Comprehensive Genomic Testing: Tissue Stewardship and Best Practices

R. Previs, Maureen E. Cooper, Kyle C. Strickland, Heidi Ko, Michelle F. Green, F. Koohestani, S. Hastings, Zachary D. Wallen, S. Pabla, Jeffrey M. Conroy, M. Nesline, Shengle Zhang, Durga Prasad Dash, Brian J. Caveney, Marcia Eisenberg, Eric A Severson, Shakti H. Ramkissoon
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Abstract

Biomarker-driven targeted therapies have shaped the oncology treatment landscape for patients with advanced solid tumors over the past decade. Comprehensive genomic profiling (CGP) has played a key role in precision medicine as it enables simultaneous identification of multiple biomarkers to guide cancer diagnosis, therapy selection, and prognostication. As a result, tissue stewardship for successful CGP testing is paramount. In addition, widespread adoption of less invasive sampling techniques leaves less diagnostic tissue for additional or future testing as smaller biopsies are acquired. To help oncology care practitioners overcome these challenges, this paper provides an overview of current genomic testing methodologies and offers guidelines on best practices for tissue stewardship and preanalytic practices for successful CGP testing and efficient turnaround times for laboratory tests.
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综合基因组测试:组织管理与最佳实践
过去十年来,生物标志物驱动的靶向疗法塑造了晚期实体瘤患者的肿瘤治疗格局。全面基因组分析(CGP)在精准医疗中发挥了关键作用,因为它能同时鉴定多种生物标记物,为癌症诊断、治疗选择和预后提供指导。因此,成功进行 CGP 检测的组织管理至关重要。此外,随着微创取样技术的广泛应用,由于活检样本较少,可供额外或未来检测的诊断组织也越来越少。为了帮助肿瘤护理从业人员克服这些挑战,本文概述了当前的基因组检测方法,并提供了组织管理和分析前实践的最佳实践指南,以便成功进行 CGP 检测并缩短实验室检测的周转时间。
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