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基于分子泌尿病理学的个性化泌尿肿瘤学:未来何去何从?

[Personalized urooncology based on molecular uropathology: what is the future?].

作者信息

Dahl E, Haller F

机构信息

Lehr- und Forschungsgebiet Tumorpathologie, Institut für Pathologie, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074 Aachen, Deutschland.

出版信息

Urologe A. 2013 Jul;52(7):976-81. doi: 10.1007/s00120-013-3229-y.

Abstract

Targeted therapies and biomarker validation are key drivers in the advancement of personalized oncology which is a growing topic in all clinical areas. Compared with other professions, such as pulmonology and gynecology, development in urology has so far been retarded but has recently gained increasing momentum. A basis for this is the currently growing and in future accelerated application of new knowledge derived from molecular biology in the field of uropathology. The rapid gain of knowledge is driven by a whole new class of analytical methods, such as massively parallel sequencing (deep sequencing or next generation sequencing), which enables analysis of virtually a new universe of potential biomarkers. This article describes the emerging paradigm shift in molecular pathological diagnostics of urological tumors using the example of prostate cancer.

摘要

靶向治疗和生物标志物验证是个性化肿瘤学发展的关键驱动力,而个性化肿瘤学在所有临床领域都是一个日益热门的话题。与其他专业领域(如肺病学和妇科)相比,泌尿外科的发展迄今一直滞后,但最近已获得越来越大的发展动力。其基础是目前在泌尿病理学领域中,源自分子生物学的新知识应用不断增加,且未来还会加速。知识的快速增长得益于一整套全新的分析方法,如大规模平行测序(深度测序或新一代测序),它能够分析几乎全新的潜在生物标志物领域。本文以前列腺癌为例,描述了泌尿肿瘤分子病理诊断中正在出现的范式转变。

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