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Chinese expert consensus on precision diagnosis and treatment of refractory tumors
Lili Wang1, Yu Zhang1, Yanhong Shang2
1Department of Oncology, Tianjin Key Laboratory of Precision Medicine for Sex Hormones and Diseases, The Second Hospital of Tianjin Medical University, Tianjin, China.
Abstract:
Refractory tumors, including rare and treatment-resistant malignancies, pose major challenges due to genomic and intra- and inter-tumoral heterogeneity. The Molecular Tumor Board provides a multidisciplinary model for precision oncology. To address the lack of consensus, the China Consortium for Precision Diagnosis and Therapeutics in Refractory Tumors (CCPT) developed evidence-based guidelines. Building on established frameworks and clinical expertise, CCPT also introduced a Chinese-specific classification system, together with recommendations on multi-omics testing, personalized therapy, combination strategies, dose optimization, and data-sharing, to standardize practice and advance integrated precision care.
Insights
New guidelines address challenges in treating rare and refractory tumors. The China Consortium for Precision Diagnosis and Therapeutics in Refractory Tumors (CCPT) offers recommendations for multi-omics testing and personalized combination therapies.
Area of Science:
- Oncology
- Genomics
- Precision Medicine
Background:
- Refractory tumors, including rare and treatment-resistant malignancies, present significant clinical challenges.
- Genomic and tumoral heterogeneity contribute to treatment resistance.
- A lack of consensus exists regarding the optimal management of these complex cases.
Purpose of the Study:
- To develop evidence-based guidelines for the diagnosis and treatment of refractory tumors.
- To establish a standardized framework for precision oncology in China.
- To address the heterogeneity and complexity of rare and treatment-resistant cancers.
Main Methods:
- Formation of the China Consortium for Precision Diagnosis and Therapeutics in Refractory Tumors (CCPT).
- Development of evidence-based guidelines integrating established frameworks and clinical expertise.
- Introduction of a Chinese-specific classification system for refractory tumors.
Main Results:
- CCPT has developed comprehensive guidelines for refractory tumors.
- Recommendations cover multi-omics testing, personalized therapy, and combination strategies.
- A Chinese-specific classification system and guidelines for dose optimization and data-sharing were introduced.
Conclusions:
- The CCPT guidelines aim to standardize practice in precision oncology for refractory tumors.
- These guidelines will advance integrated precision care for rare and treatment-resistant malignancies.
- The initiative promotes a multidisciplinary approach to complex cancer treatment.
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