Blood Liquid Biopsy in an Advanced Medullary Thyroid Carcinoma: A Case Study with Rearranged during Transfection Heterogeneity.

IF 3.5 4区 医学 Q3 CELL BIOLOGY Pathobiology Pub Date : 2023-01-01 DOI:10.1159/000527184
Josep Gumà, Karla Beatríz Peña, Francesc Riu, Clara Lucia-Gozálvez, Ana Vidaller, Vanesa Maldonado, David Parada
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引用次数: 2

Abstract

Introduction: Liquid biopsy is an innovative and efficient method for studying circulating tumor DNA. In conjunction with innovative techniques such as next-generation sequencing, it can provide real-time information on prognostic and predictive factors.

Case presentation: We report a case of advanced, unresectable medullary thyroid carcinoma with various rearranged during transfection (RET) and Kirsten rat sarcoma viral (KRAS) mutations in both blood liquid and tissue biopsies. After the initial failure of treatment with a tyrosine kinase inhibitor (TKI), a liquid biopsy analyzed by next-generation sequencing showed the presence of six different RET mutations and KRAS. Tissue biopsy also revealed two RET mutations. Due to these biopsy findings, the treatment was changed to another TKI, and the patient is now clinically stable.

Discussion/conclusion: Liquid biopsy makes it possible to analyze different genetic alterations that may have implications as predictive factors. It also reveals tumor heterogeneity and its implications for prognostic factors.

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晚期甲状腺髓样癌的血液活检:转染异质性中重排的一例研究。
液体活检是研究循环肿瘤DNA的一种创新而有效的方法。结合新一代测序等创新技术,它可以提供有关预后和预测因素的实时信息。病例介绍:我们报告一例晚期,不可切除的甲状腺髓样癌,在转染(RET)和Kirsten大鼠肉瘤病毒(KRAS)的血液和组织活检中出现各种重排突变。在酪氨酸激酶抑制剂(TKI)治疗失败后,通过下一代测序分析液体活检显示存在六种不同的RET突变和KRAS。组织活检也发现了两个RET突变。由于这些活检结果,治疗改为另一次TKI,患者现在临床稳定。讨论/结论:液体活检可以分析可能作为预测因素的不同遗传改变。它还揭示了肿瘤异质性及其对预后因素的影响。
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来源期刊
Pathobiology
Pathobiology 医学-病理学
CiteScore
8.50
自引率
0.00%
发文量
47
审稿时长
>12 weeks
期刊介绍: ''Pathobiology'' offers a valuable platform for the publication of high-quality original research into the mechanisms underlying human disease. Aiming to serve as a bridge between basic biomedical research and clinical medicine, the journal welcomes articles from scientific areas such as pathology, oncology, anatomy, virology, internal medicine, surgery, cell and molecular biology, and immunology. Published bimonthly, ''Pathobiology'' features original research papers and reviews on translational research. The journal offers the possibility to publish proceedings of meetings dedicated to one particular topic.
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