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Personalized management of patients with solid cancers: moving from patient characteristics to tumor biology
Ahmad Awada1, Anna M Vandone, Philippe Aftimos
1Medical Oncology Clinic, Institut Jules Bordet-Université libre de Bruxelles, Brussels, Belgium. ahmad.awada@bordet.be
Purpose Of Review:
In recent years, there has been a paradigm shift in the diagnosis as well as the treatment of solid tumors. This review will detail some of the recent findings that led to better subtyping and treatment of cancers, some of which were historically refractory.
Recent Findings:
Advances in molecular biology have recently led to the rapid development of personalized cancer management. Molecular markers and gene signatures allow better risk definition and treatment prediction, thus, avoiding 'wasted toxicity'. Recent understandings in disease pathways are giving new hope to treatment of hard-to-treat cancers such as melanoma, subtypes of nonsmall cell lung cancer and several orphan tumors.
Summary:
This progress transposed from lab to bedside has made personalized cancer care a reality. In addition, this concept is being integrated into clinical trial designs with the enrolment of molecularly selected patients, hopefully leading to high rates of success.
Insights
Personalized cancer care is now a reality thanks to advances in molecular biology. This approach improves cancer subtyping, risk definition, and treatment prediction for better outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Solid tumor diagnosis and treatment have undergone significant changes.
- Historically refractory cancers are now being re-evaluated.
- Molecular biology advances are revolutionizing cancer management.
Purpose of the Study:
- To review recent findings in cancer subtyping and treatment.
- To highlight progress in managing historically difficult-to-treat cancers.
- To discuss the shift towards personalized cancer care.
Main Methods:
- Review of recent scientific literature.
- Analysis of advances in molecular biology and genomics.
- Integration of molecular markers and gene signatures in risk assessment.
Main Results:
- Personalized cancer management has rapidly developed.
- Molecular markers and gene signatures enhance risk definition and treatment prediction.
- New hope for treating melanoma, non-small cell lung cancer, and orphan tumors.
Conclusions:
- Laboratory discoveries have translated to clinical practice, making personalized cancer care a reality.
- Molecularly selected patient enrollment in clinical trials is increasing.
- This approach is expected to improve clinical trial success rates.
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