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If there is one aspect of current cancer research that represents a
major ch- lenge in both novice and experienced researchers, it is
the rapid advance in our understanding of the disease. Researchers
can be required to switch from analysis of gene expression to
kinetics of protein activation, from genetic studies to the
analysis of protein funtion. Cancers are highly complex disease
systems and researchers aiming to understand the functioning of
cancer systems require access to a wide range of laboratory
techiques from a broad range of research disciplines. Increasingly,
however, published methods are incomplete or refer back to a series
of previous publications each containing only a small part of the
complete pro- col. The aim of Ovarian Cancer: Methods and Protocols
is to provide for ovarian cancer researchers in the first instance,
a laboratory handbook that will facilitate research into cancer
systems by providing a series of expert protocols, with proven
efficacy, across a broad range of technical expertise. Thus, there
are sections on tumor genetics and cellular signal transduction, as
well as sections on apoptosis and RNA analysis. The value of
Ovarian Cancer: Methods and Protocols to the ovarian cancer
researcher will, I trust, be considerably enhanced by (1) the
provision of a series of overviews relating to the biology,
diagnosis, and treatment of this important neoplasm, and (2) the
provision of a series of technical overviews introducing each part
that provides an expert review of the applications and pitfalls of
the various techniques included.
We are currently experiencing a fundamental shift in the way in
which we approach the characterization of cancer. Never before has
the make up of cancer tissues and individual cells been so
exhaustively researched and char- terized. We are now capable of
producing molecular "fingerprints" that ch- acterize the expression
of all known and unknown genes within tumors and their surrounding
tissues. More than 30,000 different genes may be measured in each
patient's tumor in a single experiment. Simultaneously, novel
therapies that exploit the molecular roadmap have been developed
and are now being offered to patients. These novel agents, such as
Glivec, Herceptin, Iressa, and others, specifically target
individual genes within tumors and can produce d- matic responses
in some patients. These drugs are only the forerunners of a coming
tidal wave of novel therapeutics that individually target specific
m- ecules within cancer cells-more than 300 such agents are
currently in phase I or II clinical trials. This is an exciting
time for cancer specialists and patients alike. However, if we have
learned anything from the past 50 or more years of research into
cancer, it is that Lord Beaverbrook, in founding the British
national health service in the 1950s, was frighteningly prescient
when he defined the primary goal of health care to be "Diagnosis,
Diagnosis, Diag- sis. " Now, more than ever, it is essential that
appropriate diagnostic methods and approaches are applied to the
selection of patients for treatment.
Some years ago when I. assembled a number of general articles and
lectures on probability and statistics, their publication (Essays
in Probability and Statistics, Methuen, London, 1962) received a
some what better reception than I had been led to expect of such a
miscellany. I am consequently tempted to risk publishing this
second collection, the title I have given it (taken from the first
lecture) seeming to me to indicate a coherence in my articles which
my publishers might otherwise be inclined to query. As in the first
collection, the articles are reprinted chronologically, usually
without comment. One exception is the third, not previously
published and differing from the original spoken version both
slightly where indicated in the text and by the addition of an
Appendix. I apologize for the inevitable limitations due to date,
and also for any occasional repetition of the discussion (e.g. on
Bayesian methods in statistical inference). In particular, readers
technically interested in the classification and use of
nearest-neighbour models, a topic raised in Appendix II of the
fourth article, should also refer to my monograph The Statistical
Analysis of Spatial Pattern (Chapman and Hall, London, 1976), where
a much more up-to-date account of these models will be found, and,
incidentally, a further emphasis, if one is needed, of the common
statistical theory of physics and biology. March 1975 M.S.B."
This practical manual provides a comprehensive yet concise guide to
state-of-the-art molecular techniques and their applications. It
starts with an overview of the essential principles of molecular
techniques, followed by separate chapters detailing the use of
these techniques in particular tissues and organs, and describing
recommended treatment plans. Each chapter covers the tests
available, their advantages, limitations, and use as diagnostic and
prognostic tools, with key learning points at the end of each
topic. Using both histologic and cytologic samples, it discusses
how to interpret test results in a pathologic context and enables
trainees and practising pathologists to gain an in-depth
understanding of molecular diagnostic techniques and how to
incorporate them into routine diagnostic practice. Aiding the daily
practice of refining diagnosis, as well as offering a didactic
approach, this book is an essential reference for practising
pathologists and cytopathologists as well as trainees in pathology.
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