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Current updates in sarcoma biomarker discovery: emphasis on next-generation sequencing-based methods

Pathology. 2024 Mar;56(2):274-282. doi: 10.1016/j.pathol.2023.10.015. Epub 2023 Dec 14.

Abstract

Soft tissue sarcomas comprise a heterogeneous group of neoplasms. Although soft tissue malignancies make up only 2% of adult cancers, classification based on histomorphology presents a diagnostic challenge. Characterisation of soft tissue sarcomas by molecular analysis is rapidly evolving to improve diagnostic accuracy and develop targeted therapies. This review highlights the advances in molecular techniques, including current next-generation sequencing-based assays (fusion detection by RNA sequencing, targeted/whole exome sequencing, microRNA profiling), as well as emerging methods (liquid biopsies, DNA methylation profiling, single-cell molecular profiling and next-generation immunohistochemistry) for future clinical applications.

Keywords: DNA methylation; Sarcomas; biomarkers; liquid biopsy; next-generation sequencing.

Publication types

  • Review

MeSH terms

  • Adult
  • Biomarkers
  • High-Throughput Nucleotide Sequencing / methods
  • Humans
  • Liquid Biopsy
  • Sarcoma* / diagnosis
  • Sarcoma* / genetics
  • Sarcoma* / pathology
  • Soft Tissue Neoplasms* / diagnosis
  • Soft Tissue Neoplasms* / genetics
  • Soft Tissue Neoplasms* / pathology

Substances

  • Biomarkers