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In Japan, comprehensive genomic profiling tests were covered by insurance in June 2019, and cancer genomic medicine was fully implemented in clinical practice. In the field of urological malignancies, the approval of olaparib for metastatic castration\u2010resistant prostate cancer with\n                    <jats:italic>BRCA1\/2<\/jats:italic>\n                    mutations has led to the practical application of cancer genomic medicine in many cases. However, various challenges exist in its implementation and clinical utilization. This review outlines cancer genomic medicine in urological malignancies, focusing on the types and characteristics of genetic tests performed in clinical settings, as well as the accessibility of treatments based on their results.\n                  <\/jats:p>","DOI":"10.1111\/iju.70449","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T08:16:03Z","timestamp":1775204163000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cancer Genomic Medicine for Urological Malignancies in Japan"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6239-6050","authenticated-orcid":false,"given":"Yusuke","family":"Sato","sequence":"first","affiliation":[{"name":"Department of Urology Tokyo Metropolitan Tama Medical Center  Tokyo Japan"},{"name":"Department of Urology, Graduate School of Medicine The University of Tokyo  Tokyo 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