Chinese expert consensus on the clinical application of molecular diagnostics in hepatobiliary cancers(2024 edition)  

作　　者：Aizier Ainiwaer Jiamin Cheng Ren Lang Tao Peng Xinyu Bi Yinying Lu Chinese Research Hospital Association Society for Molecular Diagnosis Translational Medicine Branch,China Association of Gerontology and Geriatrics 

机构地区：[1]Comprehensive Liver Cancer Center,The Fifth Medical Center of PLA General Hospital,Beijing,China [2]Department of Hepatobiliary and Pancreaticosplenic Surgery,Beijing Chao-Yang Hospital,Capital Medical University,Beijing,China [3]Department of Hepatobiliary Surgery,The First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,China [4]Department of Hepatobiliary Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,China [5]不详

出　　处：《Liver Research》2024年第4期195-206,共12页肝脏研究(英文)

基　　金：funded by the National Natural Science Foundation of China(No.82272956).

摘　　要：Hepatocellular carcinoma(HCC)and biliary tract cancer(BTC)are significant health challenges in China because of their high prevalence and mortality rates.Advances in molecular diagnostics have opened new avenues for personalized treatment strategies.This consensus provides a comprehensive update on the clinical applications of molecular diagnostics in HCC and BTC and addresses the urgent need for personalized treatment strategies tailored to the Chinese population,emphasizing the importance of molecular markers in guiding targeted therapies and immunotherapies.By employing the Delphi method and the Grading of Recommendations Assessment,Development,and Evaluation system,the expert panel formulated evidence-based recommendations for the use of molecular diagnostics in the clinical management of HCC and BTC.Key molecular markers,such as isocitrate dehydrogenase(IDH)1 and 2,fibroblast growth factor receptor 2(FGFR2),BRAF V600E,human epidermal growth factor receptor 2(HER2),rearranged during transfection(RET),and neurotrophic tyrosine receptor kinase(NTRK),are highlighted for their roles in optimizing treatment regimens.The consensus also explores the significance of emerging biomarkers,such as tumor mutation burden and microsatellite instability,in predicting responses to immune checkpoint inhibitors.The recommendations aim to enhance precision medicine approaches,improve patient outcomes,and foster the integration of molecular diagnostics into routine clinical practice.

关 键 词：Hepatocellular carcinoma(HCC) Biliary tract cancer(BTC) Targeted therapy IMMUNOTHERAPY Molecular markers Expert consensus 

分 类 号：R73[医药卫生—肿瘤]