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Updated: Oct 28, 2025

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
A Brief Overview and Update on Major Molecular Genomic Alterations in Solid, Bone and Soft Tissue Tumors, and
Wei Zhang1,2,3, Jinjuan Yao4,2, Minghao Zhong5
1From the Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison (W. Zhang).
Context.—:
Recent advances in comprehensive genomic profiling by next-generation sequencing have uncovered the genomic alterations at the molecular level for many types of tumors; as such, numerous small specific molecules that target these alterations have been developed and widely used in the management of these cancers.
Objective.—:
To provide a concise molecular genomic update in solid, bone and soft tissue tumors, hematopoietic as well as lymphoid malignancies; discuss its clinical applications; and familiarize practicing pathologists with the emerging cancer biomarkers and their diagnostic utilities.
Data Sources.—:
This review is based on the National Comprehensive Cancer Network guidelines and peer-reviewed English literature.
Conclusions.—:
Tumor-specific biomarkers and molecular/genomic alterations, including pan-cancer markers, have been significantly expanded in the past decade thanks to large-scale high-throughput technologies and will continue to emerge in the future. These biomarkers can be of great value in diagnosis, prognosis, and/or targeted therapy/treatment. Familiarization with these emerging and ever-changing tumor biomarkers will undoubtedly aid pathologists in making accurate and state-of-the-art diagnoses and enable them to be more actively involved in the care of cancer patients.
Insights
Genomic profiling reveals tumor-specific alterations, leading to targeted therapies. Understanding these cancer biomarkers is crucial for accurate diagnosis and effective patient care.
Area of Science:
- Oncology
- Genomics
- Molecular Pathology
Background:
- Next-generation sequencing (NGS) has advanced comprehensive genomic profiling.
- This has identified numerous molecular alterations in various tumors.
- Targeted therapies based on these alterations are now widely used in cancer management.
Purpose of the Study:
- To provide a molecular genomic update on solid, bone, soft tissue, hematopoietic, and lymphoid tumors.
- To discuss the clinical applications of these genomic findings.
- To familiarize pathologists with emerging cancer biomarkers and their diagnostic utility.
Main Methods:
- Review based on National Comprehensive Cancer Network (NCCN) guidelines.
- Inclusion of peer-reviewed English literature.
Main Results:
- Tumor-specific biomarkers and genomic alterations have expanded significantly.
- Large-scale, high-throughput technologies have driven this expansion.
- Emerging biomarkers offer value in diagnosis, prognosis, and targeted therapy.
Conclusions:
- Familiarity with evolving tumor biomarkers aids pathologists in accurate, state-of-the-art diagnoses.
- Pathologists can become more involved in cancer patient care through biomarker knowledge.
- Continuous emergence of biomarkers will shape future cancer diagnostics and therapeutics.
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