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논문 기본 정보

자료유형
학술저널
저자정보
이현우 (삼성서울병원) 조윤아 (삼성서울병원) 김덕근 (삼성서울병원) 조은윤 (성균관대학교)
저널정보
대한암학회 Cancer Research and Treatment Cancer Research and Treatment Vol.56 No.1
발행연도
2024.1
수록면
149 - 161 (13page)
DOI
10.4143/crt.2023.800

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Purpose Breast cancer is one of the most common causes of cancer-related death in females. Numerous drug-targetable biomarkers and predictive biomarkers have been developed. Some researchers have expressed doubts about the need for next-generation sequencing (NGS) studies in daily practice. This study analyzed the results of NGS studies on breast cancer at a single institute and evaluated the real-world applications of NGS data to precision medicine for breast cancer.Materials and Methods We retrospectively collected the results of NGS studies and analyzed the histopathologic features and genetic profiles of patients treated for breast cancer from 2010 to 2021. Seventy cases had data from CancerSCAN, a customized panel of 375 cancer-associated genes, and 110 cases had data from TruSight Oncology 500.Results The most frequently detected single nucleotide variant was the <i>TP53</i> mutation (123/180, 68.3%), followed by <i>PIK3CA</i> muta-tions (51/180, 28.3%). Estrogen receptor 1 (<i>ESR1</i>) mutation was detected in 11 patients (6.1%), of whom 10 had hormone receptor–positive, human epidermal growth factor receptor 2–negative breast cancer, and two had no history of prior endocrine therapy. Based on their NGS study results, 13 patients (7.2%) received target therapy. Among them, four patients had a <i>BRCA1</i> or <i>BRCA2</i> germline mutation, and nine patients had a <i>PIK3CA</i> mutation.Conclusion NGS can provide information about predictive biomarkers and drug-targetable biomarkers that can enable treatment and participation in clinical trials based on precision medicine. Further studies should be conducted to excavate novel drug-targetable biomarkers and develop additional target therapies.

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