Integrating the melanoma 31-gene expression profile test with surgical oncology practice within national guideline and staging recommendations.

Autor: Hyams, David M, Covington, Kyle R, Johnson, Clare E, Plasseraud, Kristen M, Cook, Robert W
Zdroj: Future Oncology; Feb2021, Vol. 17 Issue 5, p517-527, 11p
Abstrakt: Aim: Define changes in clinical management resulting from the use of the prognostic 31-gene expression profile (31-GEP) test for cutaneous melanoma in a surgical oncology practice. Patients & methods: Management plans for 112 consecutively tested patients with stage I-III melanoma were evaluated for duration and number of clinical visits, blood work and imaging. Results: 31-GEP high-risk (class 2; n = 46) patients received increased management compared with low-risk (class 1; n = 66) patients. Test results were most closely associated with follow-up and imaging. Of class 1 patients, 65% received surveillance intensity within guidelines for stage I-IIA patients; 98% of class 2 patients received surveillance intensity equal to stage IIB-IV patients. Conclusion: We suggest clinical follow-up and metastatic screening be adjusted according to 31-GEP test results. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index