Previous exactness drugs studies have investigated standard molecular techniques and/or restricted sets of cistron alterations. The aim of this study was to explain the impact of the next-generation sequencing of the biggest panel of genes won’t to date in tumor tissue and blood within the context of institutional molecular screening programmers’. Deoxyribonucleic acid analysis was performed by next-generation sequencing employing a panel of 426 cancer-related genes and by comparative genomic interbreeding from formalin-fixed and paraffin-embedded archived tumor samples once accessible or from contemporary tumor samples. 5 hundred 68 patients were registered. The median range of previous lines of treatment was a pair of (range 0–9). The foremost common primary tumor varieties were respiratory organ (16.9%), body part (14.4%), breast (10.6%), sex gland (10.2%) and cancer (10.2%). The median patient age was sixty three years (range 19–88).