How Precision Medicine Is Transforming Cancer Treatment
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How Precision Medicine Is Transforming Cancer Treatment

Oncology | by Dr. Sanjay Gupta on 05/09/2025

Summary

Precision medicine is transforming cancer treatment by tailoring therapies to the unique genetic and molecular makeup of each patient’s tumour. This personalised approach improves effectiveness, reduces side effects, and brings new hope for better outcomes in cancer care.

Hearing the words “you have cancer” is a life-changing moment. A wave of questions rushes through the mind: What happens next? Will the treatment work? How difficult will it be on my body? Will I get better? Will life ever feel normal again?

For many people, the fear is not only about the disease itself but also about the journey that follows—frequent hospital visits, challenging side effects, and the uncertainty of outcomes. It is natural to hope for an approach that feels more precise, more personal, and more hopeful.

This is where a new approach called precision medicine is changing cancer care. Instead of treating all cancers in the same way, Oncologists can now examine the unique features of each patient’s cancer and design a treatment plan tailored to individual needs. It marks a shift from one-size-fits-all care to truly personalised treatment.

What is precision medicine?

Precision medicine is a modern approach to healthcare that recognises every patient is unique. In cancer treatment, it means that doctors do not rely only on general treatment plans. Instead, they look closely at the genetic, molecular, and biological details of a person’s cancer.

By understanding what makes one patient’s tumour different from another’s, doctors can choose treatments that specifically target those differences. For example, if a tumour carries a certain genetic mutation, a medicine designed to block that mutation may be used.

In simple terms, precision medicine moves away from the “one-size-fits-all” model and focuses on giving the right treatment to the right patient at the right time.

How does precision medicine work for cancer treatment? 

Cancer begins when cells grow and divide in abnormal ways. But not every cancer grows for the same reason. Some are driven by genetic mutations. Others are linked to proteins or changes in how cells communicate. 

Precision medicine works by identifying these unique drivers in a patient’s cancer. The process usually begins with biomarker or genetic testing, where doctors study a sample of the tumour—or sometimes blood—to look for mutations, proteins, or other clues.

Once these details are recognised, doctors create personalised treatment plans to target them. For example:

  • If a lung cancer tumour has an EGFR mutation, medicines that block EGFR can be used.
  • If a breast cancer tumour is HER2-positive, targeted drugs can specifically attack the HER2 protein.

This approach often makes treatment more effective and may reduce side effects, because it focuses directly on cancer cells while sparing more healthy cells. 

Which cancers are most commonly treated with precision medicine?

Precision medicine is not used for every type of cancer yet, but it has become an important part of care for several common cancers. Doctors are using targeted therapies and genetic testing most often in:

  • Breast cancer – especially when tumours are HER2-positive or linked to BRCA1/BRCA2 gene changes.
  • Lung cancer – where mutations like EGFR, ALK, or ROS1 can guide the use of targeted drugs.
  • Colorectal cancer– where changes in the KRAS or NRAS genes help decide which treatments are most effective.
  • Melanoma (skin cancer) – often linked to BRAF mutations that can be treated with specific targeted therapies.
  • Ovarian cancer and prostate cancers – where genetic testing may reveal inherited mutations (like BRCA) that influence treatment options.
  • Leukaemia and other blood cancers – where precision approaches are guiding both targeted therapies and immunotherapies.

The Role of Genetic Testing in Precision Oncology

Genetic testing is at the heart of precision medicine for cancer. It helps doctors understand the unique “blueprint” of a tumour and identify what is driving its growth.

The process usually starts with a sample of tumour tissue, or sometimes a blood test known as a “liquid biopsy”. These samples are analysed in the lab to look for biomarkers—changes in genes, proteins, or other molecules that provide clues about the cancer.

Once these biomarkers are identified, doctors can:

  • Select targeted therapies that block the specific mutation or protein linked to the cancer.
  • Predict treatment response, showing which medicines are more or less likely to work.
  • Avoid unnecessary side effects by ruling out treatments that would not be effective.
  • Guide clinical trial options, giving patients access to the latest cancer treatments being studied.

Genetic testing does not just help with advanced or 4th-stage cancer treatment. In some cases, it can also help detect inherited risks—such as BRCA mutations in breast or ovarian cancer—so that families can take steps for early prevention or monitoring.

Are there any limitations of precision medicine in cancer care?

Precision medicine offers hope, but it is not perfect. There are some limitations that patients should know:

  1. Not all cancers have targetable changes – Some tumours do not have mutations or proteins that can be treated with precision medicines.
  2. Cancer can change over time – A treatment that works at first may stop working if the cancer develops new changes.
  3. Access and cost – Genetic testing and targeted therapies can be expensive, and they may not be available in every hospital.
  4. Side effects still exist – Even though targeted medicines are often gentler than chemotherapy, they can still cause fatigue, skin rashes, or other problems.

Despite these challenges, precision medicine is still one of the most promising approaches in cancer care. It gives doctors tools to personalise treatment and often improves outcomes for many patients.

Future of Precision Medicine in Cancer Treatment

The future of precision medicine is very promising. Scientists are discovering new genetic changes in cancers every year. More targeted treatments are being developed. Doctors will be able to personalise cancer care even more. 

Artificial intelligence and advanced technology will help analyse patient data faster and more accurately. Some key developments we can expect include:

  • More targeted therapies – New medicines designed for specific genetic changes in tumours. 
  • Better early detection – Tests that identify cancer earlier by finding genetic or molecular clues.
  • Faster treatment decisions – AI and data analysis will help doctors choose the right therapy quickly.
  • Broader access – Precision medicine may become available to more patients, not just those in major hospitals.
  • Improved outcomes – Treatments tailored to the individual can increase effectiveness and reduce side effects.

In the coming years, precision medicine could become a standard part of cancer care, giving patients treatments that are more personal, precise, and hopeful.

Final Thoughts 

Cancer is different for every person, which is why precision medicine is so important. By tailoring treatment to the unique biology of each tumour, it offers more effective and personalised care. 

From early-stage cancer to advanced cases, precision medicine provides new hope and better outcomes. While challenges remain, it is reshaping cancer treatment and giving patients a smarter, more targeted path to healing.

FAQs

Can precision medicine help prevent cancer recurrence?

Yes, by identifying genetic changes in a tumour, precision medicine can guide treatments that reduce the risk of the cancer returning.

What is the role of AI in precision oncology?

AI helps doctors analyse complex genetic and molecular data quickly, enabling more accurate and personalised treatment decisions.

How are targeted therapies selected using precision medicine?

Doctors use genetic and biomarker testing to match a patient’s tumour with medicines that specifically target its unique mutations or proteins.

Is precision medicine covered by insurance for cancer patients?

Coverage varies by country and insurance plan; some tests and targeted treatments are covered, while others may require out-of-pocket costs.

Written and Verified by:

Dr. Sanjay Gupta

Dr. Sanjay Gupta

Consultant - Surgical Oncology Exp: 15 Yr

Oncology

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Dr. Sanjay Gupta is a Consultant in Oncology Dept. at CMRI, Kolkata, with over 15 years of experience. He specializes in breast, colorectal, liver, and head & neck cancers, offering advanced oncoplastic and reconstructive surgical techniques.

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