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Cytokeratins are proteins that make up the intermediate filaments in epithelial cells. Among the 20 known types, CK-19 is the smallest and most ubiquitous. Because epithelial cancers (carcinomas) retain the characteristics of their tissue of origin, they continue to express cytokeratins even after metastasis. Consequently, CK-19 serves as a highly specific marker for identifying epithelial-derived tumor cells in non-epithelial tissues, such as lymph nodes or peripheral blood.

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In breast cancer, CK-19 is the primary target for detecting Circulating Tumor Cells (CTCs). Cytokeratins are proteins that make up the intermediate