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March 7, 2012New England Journal of Medicine7,892 citationsOpen Access

Intratumor Heterogeneity and Branched Evolution Revealed by Multiregion Sequencing

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MGMarco GerlingerARAndrew J. RowanSHStuart Horswell

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Abstract

Intratumor heterogeneity can lead to underestimation of the tumor genomics landscape portrayed from single tumor-biopsy samples and may present major challenges to personalized-medicine and biomarker development. Intratumor heterogeneity, associated with heterogeneous protein function, may foster tumor adaptation and therapeutic failure through Darwinian selection. (Funded by the Medical Research Council and others.).

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Gerlinger et al. (2012) studied this question.

synapsesocial.com/papers/69d72b8a3f906f6a06bef907https://doi.org/10.1056/nejmoa1113205
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