Mechahougui Hiba, Gutmans James, Colarusso Gina, Gouasmi Roumaïssa, Friedlaender Alex
Oncology Department, Geneva University Hospital (HUG), 1205 Geneva, Switzerland.
Cancer Research Center of Lyon, CNRS UMR5286, Inserm U1052, University of Lyon, 69100 Lyon, France.
Cancers (Basel). 2024 Aug 16;16(16):2862. doi: 10.3390/cancers16162862.
Advances in next-generation sequencing (NGS) have catalyzed a paradigm shift in cancer treatment, steering the focus from conventional, organ-specific protocols to precision medicine. Emerging targeted therapies offer a cutting-edge approach to cancer treatment, while companion diagnostics play an essential role in aligning therapeutic choices with specific molecular changes identified through NGS. Despite these advances, interpreting the clinical implications of a rapidly expanding catalog of genetic mutations remains a challenge. The selection of therapies in the presence of multiple mutations requires careful clinical judgment, supported by quality-centric genomic testing that emphasizes actionable mutations. Molecular tumor boards can play an increasing role in assimilating genomic data into clinical trials, thereby refining personalized treatment approaches and improving patient outcomes.
下一代测序(NGS)技术的进步催化了癌症治疗领域的范式转变,将重点从传统的器官特异性方案转向精准医学。新兴的靶向疗法为癌症治疗提供了前沿方法,而伴随诊断在使治疗选择与通过NGS鉴定的特定分子变化相匹配方面发挥着至关重要的作用。尽管有这些进展,但解读迅速扩充的基因突变目录的临床意义仍然是一项挑战。在存在多种突变的情况下选择治疗方法需要谨慎的临床判断,并以强调可操作突变的以质量为中心的基因组检测为支撑。分子肿瘤委员会在将基因组数据纳入临床试验方面可发挥越来越大的作用,从而优化个性化治疗方法并改善患者预后。