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논문 기본 정보

자료유형
학술저널
저자정보
Hyung Seok Park (Yonsei University College of Medicine) Seo-Jin Park (Yonsei University College of Medicine) Jee Ye Kim (Yonsei University College of Medicine) Sanghwa Kim (Yonsei University College of Medicine) Jaegyu Ryu (Yonsei University College of Medicine) Joohyuk Sohn (Yonsei University College of Medicine) Seho Park (Yonsei University College of Medicine) Gun Min Kim (Yonsei University College of Medicine) In Sik Hwang (Yonsei University) Jong-Rak Choi (Yonsei University College of Medicine) Seung Il Kim (Yonsei University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.92 No.5
발행연도
2017.5
수록면
331 - 339 (9page)

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Purpose: We evaluated the clinical role of rapid next-generation sequencing (NGS) for identifying BRCA1/2 mutations compared to traditional Sanger sequencing.
Methods: Twenty-four paired samples from 12 patients were analyzed in this prospective study to compare the performance of NGS to the Sanger method. Both NGS and Sanger sequencing were performed in 2 different laboratories using blood samples from patients with breast cancer. We then analyzed the accuracy of NGS in terms of variant calling and determining concordance rates of BRCA1/2 mutation detection.
Results: The overall concordance rate of BRCA1/2 mutation identification was 100%. Variants of unknown significance (VUS) were reported in two cases of BRCA1 and 3 cases of BRCA2 after Sanger sequencing, whereas NGS reported only 1 case of BRCA1 VUS, likely due to differences in reference databases used for mutation identification. The median turnaround time of Sanger sequencing was 22 days (range, 14–26 days), while the median time of NGS was only 6 days (range, 3–21 days).
Conclusion: NGS yielded comparably accurate results to Sanger sequencing and in a much shorter time with respect to BRCA1/2 mutation identification. The shorter turnaround time and higher accuracy of NGS may help clinicians make more timely and informed decisions regarding surgery or neoadjuvant chemotherapy in patients with breast cancer.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
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UCI(KEPA) : I410-ECN-0101-2018-514-000801112