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Adenocarcinoma of the lung

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turnover. Atypical adenomatous hyperplasia (AAH) is considered a pre-cancerous lesion, and is thought to further progress to adenocarcinoma in situ and invasive adenocarcinoma of the lung. The lesions of AAH are <5 mm, can be single or multiple, and have a ground glass appearance on CT imaging. As more genetic mutations and dysregulation of normal cell signaling pathways accumulate, AAH can progress to adenocarcinoma in situ (AIS). AIS lesions are classified as small tumors <3 cm with abnormal type II pneumocyte cell growth that is limited to the alveolar spaces i.e. without invasion into the stroma, pleura, or vasculature. This type of growth is termed "lepidic" and is characteristic of adenocarcinoma of the lung in its earliest stages.
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increased bone resorption via upregulation of osteoclasts, one of the cells responsible for bone remodeling. When bone is broken down, calcium is released into the bloodstream, resulting in hypercalcemia. The signs and symptoms of elevated calcium in the blood include: thirst, fatigue, constipation, polyuria (increased urination), and nausea. It is important to rule out boney metastases in patients with NSCLC because they also present with hypercalcemia.
919:. Anti-PD-1 agents are used for patients with advanced NSCLC whose tumors progress after first-line cytotoxic chemotherapy. Pembrolizumab was established as a new standard of care for patients with advanced or metastatic NSCLC with high PD-L1 expression levels, and responses are even more pronounced for tumor with a high mutational burden (i.e. having an elevated number of mutations). 619:, may also be helpful to diagnose and detect metastatic disease elsewhere in the body. PET/CT uses a metabolically active tracer that allows clinicians to identify areas of the body that are hypermetabolic. Increased uptake of the tracer occurs in malignant cells and areas of inflammation or infection. Integrating the imaging reflective of metabolic activity with normal 267:
adenocarcinoma has an increased incidence in smokers, and is the most common type of lung cancer seen in non-smokers and women. Deeper inhalation of cigarette smoke results in peripheral lesions that are often the case in adenocarcinomas of the lung. Generally, adenocarcinoma grows more slowly and forms smaller masses than the other subtypes. However, it tends to
770:, if it is found to be resectable with imaging studies and biopsies and if the patient is considered able to tolerate surgery. Video-assisted thorascopic surgery (VATS) is often adopted, which consists in the insertion of a thorascope inside a small incision made in the chest; a lobe can be removed via the scope through this small incision. 819:. However, radiotherapy may be used as an adjuvant therapy for patients who have undergone a resection surgery to reduce the risk of lung cancer relapse. It may also benefit inoperable tumors that are localized to the chest and be part of palliative care to improve quality of life in patients not responding to surgery or chemotherapy. 798:
with another cytotoxic agent. Regimens strongly depend on each patient performance status and response, and when the risk of adverse events could worsen quality of life significantly, basic supportive care is more recommended. Chemotherapy is also used as an adjuvant therapy following surgery to kill
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There are several factors that contribute to the transformation of normal alveolar epithelium into dysplastic, or pre-cancerous, lesions. Adenocarcinoma of the lung develops in a step-wise progression as type II pneumocytes undergo consecutive molecular changes that disrupt normal cell regulation and
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Clinicians should have a high level of suspicion for lung cancer, especially in patients with a smoking history. Patients with recurring or unresolving lung infections (e.g. bronchitis and pneumonia) that are unresponsive to antibiotics should also be further evaluated for lung cancer. In nonsmokers,
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disease when diagnosed. The symptoms that the patient exhibits usually reflect the extent of the cancer's spread. Lung cancers that are discovered early may cause symptoms localized to the respiratory system. However, lung cancer that is advanced will cause patients to experience additional signs and
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as the most common type of lung cancer. This can be largely attributed to the decreasing smoking rates, which favors the adenocarcinoma histology. Indeed, although smoking is still its strongest risk factor, lung adenocarcinoma is by far the most common among lifelong non-smokers (<100 cigarettes
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To reveal the adenocarcinomatous lineage of the solid variant, demonstration of intracellular mucin production may be performed. Foci of squamous metaplasia and dysplasia may be present in the epithelium proximal to adenocarcinomas, but these are not the precursor lesions for this tumor. Rather, the
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positive as it is derived from the mucus-producing glands of the lungs. Similar to other adenocarcinoma, if this tumor is well differentiated (low grade) it will resemble the normal glandular structure. Poorly differentiated adenocarcinoma will not resemble the normal glands (high grade) and will be
