The Future of Precision Medicine in Oncology

Clin Lab Med. 2016 Sep;36(3):557-73. doi: 10.1016/j.cll.2016.05.003.

Abstract

Precision medicine in oncology focuses on identifying which therapies are most effective for each patient based on genetic characterization of the cancer. Traditional chemotherapy is cytotoxic and destroys all cells that are rapidly dividing. The foundation of precision medicine is targeted therapies and selecting patients who will benefit most from these therapies. One of the newest aspects of precision medicine is liquid biopsy. A liquid biopsy includes analysis of circulating tumor cells, cell-free nucleic acid, or exosomes obtained from a peripheral blood draw. These can be studied individually or in combination and collected serially, providing real-time information as a patient's cancer changes.

Keywords: Cell-free nucleic acid (cfNA); Circulating tumor cell (CTC); Exosomes; Extracellular vesicle (EV); Liquid biopsy; Targeted therapy.

Publication types

  • Review

MeSH terms

  • Forecasting
  • Humans
  • Liquid Biopsy / methods
  • Medical Oncology / trends
  • Molecular Targeted Therapy / trends*
  • Neoplasms / genetics*
  • Neoplasms / therapy*
  • Neoplastic Cells, Circulating / pathology*
  • Precision Medicine / trends*