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晚期非小细胞肺癌中下一代测序结果的标准化和简化报告:来自意大利多学科小组的实际指示。

Standardized and simplified reporting of next-generation sequencing results in advanced non-small-cell lung cancer: Practical indications from an Italian multidisciplinary group.

机构信息

Department of Public Health, University Federico II of Naples, Naples, Italy.

Direzione Generale, Istituto Tumori Giovanni Paolo II - IRCCS, Bari, Italy.

出版信息

Crit Rev Oncol Hematol. 2024 Jan;193:104217. doi: 10.1016/j.critrevonc.2023.104217. Epub 2023 Nov 30.

Abstract

Molecular biomarker testing is increasingly becoming standard of care for advanced non-small cell lung cancer (NSCLC). Tissue and liquid biopsy-based next-generation sequencing (NGS) is now highly recommended and has become an integral part of the routine management of advanced NSCLC patients. This highly sensitive approach can simultaneously and efficiently detect multiple biomarkers even in scant samples. However full optimization of NGS in clinical practice requires accurate reporting and interpretation of NGS findings. Indeed, as the number of NSCLC biomarkers continues to grow, clinical reporting of NGS data is becoming increasingly complex. In this scenario, achieving standardization, simplification, and improved readability of NGS reports is key to ensuring timely and appropriate treatment decisions. In an effort to address the complexity and lengthy reporting of NGS mutation results, an Italian group of 14 healthcare professionals involved in NSCLC management convened in 2023 to address the content, structure, and ease-of-use of NGS reporting practices and proposed a standard report template for clinical use This article presents the key discussion points addressed by the Italian working group and describes the essential elements of the report template.

摘要

分子生物标志物检测越来越成为晚期非小细胞肺癌(NSCLC)的标准治疗方法。基于组织和液体活检的下一代测序(NGS)现在被强烈推荐,并已成为晚期 NSCLC 患者常规管理的重要组成部分。这种高灵敏度的方法可以同时高效地检测多种生物标志物,即使在样本量较少的情况下也是如此。然而,要在临床实践中充分优化 NGS,需要准确报告和解释 NGS 结果。事实上,随着 NSCLC 生物标志物数量的不断增加,NGS 数据的临床报告变得越来越复杂。在这种情况下,实现 NGS 报告的标准化、简化和提高可读性是确保及时和适当治疗决策的关键。为了解决 NGS 突变结果报告的复杂性和冗长性,2023 年,意大利一个由 14 名参与 NSCLC 管理的医疗保健专业人员组成的小组聚集在一起,讨论 NGS 报告实践的内容、结构和易用性,并提出了一个用于临床使用的标准报告模板。本文介绍了意大利工作组讨论的要点,并描述了报告模板的基本要素。

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