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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
Precision Medicine in Colorectal Surgery
Sangeetha Prabhakaran1, Joseph Leong2, Nicholas J Petrelli3
1Division of Surgical Oncology, Department of Surgery, University of New Mexico, Albuquerque, NM, USA.
Abstract:
This article reviews advances in precision medicine for colorectal carcinoma that have influenced screening and treatment, and potentially prevention. Advances in molecular techniques have made it possible for better patient selection for therapies; therefore, mutational analysis should be performed at diagnosis to guide treatment. Future efforts should focus on validating these treatments in specific subgroups and on understanding the mechanisms of resistance to therapies to enable treatment optimization, promote efficacy, and reduce treatment costs and toxicities.
Insights
Precision medicine advances in colorectal carcinoma improve patient selection for targeted therapies. Mutational analysis at diagnosis is crucial for guiding treatment and optimizing outcomes.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Colorectal carcinoma (CRC) management has been significantly impacted by advancements in precision medicine.
- Molecular profiling is increasingly central to tailoring treatment strategies.
Purpose of the Study:
- To review recent progress in precision medicine for CRC.
- To highlight the influence of these advances on screening, treatment, and prevention.
- To emphasize the importance of molecular analysis in CRC patient care.
Main Methods:
- Literature review of precision medicine in colorectal cancer.
- Analysis of molecular techniques and their clinical applications.
- Synthesis of current evidence on targeted therapies and resistance mechanisms.
Main Results:
- Molecular techniques enable improved patient stratification for CRC therapies.
- Mutational analysis at diagnosis is recommended to guide treatment decisions.
- Emerging therapies show promise for specific patient subgroups.
Conclusions:
- Precision medicine, guided by molecular analysis, is transforming CRC care.
- Further research is needed to validate subgroup treatments and overcome resistance.
- Optimizing CRC therapies can enhance efficacy and reduce toxicity.
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