[Molecular tumor board-urothelial cancer].

Hupe, M C; Gakis, G; Seiler, Roland (2019). [Molecular tumor board-urothelial cancer]. Der Urologe, 58(7), pp. 760-767. Springer 10.1007/s00120-019-0967-5

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BACKGROUND

Molecular tumor boards (MTB) are becoming more common. There are several molecular alterations in urothelial cancer a molecular tumor board can potentially rely on.

OBJECTIVES

The aim is to specify molecular alterations and their correlations with different clinical endpoints and to highlight potential questions addressed to a MTB for urothelial cancer.

MATERIALS AND METHODS

Descriptive review of the literature based on PubMed.

RESULTS

The landscape of molecular alterations in urothelial cancer is heterogeneous. Thus, recent biomarker research has been focusing on biomarker panels and classifiers instead of single biomarkers. Recently, molecular subtypes of urothelial cancer have been identified and correlated with different clinical endpoints. Furthermore, circulating tumor cells and tumor DNA are under investigation as potential biomarkers. In addition to treatment response and prognosis, molecular markers are also needed to improve clinical staging prior to radical cystectomy or for proper patient selection for neoadjuvant chemotherapy. Erdafitinib is the first targeted therapy (fibroblast growth factor receptor [FGFR] alteration) in urothelial cancer that was recently approved (in the USA).

CONCLUSIONS

Due to the lack of external validation, none of the identified biomarkers is currently established in clinical routine. In addition, there is no single driver mutation in urothelial cancer that facilitates the development of biomarkers and targeted therapies.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Seiler-Blarer, Roland

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1433-0563

Publisher:

Springer

Language:

German

Submitter:

Jeannine Wiemann

Date Deposited:

19 Aug 2019 12:25

Last Modified:

08 Jun 2023 00:25

Publisher DOI:

10.1007/s00120-019-0967-5

PubMed ID:

31172245

Uncontrolled Keywords:

Alteration, molecular Biomarkers, cancer Predictive marker Prognostic marker

BORIS DOI:

10.7892/boris.132043

URI:

https://boris.unibe.ch/id/eprint/132043

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