Evolutionary features of cancer have important clinical implications, but their evaluation in the clinic is currently limited. Here, we review current approaches to reconstruct tumour subclonal structure and discuss tumour sampling method and experimental design influence. We describe clear-cell renal cell carcinoma (ccRCC) as an exemplar for understanding and predicting cancer evolutionary dynamics. Finally, we discuss how understanding cancer evolution can benefit patients.
Keywords: Cancer dynamics; Cancer evolution; Clear cell renal cell carcinoma; Patient benefit; Patient management; Representative sequencing; Subclonal reconstruction.
Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.