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 Solid Tumor Test Requisition UPMC Molecular & Genomic Pathology 2019

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so there are extensive challenges around the genomic testing in the UK environment now within lung cancer we now have eight oncogenes that we need to test test within the test directory and that lead to potential targeted treatments with either the first or the second line setting the challenge around that is that we know that our tumor biopsy is often small our patients are presenting with metastatic disease and we need those results quickly to get them on appropriate treatment it'd be it either with a targeted therapy or using standard chemotherapy with or without immunotherapy we the NHS genomic Services went under at least in England underwent extensive reorganization about four or five years ago and I think other areas like Scotland Wales have also looking at similar things where we're seeing a centralization of genomic services so so within the England and also other other parts of the UK like Scotland and Northern Ireland to look in this model we've moved

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