Department of Dermatology, Indiana University School of Medicine, Indianapolis, IN, USA.
Baylor Scott & White Health System, Dallas, TX, USA.
Cancer Invest. 2022 Nov;40(10):911-922. doi: 10.1080/07357907.2022.2116454. Epub 2022 Sep 15.
Treatment decisions for patients with cutaneous squamous cell carcinoma (cSCC) are traditionally based upon clinicopathologic risk factors and staging systems. Due to the accuracy limitations of these resources in predicting poor outcomes, there is a clinically significant need for more accurate methods of risk assessment. The 40-gene expression profile (40-GEP) test was developed to augment metastatic risk prediction of high-risk cSCC patients and has been validated in two independent, multi-center studies involving over 1,000 patients. This study substantiates that the 40-GEP is appropriately utilized by clinicians and that the personalized risk-stratification results are impactful in guiding risk-aligned patient management.
治疗皮肤鳞状细胞癌 (cSCC) 患者的决策传统上基于临床病理危险因素和分期系统。由于这些资源在预测不良预后方面的准确性有限,因此临床上需要更准确的风险评估方法。40 基因表达谱 (40-GEP) 检测是为了增强高危 cSCC 患者的转移风险预测而开发的,已在涉及 1000 多名患者的两项独立的多中心研究中得到验证。这项研究证实,临床医生适当地使用了 40-GEP,并且个性化风险分层结果对指导风险匹配的患者管理具有重要影响。