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In as many as 80% of these tumors, components of more than one subtype will be recognized. Surgically resected tumors should be classified by comprehensive histological subtyping, describing patterns of involvement in increments of 5%. The predominant histologic subtype is then used to classify the
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Therapeutic approaches combining multiple immune checkpoint inhibitors or one immune checkpoint inhibitors and a cytotoxic agent are undergoing clinical trials as of 2018. Howerver, the KEYNOTE-598 phase III trial has reported in 2021 that adding ipilimumab to pembrolizumab for NSCLC patients with
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is fairly rare in adenocarcinoma. Less than 1% of patients with adenocarcinoma of the lung will exhibit this finding, but when it does occur, it is a poor prognostic factor. The exact mechanism of HPO is unknown but it is thought to be hormonal or neurogenic in etiology. The triad of HPO includes
456:. Alveoli are composed of two cell types, type I and type II pneumocytes. Type I pneumocytes cover 95% of alveolar surfaces, and are not able to regenerate. Type II pneumocytes are more common, making up 60% of the cells within alveolar epithelium, but constitute only 3% of the alveolar surface. 647:
of any suspected lung tumor is performed to make a microscopic evaluation of the cells involved and is ultimately required to confirm diagnosis. Biopsy should be attempted in distant lesions first to establish a histologic diagnosis and to simultaneously confirm metastatic staging. The biopsy
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Historically, there has been much debate in the most accurate method of describing adenocarcinoma of the lung and several revisions of classification systems have been published. Most recently, the International Multidisciplinary Classification of Lung Adenocarcinoma was published in 2011 and
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lung cancer, which both tend to be more centrally located, although it may also occur as central lesions. For unknown reasons, it often arises in relation to peripheral lung scars. The current theory is that the scar probably occurred secondary to the tumor, rather than causing the tumor. The
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that is specifically aimed at evaluating lung cancer includes the chest and the upper abdomen. This allows for evaluation of other relevant anatomic structures such as nearby lymph nodes, adrenal glands, liver, and bones which may show evidence of metastatic spread of disease. Indeed, the US
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is more common in squamous cell carcinoma of the lung, but can occur in adenocarcinoma as well. Parathyroid hormone-related peptide (PTHrP) is produced by tumor cells and functions similarly to parathyroid hormone (PTH). The production of this hormonally active peptide by cancer cells causes
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progression from cells found in healthy lungs to distinctly dysmorphic, or irregular cells. There are several distinct molecular and genetic pathways that contribute to this progression. Like many lung cancers, adenocarcinoma of the lung is often advanced by the time of diagnosis. Once a
2178:"Does lung adenocarcinoma subtype predict patient survival?: A clinicopathologic study based on the new International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society international multidisciplinary lung adenocarcinoma classification" 648:
material is also used to analyze whether the tumor express any specific mutations suitable for targeted therapy (e.g. EGFR mutation or ALK mutation). Biopsy can be accomplished via bronchoscopy, transthoracic needle biopsy, and video-assisted thorascopic surgery (VATS).
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The tumor size, pattern of cell growth, and depth of cell invasion into normal lung tissue are considered in determining classification. The following names represent a step-wise pathologic progression in the natural course of adenocarcinoma development;
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pathway, of which EGFR is the most prominent example. This pathway is involved in cell proliferation and survival and it is often deregulated in cancer. As a consequence, targeted therapies have been developed to inhibit mutant pathway components.
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As discussed previously, the category of adenocarcinoma includes are range of subtypes, and any one tumor tends to be heterogeneous in composition. Several major subtypes are currently recognized by the World Health Organization (WHO) and the
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Boyer M, Şendur M, Rodríguez-Abreu D, Park K, Lee DH, Çiçin I, Yumuk PF, Orlandi FJ, Leal TA, Molinier O, Soparattanapaisarn N, Langleben A, Califano R, Medgyasszay B, Hsia TC, Otterson GA, Xu L, Piperdi B, Samkari A, Reck M (Jul 2021).
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Preventative Services Task Force recommends annual screening with low-dose CT in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years, with certain caveats (see
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represents the consensus of several organizations to more accurately describe this specific type of lung cancer. The current classification system aims to more reliably predict prognosis and determination of therapeutic management.
