在肉瘤中下一代测序的现实世界实施:分子洞察力和治疗结果
Tasnim Diab1, Ali Tarhini2, Ghina Jaber1
1Department of Internal Medicine, Division of Hematology and Oncology, Naef K Bassile Cancer Institute, American University of Beirut Medical Center, Beirut P.O. Box 11-0236, Lebanon.
Medical sciences (Basel, Switzerland)
|January 21, 2026
概括
下一代测序 (NGS) 引导的治疗调整改善了中东和北非地区晚期肉瘤患者的无进展生存率. 及时的分子分析对于在这个人群中推进精密瘤学至关重要.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 精准医学是一门精准的医学.
背景情况:
- 肉瘤是罕见的,具有有限的先进阶段治疗选择的侵袭性癌症.
- 这项研究是MENA地区首次评估下一代测序 (NGS) 以指导肉瘤治疗的研究.
研究的目的:
- 评估NGS在指导肉瘤治疗和改善MENA地区患者治疗结果方面的临床实用性.
- 为了比较接受NGS指导治疗调整 (NBTA) 和没有接受NGS指导治疗调整 (NBTA) 的肉瘤患者之间的结果.
主要方法:
- 在主要推中心接受NGS (2021-2024) 的肉瘤患者的回顾性审查.
- 对NBTA和非NBTA组之间的临床和分子数据进行比较.
主要成果:
- 87%的患者有可检测的突变,42%的患者有NGS识别的可向的变异.
- 接受NBTA治疗的患者表现出明显更长的无进展生存期 (9个月和2个月;p=0.023).
- 发现基因组变化是特定于肉瘤亚型的.
结论:
- 基因组指导疗法在肉瘤治疗中是可行的和有影响力的.
- 扩大及时获得分子分析的机会对于在中东和北非地区推进精密瘤学至关重要.
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