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March 14, 2026SHILAP Revista de lepidopterología2 citationsOpen Access

Clinical Impact of Integrating RNA-Based Next-Generation Sequencing Into the Diagnostic Evaluation of Soft Tissue Sarcomas: Insights From a Single-Center Multidisciplinary Workflow

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NSNihanthy D. SreenathKSKinjal SinghSRSameer Rastogi

Key Points

  • To evaluate the clinical utility of RNA-based next-generation sequencing in diagnosing soft tissue sarcomas.
  • Single-center study with a multidisciplinary workflow
  • Integration of targeted RNA-based NGS
  • Assessment of diagnostic reclassification rates in sarcoma cases
  • Diagnostic reclassification achieved in 41.1% of evaluated cases
  • Notable improvement in round cell sarcomas with atypical morphology
  • Both canonical and rare fusions guided individualized therapy

Abstract

To our knowledge, this first-of-its-kind study highlights the clinical utility of integrating targeted RNA-based NGS into multidisciplinary sarcoma care, enabling diagnostic reclassification in 41.1% of cases most notably in round cell sarcomas with atypical morphology. Both canonical and rare fusions informed individualized therapy, reinforcing RNA-NGS as a pivotal tool for diagnostic refinement and precision oncology in sarcoma management.

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Cite This Study

Sreenath et al. (2026) studied this question.

synapsesocial.com/papers/69b4ba3618185d8a39802ed3https://doi.org/10.1200/go-25-00440
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