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ESMO Breast 2025 | The future of next-generation sequencing in breast cancer

Andrea Botticelli, MD, PhD, Sapienza University of Rome, Rome, Italy, emphasizes the challenges in integrating next-generation sequencing (NGS) into clinical practice for breast cancer patients. Whilst NGS has been in non-small cell lung cancer, tumor mutation burden (TMB) is a potential prognostic marker, as demonstrated by the ROME trial (NCT04591431). However, NGS needs to be adopted for all patients with breast cancer to accurately assess their tumor mutation burden. This interview took place at the 2025 European Society for Medical Oncology (ESMO) Breast Cancer Annual Congress in Munich, Germany.

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Transcript

The difficulties in breast cancer is to introduce NGS in clinical practice. In different cancers such as the non-small cell lung cancer, it’s a routine diagnostic test. In breast cancer, it’s quite difficult to introduce it in clinical practice. Even though, as the results of the ROME trial demonstrated that the TMB could be really crucial to increase not only progression-free survival but also overall survival...

The difficulties in breast cancer is to introduce NGS in clinical practice. In different cancers such as the non-small cell lung cancer, it’s a routine diagnostic test. In breast cancer, it’s quite difficult to introduce it in clinical practice. Even though, as the results of the ROME trial demonstrated that the TMB could be really crucial to increase not only progression-free survival but also overall survival. So we need to introduce NGS also in the clinical practice of breast cancer patients because we cannot know which patient could have high tumor mutation burden or low tumor mutation burden and the only way to know the status of tumor mutation burden is to perform NGS for all our patients.

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