685: 370:. EGFR and KRAS mutations tend to appear in a mutually exclusive fashion. KRAS mutations are associated with smoking habits, whereas EGFR mutations occur more frequently in females, people of Asian ethnicity and never-smokers. 923:
PD-L1 tumor proportion score ≥50% does not confer any efficacy benefit, but may introduce greater toxicity. The potential role of anti-PD-1 agents as neoadjuvant therapy in resectable NSCLCs is also being investigated.
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lepidic predominant adenocarcinoma, acinar predominant adenocarcinoma, papillary predominant adenocarcinoma, micropapillary predominant adenocarcinoma, solid predominant adenocarcinoma, and solid predominant with mucin
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MRI is reserved for patients with advanced disease where intracranial, or brain, involvement is likely. It is also helpful for evaluating the extent of chest wall, diaphragmatic, brachial plexus (such as in the case of
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The majority of lung cancers can be characterized as either small cell lung cancer (SCLC) or non-small cell lung cancer (NSCLC). Lung adenocarcinoma is one of the three major subtypes of NSCLC, which also include
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Signet ring and clear cell adenocarcinoma are no longer histological subtypes, but rather cytological features that can occur in tumour cells of multiple histological subtypes, most often solid adenocarcinoma.
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is present. When malignant cells are identified in the pleural aspirate of patients highly suspect for lung cancer, a definitive diagnosis and staging (stage IV adenocarcinoma of the lung) is established.
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Incidence of pulmonary adenocarcinoma has been increasing in many developed Western nations in the past few decades, with a share reaching 43.3% of all lung cancers in the US as of 2012, thus replacing
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is further classified into several subtypes and variants. The signs and symptoms of this specific type of lung cancer are similar to other forms of lung cancer, and patients most commonly complain of
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women and East Asians are more likely to present with symptoms of an underlying lung cancer at younger ages. Importantly, many of these signs are commonly due to other causes that are not cancer.
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Since smoking is a strong mutagenic factor, lung adenocarcinoma is one of the tumor types with the highest number of mutations. Common somatic mutations in lung adenocarcinoma affect many
1018:"International association for the study of lung cancer/american thoracic society/european respiratory society international multidisciplinary classification of lung adenocarcinoma" 834:(TKIs) have been developed to target mutant components of the receptor tyrosine kinase pathway such as EGFR, ALK and ROS1, which show frequent alterations in lung adenocarcinomas. 195:
superior vena cava obstruction- facial, neck, upper torso swelling. This is caused by compression of vasculature by the lung tumor that restricts blood return from the upper body.
2448:"Pembrolizumab Plus Ipilimumab or Placebo for Metastatic Non-Small-Cell Lung Cancer With PD-L1 Tumor Proportion Score ≥ 50%: Randomized, Double-Blind Phase III KEYNOTE-598 Study" 1595: 599:
provides better evaluation of the lungs, with higher sensitivity and specificity for lung cancer compared to chest radiograph (although still significant false positive rate).
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Cell patterns identifying subtypes are associated with prognosis, ranging from favorable (lepidic) to intermediate (acinar and papillary) to poor (micropapillary and solid).
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showed to be effective against tumors harboring ALK fusions. Most patients previously treated with crizotinib benefited from second-generation ALK inhibitors including
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Adenocarcinoma is more common in patients with a history of cigarette smoking, and is the most common form of lung cancer in younger women and Asian populations. The
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compared to gefitinib. As the most common cause of acquired resistance to first-generation TKIs is a second EGFR mutation on codon 790, a third-generation EGFR TKI,
730:. However, the atypia is not to the extent as seen in frank adenocarcinomas. Lesions of AAH are monoclonal, and they share many of the molecular aberrations (like 159:
The majority of patients who are diagnosed with lung cancer usually present with locally advanced or metastatic disease. Only about one third of patients have
472:, particularly in a person with smoking history. Symptoms such as coughing up blood and unintentional weight loss may prompt further investigation, such as 2127:
Vazquez M, Carter D, Brambilla E, Gazdar A, Noguchi M, Travis WD, et al. (International Early Lung Cancer Action Program Investigators) (May 2009).
