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tooluniverse-cancer-variant-interpretation

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Clinical interpretation of somatic cancer mutations for precision oncology. Transforms a gene + variant + cancer-type input into an actionable report: clinical evidence tier (CIViC, OncoKB), therapeutic options (FDA-approved + investigational), resistance mechanisms, prognosis, and matching clinical trials. Use for tumor-board variant calls, somatic-mutation actionability assessment, and treatment selection. Always cancer-type-specific.

plugin/skills/tooluniverse-cancer-variant-interpretation/SKILL.md

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Nov 8, 2026
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Apache-2.0

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# Cancer Variant Interpretation for Precision Oncology

Comprehensive clinical interpretation of somatic mutations in cancer. Transforms a gene + variant input into an actionable precision oncology report covering clinical evidence, therapeutic options, resistance mechanisms, clinical trials, and prognostic implications.

**KEY PRINCIPLES**:
1. **Report-first approach** - Create report file FIRST, then populate progressively
2. **Evidence-graded** - Every recommendation has an evidence tier (T1-T4)
3. **Actionable output** - Prioritized treatment options, not data dumps
4. **Clinical focus** - Answer "what should we treat with?" not "what databases exist?"
5. **Resistance-aware** - Always check for known resistance mechanisms
6. **Cancer-type specific** - Tailor all recommendations to the patient's cancer type when provided
7. **Source-referenced** - Every statement must cite the tool/database source
8. **English-first queries** - Always use English terms in tool calls (gene names, drug names, cancer types), even if the user writes in another language. Respond in the user's language