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Updated: Oct 2, 2025

Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
Current Trends in Precision Medicine and Next-Generation Sequencing in Head and Neck Cancer
Roberto N Solis1, Dustin A Silverman1, Andrew C Birkeland2
1Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, 2521 Stockton Blvd., Suite 7200, Sacramento, CA, 95817, USA.
Opinion Statement:
As the field of oncology enters the era of precision medicine and targeted therapies, we have come to realize that there may be no single "magic bullet" for patients with head and neck cancer. While immune check point inhibitors and some targeted therapeutics have shown great promise in improving oncologic outcomes, the current standard of care in most patients with head and neck squamous cell carcinoma (HNSCC) remains a combination of surgery, radiation, and/or cytotoxic chemotherapy. Nevertheless, advances in precision medicine, next-generation sequencing (NGS), and targeted therapies have a potential future in the treatment of HNSCC. These roles include increased patient treatment stratification based on predictive biomarkers or targetable mutations and novel combinatorial regimens with existing HNSCC treatments. There remain challenges to precision medicine and NGS in HNSCC, including intertumor and intratumor heterogeneity, challenging targets, and need for further trials validating the utility of NGS and precision medicine. Additionally, there is a need for evidence-based practice guidelines to assist clinicians on how to appropriately incorporate NGS in care for HNSCC. In this review, we describe the current state of precision medicine and NGS in HNSCC and opportunities for future advances in this challenging but important field.
Insights
Precision medicine and next-generation sequencing (NGS) offer future promise for head and neck squamous cell carcinoma (HNSCC) treatment, moving beyond traditional therapies. Challenges like tumor heterogeneity must be addressed for effective integration of these advanced approaches.
Area of Science:
- Oncology
- Genomics
- Precision Medicine
Background:
- The current standard of care for head and neck squamous cell carcinoma (HNSCC) relies on surgery, radiation, and chemotherapy.
- While immune checkpoint inhibitors and targeted therapies show promise, a single 'magic bullet' approach is unlikely for HNSCC.
- Advances in precision medicine and next-generation sequencing (NGS) are emerging as potential future treatment modalities.
Purpose of the Study:
- To review the current status of precision medicine and NGS in HNSCC.
- To explore future opportunities for integrating these advanced technologies into HNSCC treatment.
- To highlight challenges and the need for evidence-based guidelines for NGS implementation.
Main Methods:
- This is a review article, synthesizing current literature and expert opinion.
- Discussion focuses on the potential roles of precision medicine and NGS in HNSCC.
- Identifies challenges such as tumor heterogeneity and the need for clinical validation.
Main Results:
- Precision medicine and NGS can enable better patient stratification using predictive biomarkers and targetable mutations.
- These technologies may lead to novel combinatorial treatment regimens for HNSCC.
- Significant challenges remain, including inter- and intratumor heterogeneity and the need for further clinical trials.
Conclusions:
- Precision medicine and NGS hold significant future potential for improving HNSCC outcomes.
- Overcoming challenges and establishing evidence-based guidelines are crucial for clinical adoption.
- Continued research and validation are necessary to fully realize the benefits of NGS in HNSCC care.
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