The word biomarker in its medical context is a little over 30 years old, having first been used by Karpetsky, Humphrey, and Levy in the April 1977 edition of the Journal of the National Cancer Institute, where they reported that the "serum RNase level was not a biomarker either for the presence or extent of the plasma cell tumour. " Few new words can have proved so popular. A recent Pub-Med search lists more than 370,000 publications that use it! Part of this success can no doubt be attributed to the fact that the word gave a long -overdue name to a phenomenon that has been around at least since the seventh century B.C, when Sushustra, the " father of Ayurvedic surgery, "recorded that the urine of patients with diabetes attracted ants because of its sweetness. However, although the origins of biomarkers are indeed ancient, it is fair to point out that the pace of progress over the first 2500 years was somewhat less than frenetic [1]. More than 11 million people are diagnosed with cancer every year. It is estimated that there will be 16 million new cases every year by 2020 [2]. Cancer is a cluster of diseases involving alterations in the status and expression of multiple genes that confer a survival advantage and undiminished proliferative potential to somatic or germinal cells [3]. There is increasing evidence to suggest that cancer is also driven by 'epigenetic changes' like DNA methylation and altered patterns of histone modifications, leading to alterations in chromatin condensation status thereby regulating expression of certain set of specific genes [4]. Cancer cells display a broad spectrum of genetic alterations that include gene rearrangements, point mutations, and gene amplifications, leading to disturbances in molecular pathways regulating cell growth, survival, and metastasis. When such changes manifest in majority of patients with a specific type of tumour, these can be used as biomarkers for detection and developing targeted therapies, besides predicting responses to various treatments [5][6][7].