Schmitt Fernando, Yang Zhongbo, Esebua Magda
Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
Cintesis@RISE, Health Research Network, Porto, Portugal.
Diagn Cytopathol. 2023 Jan;51(1):3-4. doi: 10.1002/dc.25071. Epub 2022 Nov 11.
In the era of personalized medicine, molecular testing plays a critical role in patient care. The rapid advance of molecular techniques, especially next-generation sequencing, makes molecular diagnosis feasible in daily practice. Molecular testing can be used as a valuable ancillary test to increase diagnostic sensitivity and specificity, especially in small biopsy or cytology samples. In addition, molecular testing plays an important role in selecting patients for appropriate treatment by detecting therapeutic and predictive biomarkers in tissue or cytology samples. Molecular studies can be applied in all cytology samples, sometimes with better results than histology. As molecular testing has become essential for patient care and is often requested to be performed in cytology samples, it is critical for cytopathologists to understand the basics of molecular diagnostic methods, indications for molecular testing, and how to best utilize different cytologic samples for this purpose. In this special issue, experts in various areas of cytopathology and molecular pathology review the literature and discuss the basics of molecular techniques and the application of molecular testing in various types of cytology samples. It is our hope that after reading the articles in this special issue, the readers can know better about the possibilities of molecular cytology, a very exciting field of pathology.
在个性化医疗时代,分子检测在患者护理中发挥着关键作用。分子技术的迅速发展,尤其是新一代测序技术,使得分子诊断在日常实践中成为可能。分子检测可作为一种有价值的辅助检测手段,以提高诊断的敏感性和特异性,特别是在小活检或细胞学样本中。此外,分子检测通过检测组织或细胞学样本中的治疗和预测生物标志物,在为患者选择合适的治疗方法方面发挥着重要作用。分子研究可应用于所有细胞学样本,有时其结果比组织学更好。由于分子检测已成为患者护理的重要组成部分,并且经常被要求在细胞学样本中进行,因此细胞病理学家了解分子诊断方法的基础知识、分子检测的适应证以及如何为此目的最佳利用不同的细胞学样本至关重要。在本期特刊中,细胞病理学和分子病理学各个领域的专家回顾了文献,并讨论了分子技术的基础知识以及分子检测在各种类型细胞学样本中的应用。我们希望读者阅读本期特刊中的文章后,能更好地了解分子细胞学这一非常令人兴奋的病理学领域的可能性。