Review

Guidelines for Next-Generation Sequencing in Sarcoma Diagnosis and Treatment

JAMA Oncology 10.1001/jamaoncol.2025.3608

October 16, 2025 at 11:00 AM EDT

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Evidence supporting the routine, nonselective use of NGS in patients with sarcoma is currently limited. Given the complexity, the decision to perform an NGS panel, as well as the interpretation and use of its results for diagnostic or therapeutic purposes, should take place only in sarcoma-expert institutions, including a multidisciplinary review. The results of multigene panels performed in nonexpert sarcoma centers cannot replace the pathology review or the recommendation of NGS-guided therapies without prior evaluation by sarcoma experts.

Corresponding Authors: César Serrano, MD, PhD, Sarcoma Translational Research Group, Vall d’Hebron Institute of Oncology, C/ Natzaret, 115-117, 08035 Barcelona, Spain (cserrano@vhio.net); Judith V. M. G. Bovée, MD, PhD, Department of Pathology, Leiden University Medical Center, Leiden, Zuid-Holland, the Netherlands (j.v.m.g.bovee@lumc.nl).

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