Some caveats to your generally correct statement:
1) In heme cancers (i.e. AML), the skin is the normal.
2) It depends on what kind of caller you're using. Clonal hematopoesis is common in the elderly, meaning that somatic variants can be found at fairly high frequencies (up to ~25% VAF in otherwise healthy individuals). If your germline caller picks these up, you'll potentially be dealing with some false positives. The OP's idea of requiring presence in both blood and tissue would probably ameliorate this.
That said, I think you generally hit the nail on the head!
Thanks for your answer Kevin! I think I would consider all blood samples, and take the tissue ones only if there is no blood material available.
Please use
ADD REPLY/ADD COMMENTwhen responding to existing posts to keep threads logically organized.This should have gone under @Kevin's answer.