Article
Unmasking the "targetless" illusion: branched clonal evolution of TERT and KIT in acral melanoma revealed by sequential multi-site biopsies- a case report.
Frontiers in immunology - 1 Jan 2026
Fu Yuqiao, Li Peng, Li Ke, Jiang Lei, Liang Yingzi, Shao Lipei, Zhang Ya, Ge Chunlei, Zhang Zhaoqi, Wang Ying, Li Ruilei
Abstract excerpt
Tumor clonal evolution and spatiotemporal heterogeneity are key drivers of therapeutic resistance in melanoma, often driven by selection pressures generated by systemic therapy. Genetic testing plays a key role in guiding targeted therapies, but a single biopsy may not fully reflect the mutational landscape. This paper reports a case of metastatic acral melanoma that demonstrated dynamic branching clonal...
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