Clinical Research on Thoracic Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Clinical Research of Cancer".

Deadline for manuscript submissions: 6 December 2025 | Viewed by 1480

Special Issue Editors


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Guest Editor
Department of Thoracic Surgery, Faculty of Medicine, Teikyo University School of Medicine, Tokyo 173-8605, Japan
Interests: thoracic malignancy; small lung cancer; intraoperative localization; VATS; minimally invasive surgery; surgical pathology
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Guest Editor
Division of Thoracic Surgery, Department of Surgery, Yokohama City University, Yokohama 236-0004, Japan
Interests: thoracic malignancy; non-small-cell lung cancer; perioperative therapy; minimally invasive surgery; combined resection and reconstruction; bronchoplasty

Special Issue Information

Dear Colleagues,

Clinical research has come to play an increasingly important role in all malignant diseases, including thoracic cancer. For a long time, cancer treatments designed for the “average patient” based on the TNM classification have been used as a method for objectively describing the progression of cancer. These conventional treatments may be effective for some patients but have little effect on others. In the last 20 years, molecular biological techniques have proven that cancer is caused by an accumulation of genetic abnormalities; in other words, cancer has come to be considered a type of genetic disease. Precision medicine is a new medical concept in which treatment takes into account individual differences in genetic information, and genomic testing has been shown to be useful as a predictor of cancer treatment.

The advent of immunotherapy and molecular target drugs has significantly changed the treatment scheme for patients with thoracic cancers. In recent years, the introduction of these drugs into the perioperative period has become a hot topic even in the field of thoracic cancer, and some indications of treatment for thoracic cancer have changed significantly. Here, the purpose of this Special Issue is to understand the results of the latest clinical research to provide exciting changes for treatment strategies in thoracic cancer. This Special Issue welcomes reviews as well as original research articles by 6 June 2025.

Dr. Yuichi Saito
Dr. Hiroyuki Adachi
Guest Editors

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Keywords

  • thoracic cancer
  • lung cancer
  • thymic cancer
  • malignant mesothelioma
  • radiotherapy
  • surgery
  • chemotherapy
  • immunotherapy
  • driver mutation

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Published Papers (2 papers)

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Research

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14 pages, 1120 KiB  
Article
Temporal Trends of Hyponatremia in Patients with Respiratory and Intrathoracic Cancers Treated with Chemotherapy and Immune Checkpoint Inhibitors
by Kuo-Cheng Lu, Ching-Liang Ho, Joshua Wang, Cai-Mei Zheng, Kuo-Wang Tsai, Yi-Chou Hou and Chien-Lin Lu
Cancers 2025, 17(9), 1459; https://doi.org/10.3390/cancers17091459 - 26 Apr 2025
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Abstract
Background: Immune checkpoint inhibitors (ICIs) offer a novel approach to cancer treatment by enhancing immune responses against malignant cells. However, ICIs are associated with immune-related adverse events (irAEs), including hyponatremia, a potentially severe electrolyte disturbance. The risk of hyponatremia increases further when ICIs [...] Read more.
Background: Immune checkpoint inhibitors (ICIs) offer a novel approach to cancer treatment by enhancing immune responses against malignant cells. However, ICIs are associated with immune-related adverse events (irAEs), including hyponatremia, a potentially severe electrolyte disturbance. The risk of hyponatremia increases further when ICIs are combined with cisplatin, a nephrotoxic chemotherapy agent widely used in treating respiratory and intrathoracic cancers. This study investigated the incidence, severity, and temporal dynamics of hyponatremia in patients treated with ICIs alone or in combination with cisplatin. Methods: A retrospective cohort study was conducted using data from the TriNetX global health research network. Patients with respiratory or intrathoracic malignancies (n = 14,026) were divided into two groups: ICI-only (n = 7013) and ICI with cisplatin combination (n = 7013), matched using propensity scores. Hyponatremia was categorized into mild (130–134 mmol/L), moderate (125–129 mmol/L), and severe (<125 mmol/L). Temporal trends and cumulative incidence over 90 days were analyzed using Poisson regression. Results: The combination group exhibited a higher cumulative incidence of hyponatremia across all severity levels, with early-phase risk peaking within 20 days of treatment. Rate ratios for mild, moderate, and severe hyponatremia were significantly elevated in the combination group (p < 0.01). Conclusions: Hyponatremia is a significant complication in patients receiving ICIs, particularly when combined with cisplatin. Early monitoring and tailored management are essential to mitigate risks and optimize treatment outcomes. Full article
(This article belongs to the Special Issue Clinical Research on Thoracic Cancer)
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Review

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35 pages, 434 KiB  
Review
The Evolving Role of Chemotherapy in the Management of Pleural Malignancies: Current Evidence and Future Directions
by Yuliya Semenova, Zhandos Burkitbayev, Nurtas Kalibekov, Alexandr Digay, Bakhyt Zhaxybayev, Oxana Shatkovskaya, Saule Khamzina, Dinara Zharlyganova, Zhuldyz Kuanysh and Almira Manatova
Cancers 2025, 17(13), 2143; https://doi.org/10.3390/cancers17132143 - 25 Jun 2025
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Abstract
Pleural malignancies represent a clinically devastating group of oncological disorders, most commonly arising from metastatic disease, with lung and breast cancers being the most frequent primary sites. Malignant pleural mesothelioma is a primary malignancy of the pleura and occurs less often than metastatic [...] Read more.
Pleural malignancies represent a clinically devastating group of oncological disorders, most commonly arising from metastatic disease, with lung and breast cancers being the most frequent primary sites. Malignant pleural mesothelioma is a primary malignancy of the pleura and occurs less often than metastatic pleural disease. Pleural malignancies often present with malignant pleural effusion, which typically indicates advanced-stage disease and is associated with poor overall prognosis. Treatment of pleural malignancies includes both palliative and definitive approaches. Palliative interventions primarily aim to relieve symptoms and improve quality of life. Definitive treatments include systemic chemotherapy, targeted therapy, and immunotherapy, depending on the type and molecular profile of the underlying tumor. In mesothelioma, platinum-based chemotherapy in combination with pemetrexed remains the cornerstone of treatment, while the combination of nivolumab and ipilimumab is recommended as first-line therapy for unresectable disease. For metastatic disease, systemic therapy is typically tailored to the primary tumor’s characteristics. Intrapleural administration of chemotherapeutic agents is one of the therapeutic strategies and hyperthermic intrathoracic chemotherapy and pressurized intrathoracic aerosol chemotherapy are the most recent innovations that are under active investigation. This review provides an up-to-date synthesis of systemic chemotherapy strategies for pleural malignancies, their integration with targeted and immune-based therapies, and recent advances in intrapleural chemotherapy modalities. It also explores existing knowledge gaps and outlines directions for future research and potential changes in clinical practice. Full article
(This article belongs to the Special Issue Clinical Research on Thoracic Cancer)
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