Precision Oncology in Hepatopancreatobiliary Cancer Surgery

Timothy E Newhook1, Susan Tsai2, Funda Meric-Bernstam3

  • 1Department of Surgical Oncology, Division of Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.

Insights

Molecular profiling advances cancer treatment. New genomic, transcriptomic, and proteomic targets in biliary tract, pancreatic, and liver cancers personalize therapy for advanced disease.

Area of Science:

  • Oncology
  • Genomics
  • Proteomics

Background:

  • Technological advancements enable comprehensive tumor characterization at genomic, transcriptomic, and proteomic levels.
  • Established therapeutic targets exist for biliary tract cancers.
  • Emerging targets show promise for pancreatic ductal adenocarcinoma and hepatocellular carcinoma.

Purpose of the Study:

  • To highlight the role of molecular profiling in personalizing cancer therapy for advanced malignancies.
  • To emphasize the need for novel neoadjuvant studies incorporating emerging therapeutics in surgical patients.

Main Methods:

  • Genomic, transcriptomic, and proteomic analyses of tumors.
  • Review of current and emerging therapeutic targets in gastrointestinal cancers.

Main Results:

  • Identification of well-established targets in biliary tract cancers.
  • Discovery of novel targets in pancreatic ductal adenocarcinoma.
  • Potential therapeutic targets identified in hepatocellular carcinoma.

Conclusions:

  • Molecular profiling is crucial for personalized cancer therapy in advanced stages.
  • Neoadjuvant studies are needed to integrate novel therapeutics into perioperative care for surgical patients.

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