Pathology, Diagnosis and Treatment in Non-small Cell Lung Cancer

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

Deadline for manuscript submissions: 17 February 2025 | Viewed by 3415

Special Issue Editor


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Guest Editor
Lung Cancer and Chest Tumors Department, Maria Sklodowska-Curie National Research Institute of Oncology, 02-781 Warsaw, Poland
Interests: non-small cell lung cancer; pathology; molecular diagnosis; treatment

Special Issue Information

Dear Colleagues,

Lung cancer is the leading cause of cancer death worldwide. Over the past decade, significant improvements in overall survival were observed in patients with non-small cell lung cancer. A backbone for improving prognosis are advanced diagnostic and treatment techniques. Today, non-small lung cancer is a heterogenous disease. Critical to the management of this cancer is a proper pathological diagnosis, including the phenotyping of tumor cells. All patients with nonsquamous NSCLC should have the results of testing for potentially targetable mutations before therapy for advanced lung cancer is implemented. Approximately 30–50% of patients with lung cancer tumors have potentially curable driver alterations. A group of patients without a driven mutation can be treated with immunotherapy. PDL1 expression  has many limitations as a biomarker. The establishment of a well-defined universal predictive biomarker for immunotherapy is an unmet need. This Special Issue aims to review the advances in pathology, molecular diagnosis and treatment techniques in non-small cell lung cancer.

Dr. Adam Płużański
Guest Editor

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Keywords

  • non-small cell lung cancer
  • pathology
  • molecular diagnosis
  • treatment
  • prognosis

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Published Papers (2 papers)

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Research

21 pages, 39302 KiB  
Article
Navigating the Maze: Exploring Non-Oncological Complexities in Non-Small-Cell Lung Cancer
by Angela-Ștefania Marghescu, Silviu Vlăsceanu, Mădălina Preda, Mirela Țigău, Ștefan Dumitrache-Rujinski, Diana Gabriela Leonte, Elena Doina Măgheran, Adrian Tudor, Ioana Anca Bădărău, Livia Georgescu and Mariana Costache
Cancers 2024, 16(10), 1903; https://doi.org/10.3390/cancers16101903 - 16 May 2024
Cited by 1 | Viewed by 946
Abstract
Pulmonary oncological pathologies are an important public health problem and the association with other pulmonary lesions may pose difficulties in diagnosis and staging or require different treatment options. To address this complexity, we conducted a retrospective observational study at the Marius Nasta Institute [...] Read more.
Pulmonary oncological pathologies are an important public health problem and the association with other pulmonary lesions may pose difficulties in diagnosis and staging or require different treatment options. To address this complexity, we conducted a retrospective observational study at the Marius Nasta Institute of Pneumophthisiology, Bucharest, Romania. Our study focused on patients admitted in 2019 with non-small-cell lung carcinoma and associated pulmonary lesions identified through surgical resection specimens. Among the 314 included patients, multiple pulmonary nodules were observed on macroscopic examination, with 12% (N = 37) exhibiting nonmalignant etiologies upon microscopic examination. These findings underscore the challenge of preoperative staging. Patients with coexisting nonmalignant lesions were similar in age, smoking habits, and professional or environmental exposure by comparison with those who presented only malignant lesions. The presentation of coexisting malignant and nonmalignant lesions may pose difficulties in diagnosing and staging pulmonary cancer. Full article
(This article belongs to the Special Issue Pathology, Diagnosis and Treatment in Non-small Cell Lung Cancer)
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19 pages, 3805 KiB  
Article
The Diagnostic Value of ACSL1, ACSL4, and ACSL5 and the Clinical Potential of an ACSL Inhibitor in Non-Small-Cell Lung Cancer
by Yunxia Ma, Miljana Nenkov, Alexander Berndt, Mohamed Abubrig, Martin Schmidt, Tim Sandhaus, Otmar Huber, Joachim H. Clement, Susanne M. Lang, Yuan Chen and Nikolaus Gaßler
Cancers 2024, 16(6), 1170; https://doi.org/10.3390/cancers16061170 - 16 Mar 2024
Cited by 3 | Viewed by 1939
Abstract
Abnormal expression of ACSL members 1, 3, 4, 5, and 6 is frequently seen in human cancer; however, their clinical relevance is unclear. In this study, we analyzed the expression of ACSLs and investigated the effects of the ACSL inhibitor Triacsin C (TC) [...] Read more.
Abnormal expression of ACSL members 1, 3, 4, 5, and 6 is frequently seen in human cancer; however, their clinical relevance is unclear. In this study, we analyzed the expression of ACSLs and investigated the effects of the ACSL inhibitor Triacsin C (TC) in lung cancer. We found that, compared to normal human bronchial epithelial (NHBE) cells, ACSL1, ACSL4, and ACSL6 were highly expressed, while ACSL3 and ACSL5 were lost in the majority of lung cancer cell lines. ACSL activity was associated with the expression levels of the ACSLs. In primary lung tumors, a higher expression of ACSL1, ACSL4, and ACSL5 was significantly correlated with adenocarcinoma (ADC). Moreover, ACSL5 was significantly reversely related to the proliferation marker Ki67 in low-grade tumors, while ACSL3 was positively associated with Ki67 in high-grade tumors. Combination therapy with TC and Gemcitabine enhanced the growth-inhibitory effect in EGFR wild-type cells, while TC combined with EGFR-TKIs sensitized the EGFR-mutant cells to EGFR-TKI treatment. Taken together, the data suggest that ACSL1 may be a biomarker for lung ADC, and ACSL1, ACSL4, and ACSL5 may be involved in lung cancer differentiation, and TC, in combination with chemotherapy or EGFR-TKIs, may help patients overcome drug resistance. Full article
(This article belongs to the Special Issue Pathology, Diagnosis and Treatment in Non-small Cell Lung Cancer)
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