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Almost every tumor releases cells into the bloodstream. maintrac identifies and counts there circulating tumor cells in a bloodsample. Monitoring the therapy by repeatingly testing for circulating tumor cells can help to intervene more quickly if the therapy does not achieve the desired result thereby even to prevent metastases. maintrac is the most sensitive method to identify circulating tumor cells. It can find down to a minimum of 10.000 life circulating epithelial tumor cells in the whole blood circulation. One of the main advantages of maintrac is that maintrac keeps the cells alive. A second one is that maintrac needs no fixation, isolation and enrichment to find the cells. The circulating epithelial tumor cells are identified with a semiautomated microscopic image evaluation. maintrac can identify cells from almost every solid cancer like breastcancer (mammacarcinoma), lungcancer (bronchialcarcinoma), skincancer (melanoma), ovariancancer (ovariancarcinoma), prostatecancer (prostatecarcinoma), stomachcancer (stomachcarcinoma) in neoadjuvant, adjuvant and metastatic situation, in endocrine treatment as well as in longterm surveillance.