Recent advancements in integrated diagnostics have significantly enhanced our understanding of tumor biology and patient outcomes in oncology. A study on colorectal cancer utilized spatial multi-omic data from 31 human specimens, revealing individualized progression trajectories and microenvironmental dynamics through phylogeographic mapping. This approach classified tumors based on their evolutionary dynamics, distinguishing between chromosomal instability (CIN+) and hypermutated (HM) pathways, thus providing a comprehensive view of tumor evolution (ref: Heiser doi.org/10.1016/j.cell.2023.11.006/). In the realm of lymphoma, a genetic characterization of primary mediastinal B-cell lymphoma (PMBCL) involving 340 patients highlighted the need for large-scale genomic investigations to identify risk stratification markers, emphasizing the rarity and aggressiveness of this lymphoma type (ref: Noerenberg doi.org/10.1200/JCO.23.01053/). Furthermore, the integration of metformin with lanreotide in treating advanced neuroendocrine tumors showed promising antitumor activity, suggesting a potential new therapeutic avenue for both diabetic and non-diabetic patients (ref: Pusceddu doi.org/10.1186/s13045-023-01510-9/). These studies collectively underscore the importance of integrating molecular diagnostics and therapeutic strategies to improve patient outcomes in oncology.