Arterial Blood, Rather Than Venous Blood, is a Better Source for Circulating Melanoma Cells

Mizue Terai*, Zhaomei Mu, David J. Eschelman, Carin F. Gonsalves, Ken Kageyama, Inna Chervoneva, Marlana Orloff, Ryan Weight, Michael J. Mastrangelo, Massimo Cristofanilli, Takami Sato

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Background: CTCs provide prognostic information and their application is under investigation in multiple tumor types. Of the multiple variables inherent in any such process, none is more important to outcome than the appropriateness of the sample source. To address this question, we investigated CTCs in paired peripheral venous and arterial blood specimens obtained from stage IV uveal melanoma patients. Methods: Blood specimens were obtained from both common femoral arteries and antecubital veins in 17 uveal melanoma patients with multiple hepatic metastases for CTC measurements. Finding: CTCs were detectable with greater frequency (100%) and in larger numbers (median 5, range 1 to 168) in all arterial blood specimens than in venous samples (52.9%; median 1, range 0 to 8). Patients with hepatic as well as extra-hepatic metastasis showed higher number of arterial CTCs, compared to patients with liver-only metastasis (p = 0.003). There was no significant association between the number of arterial CTCs and the tumor burden within the liver in patients who had liver-only metastases. Interpretation: Our data indicate that arterial blood specimens might be a better source of circulating uveal melanoma cells. Although less conveniently processed, perhaps arterial blood should be evaluated as sample source for measurement of CTCs.

Original languageEnglish (US)
Pages (from-to)1821-1826
Number of pages6
Issue number11
StatePublished - Nov 1 2015


  • Arterial venous
  • CTC count
  • Circulating tumor cells
  • Hepatic metastasis
  • Peripheral venous
  • Uveal melanoma

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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