961: 845:, have been shown to be more effective in treating EGFR-mutated patients with respect to cytotoxic chemotherapy. Second-generation inhibitors such as 3412: 1661:"Pathologic N0 Status in Clinical T1N0M0 Lung Adenocarcinoma is Predictable by the Solid Component Proportion with Quantitative CT Number Analysis" 1643: 251:: smokers with a previous smoking duration of 30–40 years are more than twice as likely to develop lung adenocarcinoma compared to never-smokers ( 3270: 1998: 1817: 164:
symptoms secondary to the cancer spreading to other organ systems. In order of highest frequency, the most common signs of lung cancer include:
2634: 2544: 2129:"Solitary and multiple resected adenocarcinomas after CT screening for lung cancer: histopathologic features and their prognostic implications" 3427: 514: 1216: 672:
detected by seeing that they stain positive for mucin (which the glands produce). Adenocarcinoma can also be distinguished by staining for
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For advanced (stage IV) and unresectable lung tumors, the first-line therapy is platinum-based doublet chemotherapy, combining
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Horn L, Pao W, Johnson DH (2012). "Chapter 89". In Longo DL, Kasper DL, Jameson JL, Fauci AS, Hauser SL, Loscalzo J (eds.).
1739: 1843: 1596:"An annotation-free whole-slide training approach to pathological classification of lung cancer types using deep learning" 3392: 3263: 3109: 494: 3465: 3422: 2678: 2627: 2026: 510: 1921: 1161: 1818:"Solid-predominant adenocarcinoma of the lung with mucin production | Radiology Reference Article | Radiopaedia.org" 524:
of invasive adenocarcinomas based on the cell pattern that is most predominant. These subtypes are described below:
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of invasive adenocarcinomas not assignable to these five subtypes are also included in the current classification:
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Treatment of this lung cancer is based upon the specific subtype and the extent of spread from the primary tumor.
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Herbst RS, Morgensztern D, Boshoff C (January 2018). "The biology and management of non-small cell lung cancer".
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Early stage (I, II and IIIA) lung adenocarcinomas are typically treated surgically to remove the tumor with
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cancer, it is characterized by distinct cellular and molecular features. It is classified as one of several
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The most common paraneoplastic syndromes associated with adenocarcinoma of the lung are described below:
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Hellmann MD, Ciuleanu TE, Pluzanski A, Lee JS, Otterson GA, Audigier-Valette C, et al. (May 2018).
3205: 3187: 3097: 3048: 2088:"Paradigm shifts in lung cancer as defined in the new IASLC/ATS/ERS lung adenocarcinoma classification" 1792:"Micropapillary-predominant adenocarcinoma of the lung | Radiology Reference Article | Radiopaedia.org" 527: 418: 1475:"Scalable Open Science Approach for Mutation Calling of Tumor Exomes Using Multiple Genomic Pipelines" 1016:
Travis WD, Brambilla E, Noguchi M, Nicholson AG, Geisinger KR, Yatabe Y, et al. (February 2011).
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As for other lung cancer subtypes, lung adenocarcinoma incidence is strongly associated with smoking.
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Travis WD, Brambilla E, Van Schil P, Scagliotti GV, Huber RM, Sculier JP, et al. (August 2011).
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dysphagia (trouble swallowing or the sensation that something is caught in the throat) and hoarseness
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Li, Meng; Wu, Ning; Zhang, Li; Sun, Wei; Wang, Jianwei; Lv, Lv; Ren, Jiansong; Lin, Dongmei (2017).
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Mitchell RS, Kumar V, Abbas AK, Fausto N (2007). "Chapter 13, box on morphology of adenocarcinoma".
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Van Schil PE, Asamura H, Rusch VW, Mitsudomi T, Tsuboi M, Brambilla E, Travis WD (February 2012).
1766:"Papillary-predominant adenocarcinoma of the lung | Radiology Reference Article | Radiopaedia.org" 3432: 3348: 3291: 2688: 2289: 723: 323: 244: 160: 1714:"Lepidic-predominant adenocarcinoma of the lung | Radiology Reference Article | Radiopaedia.org" 3569: 3071: 2895: 2835: 1740:"Acinar-predominant adenocarcinoma of the lung | Radiology Reference Article | Radiopaedia.org" 1473:
Ellrott K, Bailey MH, Saksena G, Covington KR, Kandoth C, Stewart C, et al. (March 2018).
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Forde PM, Chaft JE, Smith KN, Anagnostou V, Cottrell TR, Hellmann MD, et al. (May 2018).
1844:"Invasive mucinous adenocarcinoma of the lung | Radiology Reference Article | Radiopaedia.org" 1152:
Fishman JA, Kotloff R, Grippi MA, Pack AI, Senior RM, Elias JA (2015-04-14). Grippi MA (ed.).
