Minimally invasive biopsy‐based diagnostics in support of precision cancer medicine

Precision cancer medicine (PCM) to support the treatment of solid tumors requires minimally invasive diagnostics. Here, we describe the development of fine‐needle aspiration biopsy‐based (FNA) molecular cytology which will be increasingly important in diagnostics and adaptive treatment. We provide s...

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Main Authors: Bo Franzén, Gert Auer, Rolf Lewensohn
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Molecular Oncology
Subjects:
Online Access:https://doi.org/10.1002/1878-0261.13640
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author Bo Franzén
Gert Auer
Rolf Lewensohn
author_facet Bo Franzén
Gert Auer
Rolf Lewensohn
author_sort Bo Franzén
collection DOAJ
description Precision cancer medicine (PCM) to support the treatment of solid tumors requires minimally invasive diagnostics. Here, we describe the development of fine‐needle aspiration biopsy‐based (FNA) molecular cytology which will be increasingly important in diagnostics and adaptive treatment. We provide support for FNA‐based molecular cytology having a significant potential to replace core needle biopsy (CNB) as a patient‐friendly potent technique for tumor sampling for various tumor types. This is not only because CNB is a more traumatic procedure and may be associated with more complications compared to FNA‐based sampling, but also due to the recently developed molecular methods used with FNA. Recent studies show that image‐guided FNA in combination with ultrasensitive molecular methods also offers opportunities for characterization of the tumor microenvironment which can aid therapeutic decisions. Here we provide arguments for an increased implementation of molecular FNA‐based sampling as a patient‐friendly diagnostic method, which may, due to its repeatability, facilitate regular sampling that is needed during different treatment lines, to provide tumor information, supporting treatment decisions, shortening lead times in healthcare, and benefit healthcare economics.
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spelling doaj-art-05a9329b194b4affa00fd71ebfc9b4aa2024-11-08T18:26:20ZengWileyMolecular Oncology1574-78911878-02612024-11-0118112612262810.1002/1878-0261.13640Minimally invasive biopsy‐based diagnostics in support of precision cancer medicineBo Franzén0Gert Auer1Rolf Lewensohn2Department of Oncology‐Pathology Karolinska Institutet Stockholm SwedenDepartment of Oncology‐Pathology Karolinska Institutet Stockholm SwedenDepartment of Oncology‐Pathology Karolinska Institutet Stockholm SwedenPrecision cancer medicine (PCM) to support the treatment of solid tumors requires minimally invasive diagnostics. Here, we describe the development of fine‐needle aspiration biopsy‐based (FNA) molecular cytology which will be increasingly important in diagnostics and adaptive treatment. We provide support for FNA‐based molecular cytology having a significant potential to replace core needle biopsy (CNB) as a patient‐friendly potent technique for tumor sampling for various tumor types. This is not only because CNB is a more traumatic procedure and may be associated with more complications compared to FNA‐based sampling, but also due to the recently developed molecular methods used with FNA. Recent studies show that image‐guided FNA in combination with ultrasensitive molecular methods also offers opportunities for characterization of the tumor microenvironment which can aid therapeutic decisions. Here we provide arguments for an increased implementation of molecular FNA‐based sampling as a patient‐friendly diagnostic method, which may, due to its repeatability, facilitate regular sampling that is needed during different treatment lines, to provide tumor information, supporting treatment decisions, shortening lead times in healthcare, and benefit healthcare economics.https://doi.org/10.1002/1878-0261.13640biomarkersfine‐needle aspiratesimmune signalingminimally invasive diagnosticssolid tumorstumor microenvironment
spellingShingle Bo Franzén
Gert Auer
Rolf Lewensohn
Minimally invasive biopsy‐based diagnostics in support of precision cancer medicine
Molecular Oncology
biomarkers
fine‐needle aspirates
immune signaling
minimally invasive diagnostics
solid tumors
tumor microenvironment
title Minimally invasive biopsy‐based diagnostics in support of precision cancer medicine
title_full Minimally invasive biopsy‐based diagnostics in support of precision cancer medicine
title_fullStr Minimally invasive biopsy‐based diagnostics in support of precision cancer medicine
title_full_unstemmed Minimally invasive biopsy‐based diagnostics in support of precision cancer medicine
title_short Minimally invasive biopsy‐based diagnostics in support of precision cancer medicine
title_sort minimally invasive biopsy based diagnostics in support of precision cancer medicine
topic biomarkers
fine‐needle aspirates
immune signaling
minimally invasive diagnostics
solid tumors
tumor microenvironment
url https://doi.org/10.1002/1878-0261.13640
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