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[泌尿肿瘤学中的分子诊断与分子肿瘤学委员会:以转移性去势抵抗性前列腺癌为例的精准医学]

[Molecular diagnostics and molecular tumor board in uro-oncology : Precision medicine using the example of metastatic castration-resistant prostate cancer].

作者信息

Kornienko Kira, Tahbaz Rana, Plage Henning, Schlomm Thorsten

机构信息

Klinik für Urologie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.

Deutsches Krebsforschungszentrum, Heidelberg, Deutschland.

出版信息

Urologe A. 2022 Mar;61(3):311-322. doi: 10.1007/s00120-022-01784-w. Epub 2022 Feb 14.

Abstract

Novel approaches to molecular tumor profiling evaluate DNA, RNA and protein alterations to create a detailed molecular map that enables precise and personalized treatment decisions. As the field of molecular profiling is constantly evolving, the training and networking of doctors is of decisive importance. Through the establishment of precision medicine with precision oncological consultations supported by interdisciplinary molecular tumor boards, many patients with difficult to treat tumor diseases can be advised and treated. Many pathophysiological relationships in progressive tumors can be elucidated resulting in new therapeutic options for the profiled patients; however, understanding the complex mutational profiles remains a very demanding task that requires a suitably trained and committed team that should be in close contact with the scientific advancements in precision oncology.

摘要

分子肿瘤分析的新方法评估DNA、RNA和蛋白质改变,以创建详细的分子图谱,从而做出精确且个性化的治疗决策。由于分子分析领域不断发展,医生的培训和交流至关重要。通过建立精准医学,在跨学科分子肿瘤委员会支持下进行精准肿瘤学会诊,可以为许多难治性肿瘤疾病患者提供建议和治疗。进展期肿瘤中的许多病理生理关系可以得到阐明,从而为接受分析的患者带来新的治疗选择;然而,理解复杂的突变谱仍然是一项极具挑战性的任务,需要一支训练有素且敬业的团队,该团队应与精准肿瘤学的科学进展保持密切联系。

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