896:. Resistance to ALK inhibitors can occur with novel acquired ALK mutations or amplifications. 3417: 3304: 3233: 2957: 1637: 605: 702:
tumor overall. The predominant subtype is prognostic for survival after complete resection.
3608: 3457: 3061: 2920: 2857: 2693: 2673: 2347:"Diagnosis and Treatment of Anaplastic Lymphoma Kinase-Positive Non-Small Cell Lung Cancer" 1649:- "This article is licensed under a Creative Commons Attribution 4.0 International License" 1429: 1415: 1091: 148: 85: 1922:"Primary pulmonary enteric adenocarcinoma | Radiology Reference Article | Radiopaedia.org" 8: 3535: 3248: 3197: 2849: 2683: 97: 1433: 1095: 899:
Also ROS1-positive tumors have shown high sensitivity to ALK inhibitors due to the high
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provided a broader scope of application as they are able to target not only the protein
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of approximately 2.4); a duration of more than 40 years increases relative risk to 5.
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Russell PA, Wainer Z, Wright GM, Daniels M, Conron M, Williams RA (September 2011).
1870:"Colloid adenocarcinoma of the lung | Radiology Reference Article | Radiopaedia.org" 3333: 3135: 3053: 2867: 2779: 2589: 2581: 2516: 2508: 2459: 2417: 2407: 2366: 2358: 2315: 2307: 2296:"Comparison of aspects of smoking among the four histological types of lung cancer" 2255: 2245: 2189: 2148: 2140: 2099: 2058: 1969: 1959: 1690: 1672: 1615: 1607: 1494: 1486: 1445: 1437: 1327: 1290: 1282: 1271:"Comparison of aspects of smoking among the four histological types of lung cancer" 1119: 1099: 1037: 1029: 827: 660: 343: 144: 93: 2612: 2585: 2144: 1896:"Fetal adenocarcinoma of the lung | Radiology Reference Article | Radiopaedia.org" 1593: 3153: 2816: 2282:
Smokers defined as current or former smoker of more than 1 year of duration. See
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The treatment of adenocarcinoma of the lung depends on several factors including
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Three membrane associated tyrosine kinase receptors are recurrently involved in
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10.1002/1097-0142(19950101)75:1+<191::AID-CNCR2820751307>3.0.CO;2-Y
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Immune checkpoint inhibitors have been approved for NSCLC, including anti-PD-1
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are used in attempt to eradicate the cancerous cells based upon these factors.
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is available for lung adenocarcinomas with certain molecular characteristics.
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chest pain, which may be aggravated by deep breathing, coughing, or laughing
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have been reported, as well as deletions of tumor suppressor genes such as
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distal clubbing, arthritis, and bilateral symmetrical periosteal formation.
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A gross pathological specimen of a pulmonary adenocarcinoma, removed in a
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Incidence of adenocarcinoma of the lung (in yellow) as compared to other
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Chen CL, Chen CC, Yu WH, Chen SH, Chang YC, Hsu TI; et al. (2021).
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types, with fractions of non-smokers versus smokers shown for each type.
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can be divided into two main components: the conducting airways and the
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Pathology and Genetics of Tumours of the Lung, Pleura, Thymus and Heart
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remaining cancer cells in patients with stage IIA, IIB and IIIA NSCLC.
711: 656: 307: 288: 108: 754:, histology and genomic alterations acquired by the individual tumor. 3566: 3476: 2989: 2925: 2665: 2661: 2294:
Kenfield SA, Wei EK, Stampfer MJ, Rosner BA, Colditz GA (June 2008).
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Kenfield SA, Wei EK, Stampfer MJ, Rosner BA, Colditz GA (June 2008).
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Travis WD, Brambilla E, Müller-Hermelink HK, Harris CC, eds. (2004).
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This cancer usually is seen peripherally in the lungs, as opposed to
50: 3499: 3489: 2234:"Non-small cell lung cancer: current treatment and future advances" 1996: 862: 846: 727: 718:. These demonstrate various degrees of cytologic atypia, including 339: 2085: 3484: 2947: 2754: 2726: 2568:
Gandara DR, Hammerman PS, Sos ML, Lara PN, Hirsch FR (May 2015).
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Cancer Genome Atlas Research Network; et al. (July 2014).
