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Molecular Testing in Gliomas: What is Necessary in Routine Clinical Practice? | LitMetric

Molecular Testing in Gliomas: What is Necessary in Routine Clinical Practice?

Curr Oncol Rep

Department of Neurology and Neurosurgery, Thomas Jefferson University, 901 Walnut St, Room 310G, Philadelphia, PA, 19107, USA.

Published: November 2024

AI Article Synopsis

  • Scientists and doctors need to look at specific traits in glioma tumors to figure out the best diagnosis and treatment.
  • New rules from the WHO and FDA show that testing these traits can really help in treating glioma patients.
  • Certain gene changes can help doctors use special drugs and find other treatments that could help people with gliomas.

Article Abstract

Purpose Of Review: A number of molecular characteristics are essential for accurate diagnosis and prognostication in glioma.

Recent Findings: The 2021 WHO classification of brain tumors and recent Food and Drug Administration (FDA) pathology agnostic drug approvals highlight the importance of molecular testing in the management of glioma. For diffuse gliomas, it is important to identify IDH mutations, given the favorable clinical behavior and potential for using FDA approved IDH inhibitors in the near future. MGMT promoter methylation testing is the most established molecular marker for response to temozolomide in IDH wild-type glioblastoma and in turn impacts overall survival. Moreover, identification of certain mutations and molecular markers, such as BRAF V600E, hypermutation or elevated tumor-mutational burden and NTRK fusions allow for the use of FDA approved agents that are tumor-agnostic. Finally, molecular testing opens options for clinical trials that are essential for diseases with limited treatment options like gliomas.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579106PMC
http://dx.doi.org/10.1007/s11912-024-01602-wDOI Listing

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