Next-generation sequencing using a targeted gene panel in advanced solid tumors: five years of experience from an Italian referral institution
摘要
Next generation sequencing (NGS) represents the “holy grail” for the diagnostic algorithm for advanced solid tumors. In our experience, we commonly use our customized DNA-based NGS panel (namely, SiRe®). The aim of this study was to assess the efficiency of our customized DNA-based NGS panel in detecting molecular alterations in both tissue and liquid biopsy samples.
MethodsWe retrospectively retrieved molecular data from our electronic archives of advanced stage solid tumor cases tested by our DNA-based NGS approach from January 2018 to December 2022. Almost all samples (2045/2173, 94.1%), including liquid biopsies, were analyzed with our DNA-based NGS approach. We also retrieved all relevant molecular data on other tested biomarkers.
ResultsA total of n = 2173 advanced stage solid tumor patients were tested. Overall, at least one DNA-based alteration was detected in 52.7%, 66.6%, 87.6%, 68.8%, 46.7% of NSCLC ADC, CRC, GIST, melanoma, and breast cancer cases.
ConclusionsThe present study has provided a real-world practice experience on the efficiency of applying DNA-based NGS analysis to both tissue and liquid biopsy samples in detecting actionable mutations in advanced stage solid tumor patients.