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NCCN updates guidelines, favoring DPYD testing for colon, anal, rectal, and small bowel cancers – Precision Medicine
Apr 3, 2025, 12:42

NCCN updates guidelines, favoring DPYD testing for colon, anal, rectal, and small bowel cancers – Precision Medicine

Precision Medicine shared a post on LinkedIn:

“The National Comprehensive Cancer Network (NCCN) has updated its guidelines for colon, anal, rectal, and small bowel cancer treatment, taking a more favorable stance on DPYD pharmacogenetic testing.

What does this mean?

  • Doctors are now advised to discuss DPYD testing with patients to assess their risk of severe or life-threatening toxicities from fluoropyrimidine-based chemotherapies.
  • This testing can help identify patients who may require adjusted chemotherapy dosing to minimize risks.

Why is this important?

  • DPYD genetic variants can affect how patients metabolize certain chemotherapies, increasing the risk of toxicities.
  • By identifying these variants, healthcare providers can take steps to personalize treatment and improve patient outcomes.”

Radu Serescu, Oncologist at Amethyst Radiotherapy Romania, shared this post, adding:

“Implemented since 2021, a small percentage may exhibit toxicity to Capecitabine or 5-FU through deficient metabolism given by DPD. Testing for Amethyst! Health comes first, so I’d better inform you!”

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