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Jill Feldman: How Can Treatment Truly be Precise if We’re Only Seeing a Snapshot of the Cancer
Jul 30, 2025, 17:16

Jill Feldman: How Can Treatment Truly be Precise if We’re Only Seeing a Snapshot of the Cancer

Jill Feldman, Co-Founder of EGFR Resister, shared a post on LinkedIn:

“For years I have wondered, How can treatment truly be precise if we’re only seeing a snapshot of the cancer through a biopsy?

We talk about precision medicine, and yes, it has transformed how we treat lungcancer. But most people with lung cancer are diagnosed at an advanced stage and a biopsy is just a sliver of a highly heterogeneous tumor.

A recent study from Misty Shields lab on adenosquamous carcinoma (ASC), a rare and aggressive subtype of NSCLC, highlights this challenge. Over 37% of tumors have actionable targets, including KRAS G12C, METex14 and EGFR mutations. This raises big questions:

  •  How common is ACS really?
  •  Could tumor heterogeneity explain why some don’t respond to 1st line therapy?
  •  Are we missing key tumor characteristics that could impact treatment decisions?

Without a surgical specimen (whole tumor), are we missing the full story? We need better diagnostics, possibly including ctDNA/liquid biopsies that go beyond biomarkers to provide more detailed information about histology.”

Title: Brief Report: Comprehensive Genomic Profiling of Rare Lung Tumors: Adenosquamous Carcinoma and Pulmonary Carcinosarcoma

Authors: Tianhao Zhou, Olivia C. Terry, Katherine G. Minton, Lisa Poole, Stephen V. Liu, Balazs Halmos, Mya Tran, Nasser H. Hanna, Misty D. Shields

Read the Full Article.

Jill Feldman

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