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Travis WD, Travis LB, Devesa SS (January 1995). "Lung cancer".
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likely driving lung adenocarcinoma initiation and development.
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Atlas of Genetics and Cytogenetics in Oncology and Haematology
869:(also known as ERBB2 and ERBB4), and they have shown improved 651:
While sputum cytology has been shown to have limited utility,
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In ALK rearrangements, the most common partner gene is EML4.
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A diagnosis of lung cancer may be suspected on the basis of
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allows for higher sensitivity and specificity compared to
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of adenocarcinoma is complicated, but generally follows a
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precursor of peripheral adenocarcinomas has been termed
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is identified with various imaging modalities, such as
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International Association for the Study of Lung Cancer
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U.S. Preventive Services Task Force (December 2016).
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mutations) that are associated with adenocarcinomas.
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Histopathology of lepidic predominant adenocarcinoma.
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Frequent alterations occur in genes belonging to the
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hemoptysis (coughing up blood or rust-colored phlegm)
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dyspnea (shortness of breath or difficulty breathing)
1354: 2642: 88:which has a different behavior and prognosis. Lung 1317: 16:Lung cancer of glandular origin or characteristics 128:, a biopsy is required to confirm the diagnosis. 3600: 373:Copy number amplifications in oncogenes such as 209: 2040: 2038: 1217:"Non-Small Cell Lung Cancer Signs and Symptoms" 201:new onset of wheezing without history of asthma 1187: 448:airways. The gas exchange airways are made of 3264: 2628: 404: 226:Hypertrophic pulmonary osteoarthropathy (HPO) 2351:Hematology/Oncology Clinics of North America 2035: 1658: 1642:: CS1 maint: multiple names: authors list ( 903:between the kinase domains of ROS1 and ALK. 326:have systematically characterized recurrent 2344: 1861: 1731: 3271: 3257: 2635: 2621: 2231: 2011: 1757: 1705: 1570: 1190:Harrison's Principles of Internal Medicine 1183: 1181: 1154:Fishman's pulmonary diseases and disorders 667:Adenocarcinoma of the lung tends to stain 334:Gene mutations and copy number alterations 40: 2593: 2520: 2463: 2421: 2411: 2370: 2319: 2259: 2249: 2193: 2152: 2103: 2062: 1973: 1963: 1694: 1676: 1619: 1498: 1449: 1294: 1041: 955: 953: 659:-guided needle, should be performed when 655:, or aspiration of pleural fluid with an 168:cough that does not go away or gets worse 1547:"Lung: Translocations in Adenocarcinoma" 1390:(8th ed.). Philadelphia: Saunders. 1250:. American Cancer Society. June 23, 2017 772: 587:primary pulmonary enteric adenocarcinoma 542: 534: 526: 488:CT scan- adenocarcinoma of the left lung 483: 312:ROS1 positive adenocarcinoma of the lung 302: 283: 2286:for percentages in numbers. Reference: 1945: 1311: 1223:. American Cancer Society. May 16, 2016 1178: 564:solid predominant with mucin production 469: 293:ALK positive adenocarcinoma of the lung 3601: 1919: 1893: 1867: 1841: 1809: 1763: 1737: 1711: 1248:"Tests for Non-Small Cell Lung Cancer" 950: 837:First-generation EGFR TKIs, including 3448:Basaloid squamous cell lung carcinoma 3252: 2616: 2345:Arbour KC, Riely GJ (February 2017). 