{"title":"The Clinical Approach to Nodular Ground Glass Opacity in the Lung","authors":"C. Lee","doi":"10.6058/JLC.2010.9.1.1","DOIUrl":"https://doi.org/10.6058/JLC.2010.9.1.1","url":null,"abstract":"The introduction of low dose chest computed tomography for health screening in Korea has resulted in increased detection of solitary pulmonary nodules, including nodular ground glass opacity. In contrast to the classic solitary pulmonary nodule, nodular ground glass opacity (GGO) has special characteristics especially in Koreans. More than half of nodular GGOs are transient and they are caused by a pulmonary infiltrate of eosinophils. However, persistent nodular GGO (nGGO) showed a high malignant potential such as atypical adenomatous hyperplasia and bronchioloalveolar cell carcinoma. The increasing use of video assisted thoracoscopic surgery (VATS) for diagnosis and treatment is the current trend for managing nodular GGO. Even though lobectomy is still the standard management for malignant nGGO, limited resection (wide wedge resection or segmentectomy) is widely used for the small malignant GGO (Noguchi types A and B). Multifocal nodular GGOs are mostly of a synchronous origin rather than intrapulmonary metastasis. Therefore, aggressive surgical resection is warranted. This review contains the current concepts for managing nodular GGO and it especially focuses on the Korean data. (J Lung Cancer 2010;9(1):1 8)","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"9 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2010.9.1.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Small Cell Lung Cancer at Subcarina Presenting as a Metastatic Brain Tumor","authors":"Mi Ae Kim, Eun-Kyung Kim, Ji Hyun Lee, H. Jeong","doi":"10.6058/JLC.2010.9.1.24","DOIUrl":"https://doi.org/10.6058/JLC.2010.9.1.24","url":null,"abstract":"A 59-year-old man was rushed to the emergency room. The patient complained of headache with impaired memory function. Brain MRI showed a necrotic tumor in Lt cerebral hemisphere, with severe peritumoral edema (Fig. 1). Pathologic examination of the brain lesion confirmed that the tumor was a small cell lung cancer (SCLC). Chest computed tomography revealed a large soft tissue mass with central necrosis at subcarinal area in spite of an initial normal chest X-ray (Fig. 2). Bronchoscopic biopsy of the polypoid mass at subcarina revealed that the mass was a SCLC (Fig. 3). This is the case of SCLC only with an extrapulmonary symptoms despite of a normal chest X-ray. When metastatic brain tumor was found, appropriate chest evaluation should be performed even though chest X-ray was normal because brain is a common site of invasion of lung cancer. (J Lung Cancer 2010;9(1):24 25)","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"9 1","pages":"24-25"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2010.9.1.24","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Molecular Diagnosis in Lung Cancer","authors":"K. Lee","doi":"10.6058/JLC.2010.9.1.9","DOIUrl":"https://doi.org/10.6058/JLC.2010.9.1.9","url":null,"abstract":"The advent of epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) such as gefitinib and erlotinib has opened a new horizon for the therapeutic options for patients with advanced lung cancer. Treatment paradigms are shifting from cytotoxic chemotherapies to molecular-based targeted therapies. The discovery of somatic mutations in the exons 18 to 21 of the tyrosine kinase (TK) domain of EGFR has revolutionized the understanding of EGFR in lung carcinogenesis and this has opened a new era for the importance of predictive biomarkers to select the treatment of choice and for personalized therapy for lung cancer. Three important EGFR assays are used and these include mutational analysis, fluorescence in situ hybridization and immunohistochemistry. EGFR mutation study seems to be the most important biomarker to predict the response to EGFR-TKI, yet technical standardization for analyzing the status of EGFR mutation is the key factor. Therefore, it is important to standardize the approach and decide which assays are best to predict a patient’s response to targeted therapies. It is also essential to determine the most cost-effective way to integrate EGFR molecular assays into clinical practice. This review will address the practical aspects of each of the currently proposed assays that have focused on EFGR mutational analysis and also the other important molecular markers such as k-ras mutation, the EML4-ALK fusion oncogene, ERCC1 and RRM1.","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"9 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2010.9.1.9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeong Eun Lee, K. Lee, H. Park, S. Jung, Ju Ock Kim, S. Kim
