

Chang YS, Fang HY, Hung YC, Ke TW, Chang CM, Liu TY, Chen YC, Chao DS, Huang HY, Chang JG. Correlation of genomic alterations between tumor tissue and circulating tumor DNA by next-generation sequencing. J Cancer Res Clin Oncol. 2018;144(11):2167-2175. https://doi.org/10.1007/s00432-018-2747-9.

Alix-Panabières C, Pantel K. Clinical applications of circulating tumor cells and circulating tumor DNA as liquid biopsy. Cancer Discov. 2016;6(5):479-491. https://doi.org/10.1158/2159-8290.CD-15-1483.

Siravegna G, Marsoni S, Siena S, Bardelli A. Integrating liquid biopsies into the management of cancer. Nat Rev Clin Oncol. 2017;14(9):531-548. https://doi.org/10.1038/nrclinonc.2017.14.

Merker JD, Oxnard GR, Compton C, Diehn M, Hurley P, Lazar AJ, et al. Circulating tumor DNA analysis in patients with cancer: American Society of Clinical Oncology and College of American Pathologists joint review. J Clin Oncol. 2018;36(16):1631-1641. https://doi.org/10.1200/JCO.2017.76.8671.

Published
2026-06-23
How to Cite
Hyriavenko, N., Moskalenko, R., & Kiptenko, L. (2026). THE ROLE OF LIQUID BIOPSY IN THE DIAGNOSIS OF ENDOMETRIAL CANCER: A BIBLIOMETRIC ANALYSIS. Eastern Ukrainian Medical Journal, 14(2), 338-347. https://doi.org/10.21272/eumj.2026;14(2);338-347
Section
LITERATURE REVIEW. ONCOLOGY

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