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RM Magazine - autumn 2012 - The Royal Marsden

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Hospital news<br />

Tumour breakthrough<br />

sarcoma discovery<br />

for research team<br />

A<br />

new type of sarcoma<br />

has been discovered<br />

by a team at <strong>The</strong><br />

<strong>Royal</strong> marsden including<br />

Dr Khin Thway, Consultant<br />

Histopathologist to the Sarcoma<br />

Unit, the Paediatrics Unit and<br />

the Head and neck Unit.<br />

in addition to sharing a busy<br />

diagnostic service, Dr Thway,<br />

alongside Professor Cyril Fisher,<br />

has been carrying out research<br />

into the changes in individual<br />

tumour cells that underpin the<br />

development of different types<br />

of soft-tissue sarcoma.<br />

Dr Thway and colleagues<br />

discovered and characterised<br />

a new type of sarcoma arising<br />

in the lung that can be<br />

diagnosed by detection of a<br />

specific cellular abnormality.<br />

This is a rearrangement of<br />

genetic material within the cell,<br />

which leads to the formation of<br />

new genes that cause cells to<br />

grow and multiply abnormally.<br />

<strong>The</strong> same genetic<br />

rearrangement is found in a<br />

number of other tumour types<br />

in different parts of the body.<br />

<strong>The</strong>se tumours, however, differ<br />

from each other in clinical<br />

<strong>The</strong> ultimate goal<br />

is to be able to<br />

deliver personalised<br />

therapy for each<br />

individual patient<br />

Dr Khin Thway, ConsulTanT hisTopaThologisT<br />

features, microscopic<br />

appearances and potential to<br />

recur or spread to other organs.<br />

<strong>The</strong> challenge for the team<br />

is to identify the additional<br />

changes in the malignant cells<br />

that determine the development<br />

of specific tumour types. <strong>The</strong><br />

aim is to identify changes at the<br />

cellular level that are susceptible<br />

to targeted treatment.<br />

Dr Thway said: “in<br />

collaboration with <strong>The</strong> institute<br />

of Cancer Research, we hope<br />

to investigate the further<br />

changes that lead to the<br />

formation of the different<br />

tumour types, using the latest<br />

techniques including genetic<br />

sequencing. <strong>The</strong> ultimate<br />

goal is to be able to deliver<br />

personalised therapy for<br />

each individual patient.”<br />

dr Khin thway (above), consultant<br />

histopathologist at the royal marsden,<br />

worked with Professor cyril fisher<br />

(below) on this groundbreaking<br />

research into soft-tissue sarcomas<br />

Soft-tissue<br />

sarcomas<br />

1%<br />

of all cancers<br />

are soft-tissue<br />

sarcomas, making<br />

these malignant<br />

tumours very rare<br />

3,000<br />

people a year<br />

are diagnosed<br />

with soft-tissue<br />

sarcomas in the uK<br />

30+<br />

the age at<br />

which soft-tissue<br />

sarcomas are<br />

more likely<br />

to occur<br />

08 <strong>RM</strong> magazine

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