{"title":"Belotecan and Cisplatin Combination Chemotherapy for Previously Untreated Extensive-Disease Small Cell Lung Cancer","authors":"Jeong Eun Lee, K. Lee, H. Park, S. Jung, Ju Ock Kim, S. Kim","doi":"10.6058/JLC.2010.9.1.15","DOIUrl":"https://doi.org/10.6058/JLC.2010.9.1.15","url":null,"abstract":"2 /day) on day 1 of a 3-week cycle. Results: Of the 19 assessable patients, 16 had an objective tumor response, including two complete responses, for an overall response rate of 84.2%. Toxicity was evaluated in all 20 patients who received a total of 106 cycles (median cycles/patient, 5.5; range, 1 ∼9). The major grade 3/4 hematologic toxicities were neutropenia (67.9% of cycles), anemia (19.8% of cycles) and thrombocytopenia (33.9% of cycles). No grade 3/4 non-hematologic toxicities were observed. No treatment-related deaths occurred. The median progression-free and overall survivals were 7.06 months (95% confidence interval (CI), 3.98 ∼10.14 months) and 9.96 months (95% CI, 6.12∼13.80 months), respectively. Conclusion: Combination chemotherapy with belotecan plus cisplatin is an effective treatment for ED-SCLC with acceptable hematologic and non-hematologic toxicities. (J Lung Cancer 2010;9(1):15 �� 19)","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"9 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2010.9.1.15","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epitheilioid Trophoblastic Tumor of the Lung: A Case Report","authors":"S. Ha, H. Cho, Jae-ik Lee","doi":"10.6058/JLC.2009.8.2.114","DOIUrl":"https://doi.org/10.6058/JLC.2009.8.2.114","url":null,"abstract":"Epithelioid trophoblastic tumor is a rare type of gestational trophoblastic disease that is distinct from placental site trophoblastic tumor and chorio carcinoma, and epithelioid trophoblastic tumor has features resembling a carcinoma. W e report here on an epithelioid trophoblastic tumor that w as discovered as a solitary pulm onary nodule in the lung of a 50-year-old woman . The patient had suffered from a hydatidiform mole 20 years previously. Wedge resection of the lung was done and this showed a 1.9x1.5 cm sized, relatively well defined mass composed of mononuclear tumor cells admixed wi th hyaline-like m aterial and necrosis. The tumor cells w ere positive for EMA, C am5. 2, α-inhibin, PLAP and hCG. After consulting the gynecologic department, a 7.5×6.5 cm sized mass was discovered in the uterine fundus. H ysterectomy w as then done. The tumor cells w ere same to those of the lung mass. The lung mass is considered to be metastasis from the epithelioid trophoblastic tumor of the uterus. She has been an uneventful clinical course for three years. (J Lung Cancer 2009;8(2):114 �� 117)","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"8 1","pages":"114-117"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2009.8.2.114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biomarkers for Lung Cancer","authors":"S. Yang","doi":"10.6058/JLC.2009.8.2.67","DOIUrl":"https://doi.org/10.6058/JLC.2009.8.2.67","url":null,"abstract":"Over the last decade, intense interest has been focused on discovery of biomarkers and their clinical uses. Lung cancer biomarker discovery has particular eminence in this field due to its anticipated critical role in risk stratification, early detection, treatm ent selection, prognostication, and m onitoring for recurrence of cancer. Significant progress has been m ade in our understanding of the steps involved in lung carcinogenesis and in development of novel technologies for biomarker discovery. The most active areas of research have been in promoter hypermethylation , proteomics, and genomics. Many investigators have adopted panels of serum biomarkers in an attempt to increase sensitivity. M arkers for identification of lung cancer patients who may benefit from targeted therapy have been developed more rapidly. Development of targeted lung cancer therapy has engendered interest in m arkers for identification of optim al candidates for these therapies. Despite extensive study to date, few have turned out to be useful in the clinic. Even those used in the clinic do not show enough sensitivity, specificity, and reproducibility for general use. All biomar kers identified so far m ust be validated in larger clinical cohorts.","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"8 1","pages":"67-77"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2009.8.2.67","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary Lung Adenocarcinoma Metastasis to the Vagina: A Case Report","authors":"S. Ha, Sanghui Park, E. Cho, Soyi Lim, Jungsuk An","doi":"10.6058/JLC.2009.8.2.111","DOIUrl":"https://doi.org/10.6058/JLC.2009.8.2.111","url":null,"abstract":"Lung cancer is a m alignant tumor that is often fatal. Vaginal m etastasis of pulmonary adenocarcinoma is very rare. To the best of our knowledge, this is the second such report worldwide and the first one from Korea. A 67-year-old woman presented with cough, excessive sputum and dyspnea that she had sufferd with for the past one year and she had a palpable lesion in the vagina. C hest C T showed diffuse bronchial w all thickening involving the left m ain bronchus, the left upper lobar bronchus and the lingular divisional bronchus of the left upper lobe. There were multiple, various sized nodules in both lungs, of which the largest one measured about 1.0 cm in diameter . Both lung and vaginal biopsies were performed and the masses were diagnosed as adenocarcinoma. Immunohistochemi cally, the tumor cells were positive for cytokeratin 7 and TTF-1, but they were negative for cytokeratin 20. We present this case of primary lung adenocarcinoma metastasis to the vagina.","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"8 1","pages":"111-113"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2009.8.2.111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joon-Suk Choi, I. Oh, Y. Choi, Yong-Soo Kwon, K. S. Kim, S. Lim, Young-chul Kim
