From:  Biliary tract cancers: advances in diagnostic and management

 Pros and cons of liquid biopsy in biliary tract cancers

ProsCons
Minimally invasive, lower risk of complications
Requires only a blood sample, reducing the risk associated with invasive procedures, and the delay.
Dependency on DNA shedding and tumor burden
Limited efficacy in localized disease.
Real-time monitoring of secondary mutations
Allows for frequent testing to monitor treatment response and disease progression.
Technical challenges
Requires highly sensitive and specific assays, which are still under development and standardization.
Captures tumor heterogeneity
Can detect multiple genetic alterations from different tumor sites, providing a comprehensive genetic profile.
Limited comprehensive data
Does not provide histological information, which is essential for certain diagnostic and treatment decisions.
Faster turnaround time
Results can often be obtained more quickly than traditional biopsies, facilitating timely clinical decisions.
Higher costs and limited availability
Advanced technologies required may be expensive and not widely accessible in all healthcare settings.