Department of Pathology and Laboratory Medicine, 800 Rose Street, MS117, University of Kentucky College of Medicine, Lexington, KY 40536, USA.
Department of Pathology and Laboratory Medicine, 800 Rose Street, MS117, University of Kentucky College of Medicine, Lexington, KY 40536, USA; Markey Cancer Center, Lexington, KY 40536, USA; Department of Urology, University of Kentucky College of Medicine, Lexington, KY 40536, USA.
Surg Pathol Clin. 2024 Sep;17(3):329-345. doi: 10.1016/j.path.2024.04.002. Epub 2024 May 18.
Over the last decade, cancer diagnostics has undergone a notable transformation with increasing complexity. Minimally invasive diagnostic tests, driven by advanced imaging and early detection protocols, are redefining patient care and reducing the need for more invasive procedures. Modern cytopathologists now safeguard patient samples for vital biomarker and molecular testing. In this article, we explore ancillary testing modalities and the role of biomarkers in organ-specific contexts, underscoring the transformative impact of precision medicine. Finally, the advent of more than 80 Food and Drug Administration-approved predictive biomarkers signals a new era, guiding cancer care toward personalized and targeted strategies.
在过去的十年中,癌症诊断学发生了显著的变化,变得更加复杂。先进的成像技术和早期检测方案推动了微创诊断测试的发展,重新定义了患者的护理方式,并减少了对更具侵入性程序的需求。现代细胞病理学家现在为重要的生物标志物和分子检测保护患者样本。在本文中,我们探讨了辅助检测模式以及生物标志物在特定器官背景下的作用,强调了精准医学的变革性影响。最后,80 多种获得美国食品和药物管理局批准的预测性生物标志物的出现标志着一个新时代的到来,使癌症护理朝着个性化和靶向治疗的方向发展。