{"title":"Pulmonary Paragonimiasis Mimicking Lung Malignancy","authors":"Joon-Suk Choi, I. Oh, Y. Choi, Yong-Soo Kwon, K. S. Kim, S. Lim, Young-chul Kim","doi":"10.6058/JLC.2009.8.2.118","DOIUrl":"https://doi.org/10.6058/JLC.2009.8.2.118","url":null,"abstract":"A 50-year-old m an was adm itted to our hospital w ith a com plaint of blood-tinged sputum . Chest com puted tom ography (CT) showed a 37 m m sized heterogeneously lobulated enhancing mass in the central aspect of the left upper lobe and this m ass was abutting the adjacent m ediastinum (Fig. 1). There was either a focal fibrotic pleural thickening or fissural thickening adjacent to the pulmonary mass. Conglomerated enlarged lymph nodes were observed in the left paraaortic and left anterior cardiophrenic angle areas. 18-Fluorodeoxyglucose positron em ission tom ography dem onstrated hyperm etabolic activity in the left upper lobe and the right thyroid gland (Fig. 2). The pathology of the fine needle aspiration from the thyroid gland revealed papillary carcinom a. Since prim ary or m etastatic lung cancer could not be ruled out, video-assisted thoracic surgery was perform ed. The m icroscopic findings dem onstrated num erous eosinophil infiltrations and m any eggs of paragonimiasis westermani, which were observed in the necrotized granuloma area (Fig. 3). He was underwent subtotal thyroidectom y. M oreover, he subsequently received iodine ablation therapy due to papillary carcinoma with regional lym ph node invasion. (J Lung Cancer 2009;8(2):118119)","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"8 1","pages":"118-119"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2009.8.2.118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Oh, K. S. Kim, Ju-yeon Jeong, Hyun-Ju Cho, Young-chul Kim
{"title":"Combining Erlotinib with Cytotoxic Chemotherapy May Overcome Resistance Caused by T790M Mutation of EGFR Gene in Non-Small Cell Lung Carcinoma","authors":"I. Oh, K. S. Kim, Ju-yeon Jeong, Hyun-Ju Cho, Young-chul Kim","doi":"10.6058/JLC.2009.8.2.92","DOIUrl":"https://doi.org/10.6058/JLC.2009.8.2.92","url":null,"abstract":"Purpose: T790M is a mechanism underlying acquired resistance to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs). We hypothesized that a synergistic combi nation of cytotoxic drugs and EGFR- TKIs m ay overcome resistance. Materials and Methods: The antiproliferative effects and cell cycle distributions followi ng treatm ents w ith Erlotinib (E) and cytotoxic drugs (C) were studied using a lung cancer cell line (NCI-H1975) harboring tw o m utations (L858R and T790M) in the EGFR gene. The cell viability assay and cell cycle analysis were conducted via an MTT assay and flow cytometry. The results of the treatments in different sequences were assessed using the com bination index. Results: Antagonisms w ere noted w hen erlotinib w as administered before cytotoxic drugs (EC sequence), whereas synergisms were observed w hen pre-treatm ent w ith cytotoxic drugs w as admi nistered before erlotinib (C E sequence). Treatm ent in the EC sequence arrested the cells in G 0/G 1 phase and reduced the apoptotic fraction. H owever , treatm ent in the CE sequence arrested the cells in the G2/M and S phase and a trend toward higher fractions of apoptotic cell death was observed.","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"8 1","pages":"92-98"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2009.8.2.92","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunohistochemical Assessment of Peripheral Squamous Lung Cancer: Comparison to Central Squamous Cell Carcinoma and Peripheral Adenocarcinoma","authors":"J. Kim, J. Park, Young-Pil Wang","doi":"10.6058/JLC.2009.8.2.99","DOIUrl":"https://doi.org/10.6058/JLC.2009.8.2.99","url":null,"abstract":"Purpose: Incidence of peripheral squamous cell carcinoma (pSCCs) of the lung has increased over recent years, but the immunohistochemi cal factors involved in pSCCs have not been well established. The aim of this study was to analyze the immunohistochemi cal differences between pSCCs and central-type SCCs (cSCCs), and similarities between pSCCs and peripheral adenocarcinomas (pADCs). Materials and Methods: In this retrospective study, w e investigated the expression of three potential prognostic factors (p53, Ki-67, t-C EA), and tw o potential therapeutic targets (epiderm al growt h factor receptor [EGFR], and c-erbB-2) in 263 surgically resected cases of primary SCC and pADCs of the lung from January 2001 to July 2008. We divided the SCCs between peripheral and central types, and compared the expression rates of markers between pSCCs and cSCCs, and between pSCCs and pADCs. Results: In this study, there were 149 pADC cases, and among the 114 SCC cases, there were 41 pSCCs (36.0%). There were significantly higher expression rates of Ki-67 and EGFR in pSCCs than in cSCCs or pADCs (p=0.003, p=0.039, respectively). Conclusion: We found immunohistochemical differencies in pSCCs from cSCCs and pADCs. (J Lung Cancer 2009;8(2):99 �� 102)","PeriodicalId":90901,"journal":{"name":"Journal of lung cancer","volume":"8 1","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.6058/JLC.2009.8.2.99","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71160533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}