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个体化癌症护理。

Personalized cancer care.

机构信息

Columbia University School of Nursing, New York City, New York.

出版信息

J Am Assoc Nurse Pract. 2022 Nov 1;34(11):1184-1186. doi: 10.1097/JXX.0000000000000793.

Abstract

The completion of the Human Genome Project in 2003 has led to the development of molecular profiling platforms that have changed the trajectory of cancer care. These technologies continue to advance, and with the development of next-generation sequencing, targeted gene panels are now commercially available to analyze DNA, RNA, and protein biomarkers and can detect germline (inherited) and somatic (acquired) mutations through genomic profiling of tumor tissue and/or blood. These targeted panels are useful in practice and can affect clinical decision making. The results of molecular profiling can lead to an increasing number of FDA approved treatment options and/or clinical trial opportunities with novel drugs linked to these alterations, most notably in more advanced disease. This ability to individualize treatment options has led to precision medicine, providing a more personalized approach to cancer care.

摘要

2003 年人类基因组计划的完成导致了分子分析平台的发展,这些平台改变了癌症治疗的轨迹。这些技术不断发展,随着下一代测序技术的发展,靶向基因检测面板现在可用于分析 DNA、RNA 和蛋白质生物标志物,并通过肿瘤组织和/或血液的基因组分析检测种系(遗传)和体细胞(获得性)突变。这些靶向面板在实践中非常有用,可以影响临床决策。分子分析的结果可以导致越来越多的 FDA 批准的治疗方案和/或临床试验机会,这些方案与这些改变相关的新型药物有关,尤其是在更晚期的疾病中。这种个体化治疗方案的能力导致了精准医学,为癌症治疗提供了更个性化的方法。

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