Current Advances in Lung Cancer Diagnosis and Treatment

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 2310

Special Issue Editors


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Guest Editor
Department of Radiation Oncology, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul 08308, Republic of Korea
Interests: non-small cell lung cancer; small cell lung cancer; diagnosis; lung disease; radiotherapy; systemic therapy; survival; complication; biomarker

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Guest Editor
Department of Radiation Oncology, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul 08308, Republic of Korea
Interests: clinical oncology; radiation oncology
Pelotonia Institute for Immuno-Oncology, Arthur G. James Comprehensive Cancer Center, Ohio State University College of Medicine, Columbus, OH 43210, USA
Interests: targeted immunotherapy; targeted photodynamic therapy; vascular tissue; necrosis; neoplasms; macular degeneration; choroidal neovascularization; lung neoplasms; breast neoplasms; neoplasm metastasis; melanoma; tumor immunology; immunotherapy, particularly antibody and CAR-NK cell immunotherapy; photodynamic therapy; gene therapy; cancer pathology; tumor angiogenesis; tumor microenvironment; immune cells; NK cells; MDSC; cancer stem cells
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Special Issue Information

Dear Colleagues,

Remarkable advances in systemic agents, such as targeted therapies and immuno-oncological agents, are significantly changing the treatment methods for lung cancer patients based on the stage they are in.

In particular, this enables more aggressive local therapy in the treatment of stage IV lung cancer. The current National Comprehensive Cancer Network guidelines also recommend consolidative local therapy for selected patients with localized metastatic lung cancer who have responded to prior chemotherapy and have a limited extra-thoracic tumor burden. However, in actual clinical settings, there are still no consistent treatment principles for defining criteria for localized metastasis, as well as for evaluating and treating oligo-progression. In active local treatment, it is important to consider the patient's general condition, such as the presence of any underlying lung disease and the potential side effects of the treatment.

In this Special Issue, we will compile studies related to improving clinical outcomes or predicting side effects, aligned with the latest knowledge on lung cancer treatment.

Dr. Hakyoung Kim
Dr. Daesik Yang
Dr. Zhiwei Hu
Guest Editors

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Keywords

  • lung cancer
  • underlying lung disease
  • radiotherapy
  • systemic therapy
  • survival outcomes
  • complication
  • biomarkers

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Published Papers (2 papers)

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Research

12 pages, 472 KiB  
Article
Comparison of Lung-RADS Version 2022 and British Thoracic Society Guidelines in Classifying Solid Pulmonary Nodules Detected at Lung Cancer Screening CT
by Claudiu Avram, Alexandru Ovidiu Mederle, Adelina Mavrea, Paula Irina Barata and Raul Patrascu
Life 2025, 15(1), 14; https://doi.org/10.3390/life15010014 - 27 Dec 2024
Cited by 1 | Viewed by 929
Abstract
Background and Objectives: Lung cancer screening is critical for early detection and management, particularly through the use of computed tomography (CT). This study aims to compare the Lung Imaging Reporting and Data System (Lung-RADS) Version 2022 with the British Thoracic Society (BTS) guidelines [...] Read more.
Background and Objectives: Lung cancer screening is critical for early detection and management, particularly through the use of computed tomography (CT). This study aims to compare the Lung Imaging Reporting and Data System (Lung-RADS) Version 2022 with the British Thoracic Society (BTS) guidelines in classifying solid pulmonary nodules detected at lung cancer screening CT examinations. Materials and Methods: This retrospective study included 224 patients who underwent lung cancer screening CT between 2016 and 2022 and had a reported solid pulmonary nodule. A fellowship-trained thoracic radiologist reviewed the CT images, characterizing nodules by size, location, margins, attenuation, calcification, growth at follow-up, and final pathologic diagnosis if malignant. The sensitivity and specificity of Lung-RADS Version 2022 in detecting malignant nodules were compared with those of the BTS guidelines using the McNemar test. Results: Of the 224 patients, 198 (88%) had nodules deemed benign, while 26 (12%) had malignant nodules. The Lung-RADS Version 2022 resulted in higher specificity than the BTS guidelines (85% vs. 65%, p < 0.001), without sacrificing sensitivity (92% for both). Nodules larger than 8 mm, spiculated margins, upper lobe location, and interval growth were associated with higher malignancy risk (p < 0.01). Conclusions: Compared with the BTS guidelines, Lung-RADS Version 2022 reduces the number of false-positive screening CT examinations while maintaining high sensitivity for detecting malignant solid pulmonary nodules. Full article
(This article belongs to the Special Issue Current Advances in Lung Cancer Diagnosis and Treatment)
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10 pages, 1539 KiB  
Article
Completing the Puzzle: Determinants, Comorbidities and Complications for Different Lung Cancer Subtypes: A Pilot Study
by Corina Eugenia Budin, Iuliu Gabriel Cocuz, Adrian-Horațiu Sabău, Raluca Niculescu, Cristian Cazacu, Edith-Simona Ianoși and Ovidiu Simion Cotoi
Life 2024, 14(12), 1611; https://doi.org/10.3390/life14121611 - 5 Dec 2024
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Abstract
Background: Lung cancer remains one of the leading causes of cancer-related mortality worldwide, with multiple independent risk factors contributing to its development. The objective of this study was represented by the impact of independent risk factors, such as smoking, anemia, cachexia or COPD [...] Read more.
Background: Lung cancer remains one of the leading causes of cancer-related mortality worldwide, with multiple independent risk factors contributing to its development. The objective of this study was represented by the impact of independent risk factors, such as smoking, anemia, cachexia or COPD (chronic obstructive pulmonary disease) for lung cancer development. Methods: We conducted a retrospective study, and we analyzed a database of 412 patients hospitalized between 1 February and 31 December 2023 in the Pulmonology Department of the Mureș County Clinical Hospital. Following the analysis of the inclusion and exclusion criteria, the final analyzed group included 115 patients. Results: From the study group, 88 patients were diagnosed with non-small cell lung cancer and 27 with small cell lung cancer. Of the non-small cell lung cancer patients, 50% had adenocarcinoma and 50% had squamous cell carcinoma. Chronic obstructive pulmonary disease and cardiovascular diseases predominate as concomitant pathologies, with 82 and 81 cases identified among the patients evaluated, respectively. The incidence of diabetes mellitus was n = 20 for the patients, followed by asthma and other neoplasms. The body mass index was also analyzed with an average of 24.6. Body mass index does not correlate with histological type. The mean hemoglobin value in the group of patients was 12.8, and this could not be correlated with the histopathological type. Conclusions: Chronic obstructive pulmonary disease and lung cancer may just be two different clinical presentations based on the same etiological factors, which also have a lot of overlapping pathophysiological mechanisms. Therefore, Chronic obstructive pulmonary disease represents an individual risk factor for developing lung cancer. Smoking, as well as anemia, cachexia or other comorbidities (COPD), are individual risk factors for lung cancer. Full article
(This article belongs to the Special Issue Current Advances in Lung Cancer Diagnosis and Treatment)
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