Institute of Pathology, University Hospital Heidelberg, Im Neuenheimer Feld 224, 69118, Heidelberg, Germany.
Virchows Arch. 2024 Feb;484(2):263-272. doi: 10.1007/s00428-024-03744-5. Epub 2024 Mar 1.
Neoplasias of the hepatopancreatobiliary tract are growing in numbers, have the poorest prognosis of all major cancer entities, and thus represent a rising clinical problem. Their molecular diagnostic has dramatically improved, contributing to tumor subtyping, definition of malignancy, and uncovering cases with hereditary predisposition. Most of all, predictive molecular testing allows to identify cases amenable to treatment with the rising number of approved targeted drugs, immune-oncological treatment, and clinical trials. In this review, the current state of molecular testing and its contribution to clinical decision-making are outlined.
肝胆胰肿瘤的发病率正在上升,其所有主要癌症实体中预后最差,因此成为日益严重的临床问题。其分子诊断已显著改善,有助于肿瘤分型、恶性程度定义和发现具有遗传易感性的病例。最重要的是,预测性分子检测可识别出可通过越来越多的批准靶向药物、免疫肿瘤治疗和临床试验进行治疗的病例。本文概述了分子检测的现状及其对临床决策的贡献。