The prognostic significance of circulating tumor cells (CTCs) and disseminated tumor cells (DTCs) in patients with gastric cancer (GC) is controversial. The aims of our meta-analysis are to assess its correlation with clinicopathological characteristics and prognostic significance in GC. PubMed, Embase, the Cochrane database, the Science citation index, the CNKI database and the references of relevant studies were systematically searched (up to November, 2013). Using the random-effect model, the meta-analysis was completed with odds ratio (OR), risk ratio, hazard ratio (HR) and 95% confidence intervals (CI) as effect values. Twenty-six studies containing 2,566 patients with GC were analyzed. The overall analysis showed that the incidence difference of tumor cells (CTCs/DTCs) was significant when comparing the stage I/II group to the stage III/IV group (OR 5 0.36, CI [0.23, 0.56 Gastric cancer (GC) is the fourth most frequently diagnosed cancer and second leading cause of cancer death worldwide.1 Curative resection remains common and the main treatment for GC. Even though the clinical prognosis for GC has been improved by the development of surgery and adjuvant chemoradiotherapy, 2 the long-term survival of advanced GC patients is highly unsatisfactory and hindered by recurrence and distant metastasis.In recent years, extensive studies have demonstrated that tumor cells in bone marrow (BM, i.e., disseminated tumor cells [DTCs]) and peripheral blood (PB, i.e., circulating tumor cells [CTCs]), 3 which were first reported by Ashworth in 1869, 4 are related to tumor metastasis and relapse. Currently, highly sensitive and specific diagnostic methods have been developed and used for tumor cell detection, including reverse-transcriptase polymerase chain reaction (RT-PCR), immunocytochemistry (ICC), flow cytometry (FCM), and the CellSearch system that targets either tumor-associated mRNA or cytokeratin (CK) isozymes. 5 Many researchers using these