Tumor samples most often comprise a mixture of different cell lineages. Multiregional trees built from bulk mutational profiles do not consider this heterogeneity and can potentially lead to erroneous evolutionary inferences, including biased timing of somatic mutations, spurious parallel mutation events, and/or incorrect chronological ordering of metastatic events.
Keywords: bulk sequencing; intratumor genetic heterogeneity; multiregional studies; somatic evolution; tumor phylogenies.
Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.