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Precision medicine approaches for the management of Ewing sarcoma: current perspectives.


ABSTRACT: Advancements in molecular and genetic techniques have significantly furthered our biological understanding of Ewing sarcoma (ES). ES is typified by a driving TET-ETS fusion with an otherwise relatively quiet genome. Detection of one of several characteristic fusions, most commonly EWSR1-FLI1, is the gold standard for diagnosis. We discuss the current role of precision medicine in the diagnosis, treatment, and monitoring of ES. Continued efforts toward molecularly guided approaches are actively being pursued in ES to better refine prognosis, identify germline markers of disease susceptibility, influence therapeutic selection, effectively monitor disease activity in real time, and identify genetic and immunotherapeutic targets for therapeutic development.

SUBMITTER: Rizk VT 

PROVIDER: S-EPMC6340366 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Precision medicine approaches for the management of Ewing sarcoma: current perspectives.

Rizk Victoria T VT   Walko Christine M CM   Brohl Andrew S AS  

Pharmacogenomics and personalized medicine 20190117


Advancements in molecular and genetic techniques have significantly furthered our biological understanding of Ewing sarcoma (ES). ES is typified by a driving TET-ETS fusion with an otherwise relatively quiet genome. Detection of one of several characteristic fusions, most commonly <i>EWSR1-FLI1</i>, is the gold standard for diagnosis. We discuss the current role of precision medicine in the diagnosis, treatment, and monitoring of ES. Continued efforts toward molecularly guided approaches are act  ...[more]

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