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Next-generation sequencing in breast pathology: real impact on routine practice over a decade since its introduction

Title: Next-generation sequencing in breast pathology: real impact on routine practice over a decade since its introduction
Authors: Nourieh, Maya; Vibert, Roseline; Saint-Ghislain, Mathilde; Cyrta, Joanna; Vincent-Salomon, Anne
Contributors: Institut Curie Paris; UFR Sciences de la santé Simone Veil (UVSQ Santé); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Saclay; The authors thank Dr Samia Melaabi for her assistance in preparing the manuscript and Dr Gabrielle Cremer from Cremer Consulting SA for editing the manuscript's English content.
Source: ISSN: 0309-0167.
Publisher Information: CCSD; Wiley
Publication Year: 2023
Collection: Université de Versailles Saint-Quentin-en-Yvelines: HAL-UVSQ
Subject Terms: BRCA1; BRCA2; breast; breast cancer; metaplastic carcinomas; next-generation sequencing; HER2; phyllode tumours; PIK3CA; [SDV.CAN]Life Sciences [q-bio]/Cancer
Description: International audience ; The diagnosis, histomolecular classes of breast cancers (luminal A, luminal B, HER2-enriched, and basal-like), and accurate prediction of prognosis are commonly determined using morphological and phenotypical analyses in clinical practice worldwide. Therapeutic strategies are mostly based on the disease stage and molecular subclasses of breast cancer. Targeted therapies, such as anti-HER2s, poly-ADP ribose polymerase inhibitors or, to a lesser extent, phosphatidylinositol 3 kinase inhibitors, have substantially improved breast cancer patient prognosis over the past decades. Human epidermal growth factor receptor 2 (HER2) overexpression is widely determined based on immunohistochemistry, while next-generation sequencing (NGS) is currently employed to assess the presence of molecular alterations, including breast cancer gene 1 (BRCA1) and 2 or phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA) mutations, which are targets of these new approved therapies. In addition, next-generation sequencing (NGS) can aid the pathologist in challenging situations, such as a diagnostic workup for a metastatic carcinoma in lymph nodes of unknown origin, differential diagnosis of spindle cell tumourtumor in the breast between metaplastic carcinoma, malignant PT and sarcoma, o, as well as determining relatedness between primary breast cancers and recurrences. NGS offers a powerful tool that enables the pathologist to combine morphological analyses together with molecular alterations in challenging diagnostic situations.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/36482269; PUBMED: 36482269
DOI: 10.1111/his.14794
Availability: https://hal.science/hal-03949605; https://hal.science/hal-03949605v1/document; https://hal.science/hal-03949605v1/file/Histopathology%20-%202022%20-%20Nourieh%20-%20Next%E2%80%90generation%20sequencing%20in%20breast%20pathology%20%20real%20impact%20on%20routine%20practice%20over%20a.pdf; https://doi.org/10.1111/his.14794
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.123D54DA
Database: BASE