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. 2021 Jul 12;112(9):3911–3917. doi: 10.1111/cas.15022

TABLE 1.

Advantages and caveats of comprehensive genomic profiling (CGP) assay using plasma and tissue specimens\

Advantages Important points
Plasma CGP
  • Easy to collect specimens and to obtain information on genetic abnormalities of the tumor at the time of collection

  • Short time to obtain results

  • If the tumor volume is insufficient, alterations might not be detectable

  • False‐negative rates for plasma CGP are often higher than those for tissue CGP

  • Increased false‐positives because of CHIP in elderly patients

  • Copy number changes and gene fusions may be difficult to assess

Tissue CGP
  • Direct assessment of genetic abnormalities in tumor cells

  • Burden to patient and risk of complications at biopsy site

  • Longer turnaround time

  • Higher false‐negative rate when tumor cell percentage is low

  • Past samples may not reflect the genetic abnormalities in the tumor cells at present

  • Specimens obtained more than 3‐5 years previously will have deteriorated and will not be suitable for CGP assa