icon
icon
What is Precision oncology?

Precision oncology is an advanced approach to cancer care that uses information about a tumour’s genetic, molecular and biological characteristics to help guide treatment decisions. Rather than relying only on where the cancer originated, it examines the specific alterations that may be driving its growth.

Tests such as next-generation sequencing (NGS) can identify biomarkers that may help oncologists select targeted therapies, immunotherapies or relevant clinical trials. However, not every identified alteration has an approved treatment, and genomic findings are considered alongside the cancer type and stage, the patient’s overall health, previous treatments and established clinical evidence.

At Apollo Cancer Centres, precision oncology is supported by molecular diagnostics and multidisciplinary review. Medical oncologists, pathologists, molecular experts and other specialists work together to interpret test results and develop an individualized, evidence-based treatment plan.

Precision Oncology
How Precision Oncology Works
Precision oncology begins with a detailed evaluation of the cancer and the patient’s clinical history. When molecular testing is appropriate, a sample of tumour tissue or blood may be analysed to identify biomarkers that could influence treatment. If an actionable biomarker is identified, the oncology team may recommend a matched targeted therapy, immunotherapy or clinical trial. Testing may detect:
work-icon
Genetic Mutations
Changes in genes, such as EGFR, KRAS, BRAF, BRCA1 or BRCA2, that may contribute to cancer growth or affect treatment response.
work-icon
Gene Fusions
Alterations in which parts of two genes become abnormally joined, potentially creating signals that promote cancer growth.
work-icon
Gene Amplifications or Deletions
The presence of too many or too few copies of particular genes, which may influence tumour behaviour or treatment selection.
work-icon
Immunotherapy Biomarkers
Features such as microsatellite instability (MSI), mismatch repair deficiency (dMMR), tumour mutational burden (TMB) or PD-L1 expression that may help determine whether immunotherapy could be considered.
work-icon
Hereditary Cancer Alterations
Inherited genetic changes that may affect treatment, screening and risk assessment for the patient and their family.

Why Precision Oncology Is Required

Advanced or Metastatic Cancer

Advanced or Metastatic Cancer: May help identify additional treatment options when cancer has spread or standard treatments have provided limited benefit.

Treatment-resistant Cancer

Treatment-resistant Cancer: Can reveal molecular changes associated with resistance and help guide the next treatment decision.

Rare or Biologically Complex Tumours

Rare or Biologically Complex Tumours: May provide useful treatment direction when standard options are limited or not clearly established.

Cancer of Unknown Primary

Cancer of Unknown Primary: Molecular findings may help characterize the tumour and inform treatment when its site of origin cannot be identified.

Selection of Targeted Therapy or Immunotherapy

Selection of Targeted Therapy or Immunotherapy: Certain medicines require confirmation of a specific biomarker before they can be prescribed.

Hereditary Cancer Risk Assessment

Hereditary Cancer Risk Assessment: Germline testing may identify inherited variants that influence treatment, surveillance and counselling for family members.

Clinical Trial Evaluation

Clinical Trial Evaluation: Biomarker results may help determine eligibility for clinical trials investigating emerging treatments.

Key Advantages

Personalized Treatment Decisions
Treatment planning considers the tumour’s molecular characteristics together with the patient’s diagnosis, health, preferences and treatment history.
Personalized Treatment Decisions
Identification of Actionable Biomarkers
Testing may detect alterations that can be matched with approved targeted therapies, immunotherapies or relevant clinical trials.
Identification of Actionable Biomarkers
Additional Options for Complex Cancers
Precision oncology may expand treatment possibilities for selected patients with rare, advanced or treatment-resistant cancers.
Additional Options for Complex Cancers
Avoidance of Unsuitable Treatments
Biomarker information can sometimes indicate that a medicine is unlikely to work, helping the care team consider a more appropriate option.
Avoidance of Unsuitable Treatments
Treatment Adaptation
Repeat tissue testing or liquid biopsy may identify changes in the cancer over time and support adjustments to the treatment plan.
Treatment Adaptation
Support for Hereditary Risk Assessment
When an inherited alteration is suspected or confirmed, genetic counselling can help patients and their families understand the implications and consider appropriate screening.
Support for Hereditary Risk Assessment

Precision Oncology

Side Effects of Precision Oncology

Precision oncology is an approach used to select treatment, rather than a single treatment itself. Side effects therefore depend on the targeted therapy, immunotherapy or other medicine prescribed. Although some precision medicines may affect healthy cells differently from conventional chemotherapy, they can still cause significant side effects. Possible side effects include:
  • Fatigue
  • Skin rash, dryness or sensitivity
  • Diarrhoea or other digestive changes
  • Nausea or reduced appetite
  • Changes in blood pressure
  • Liver, heart or lung-related effects with certain medicines
  • Changes in blood counts
  • Immune-related inflammation affecting organs such as the skin, bowel, thyroid, lungs or liver
  • Treatment-specific effects associated with the prescribed medicine

Continuum of Care

care-card-icon
Molecular Testing and Clinical Interpretation
Appropriate tumour or blood-based tests are selected, and the findings are interpreted alongside pathology reports, imaging and clinical history.
care-card-icon
Multidisciplinary Treatment Planning
Oncologists, pathologists, molecular specialists, surgeons, radiation oncologists and other experts review relevant findings to determine the most appropriate plan.
care-card-icon
Monitoring Treatment Response
Clinical examinations, laboratory tests and imaging help assess how the cancer is responding to treatment.
care-card-icon
Monitoring for Resistance
If the cancer changes or progresses, repeat molecular testing may be considered to identify resistance mechanisms or new treatment possibilities.
care-card-icon
Side-effect Management
Supportive care, nutrition guidance and timely clinical intervention help patients manage treatment-related effects and maintain quality of life.
care-card-icon
Follow-up and Survivorship Support
Ongoing surveillance, rehabilitation, psychosocial care and management of long-term effects support patients during and after treatment.
care-card-icon
Genetic Counselling
When results may indicate an inherited cancer risk, genetic counselling helps patients understand the findings and their possible implications for family members.

What to Expect at Apollo Cancer Centres

At Apollo Cancer Centres, precision oncology brings together advanced molecular diagnostics, specialist clinical expertise and multidisciplinary decision-making. When genomic or biomarker testing is appropriate, the oncology team helps patients understand why it is being recommended, what the results may reveal and how those findings could affect treatment.

Each report is evaluated alongside the cancer type and stage, previous treatments, overall health and current clinical evidence. Where a suitable biomarker is identified, patients may be considered for an approved targeted therapy, immunotherapy or relevant clinical trial. If testing does not identify an actionable alteration, the team discusses other evidence-based treatment options and provides a clear plan for the next stage of care.

image image
Book an Appointment
Please Enter Your Name
Please Enter Your Mobile Number
Please Enter OTP