2227: 2225: 2223: 2221: 1783: 1566: 1564: 1562: 1560: 1411: 1409: 1407: 857:itself but also other members of the 154: 1242: 1240: 1238: 1211: 1209: 1147: 1145: 1143: 1141: 1139: 1137: 1135: 1133: 1131: 1129: 1077: 1075: 1073: 1071: 1069: 1067: 1065: 1063: 1061: 1011: 1009: 1007: 1005: 1003: 1001: 3110:Papillary serous cystadenocarcinoma 2501:The New England Journal of Medicine 2400:The New England Journal of Medicine 1913: 1887: 822: 13: 2679:Combined small-cell lung carcinoma 2238:Translational Lung Cancer Research 2218: 1835: 1557: 1404: 611:Nuclear medicine imaging, such as 435: 14: 3620: 1815: 1789: 1235: 1206: 1126: 1058: 998: 811:, and it is not as responsive to 638: 515:Minimally invasive adenocarcinoma 479: 2092:The European Respiratory Journal 2051:The European Respiratory Journal 1573:Schwartz's Principles of Surgery 906: 708:atypical adenomatous hyperplasia 578:invasive mucinous adenocarcinoma 84:(NSCLC), to distinguish it from 2997:Syringocystadenoma papilliferum 2561: 2537: 2488: 2438: 2387: 2338: 2276: 2232:Zappa C, Mousa SA (June 2016). 2169: 2120: 2079: 1990: 1939: 1652: 1587: 1575:(10 th ed.). McGraw-Hill. 1539: 1515: 1466: 926: 802: 785: 279: 238: 192:generally feeling tired or weak 2785:Familial adenomatous polyposis 1262: 1192:(18th ed.). McGraw-Hill. 324:The Cancer Genome Atlas (TCGA) 1: 3466:Combined small-cell carcinoma 3428:Salivary gland–like carcinoma 3385:Non-small-cell lung carcinoma 3160:Paget's disease of the breast 3102:Pancreatic serous cystadenoma 2586:10.1158/1078-0432.CCR-14-3039 2145:10.1016/j.lungcan.2008.08.009 944: 809:non-small cell lung carcinoma 520:The 2011 consensus describes 210:Extrapulmonary manifestations 3164:Extramammary Paget's disease 2891:Multiple endocrine neoplasia 2195:10.1097/JTO.0b013e318221f701 2182:Journal of Thoracic Oncology 1034:10.1097/JTO.0b013e318206a221 1022:Journal of Thoracic Oncology 937:squamous cell lung carcinoma 741: 694:European Respiratory Society 463: 322:Large scale studies such as 274: 7: 3402:Mucinous cystadenocarcinoma 3322:Nasopharyngeal angiofibroma 3149:Pancreatic ductal carcinoma 3066:Mucinous cystadenocarcinoma 2699:Transitional cell carcinoma 350:(mutated in 46% of cases), 219:Hypercalcemia of malignancy 82:non-small cell lung cancers 72:is the most common type of 10: 3625: 3206:Medullary breast carcinoma 3188:Invasive lobular carcinoma 3098:Ovarian serous cystadenoma 3049:Signet ring cell carcinoma 1952:World Journal of Radiology 1678:10.1038/s41598-017-16701-x 1612:10.1038/s41467-021-21467-y 1491:10.1016/j.cels.2018.03.002 832:Tyrosine kinase inhibitors 757: 591: 561:micropapillary predominant 405:Chromosomal rearrangements 76:, and like other forms of 70:Adenocarcinoma of the lung 25:Adenocarcinoma of the lung 3578: 3552: 3521:Solitary pulmonary nodule 3508: 3474: 3456: 3408:Large-cell lung carcinoma 3383: 3374: 3356: 3347: 3290: 3223: 3196: 3183:Lobular carcinoma in situ 3173: 3134: 3123: 3106:Serous cystadenocarcinoma 3087: 3039: 3016: 3005: 2970: 2943:Clear-cell adenocarcinoma 2913: 2876: 2848: 2767: 2744: 2732:Bartholin gland carcinoma 2712: 2660: 2651: 2643:Glandular and epithelial 2363:10.1016/j.hoc.2016.08.012 2105:10.1183/09031936.00026711 2064:10.1183/09031936.00027511 1156:. McGraw-Hill Education. 871:progression-free survival 817:small cell lung carcinoma 690:American Thoracic Society 635:), or spine involvement. 233: 57: 48: 39: 29: 24: 3438:Papillary adenocarcinoma 3339:Laryngeal papillomatosis 3317:Nasopharyngeal carcinoma 3211:Medullary thyroid cancer 3144:Mammary ductal carcinoma 3079:Mucoepidermoid carcinoma 2933:Adenoid cystic carcinoma 2900:Adrenocortical carcinoma 2840:Hepatocellular carcinoma 2574:Clinical Cancer Research 2251:10.21037/tlcr.2016.06.07 2019:World Cancer Report 2014 1946:Gossner J (April 2014). 601:Computed tomography (CT) 398:receptor tyrosine kinase 122:computed tomography (CT) 34:Pulmonary adenocarcinoma 3433:Adenosquamous carcinoma 3393:Squamous-cell carcinoma 2689:Squamous-cell carcinoma 1527:Genetics Home Reference 1388:Robbins Basic Pathology 880:ALK inhibitors such as 3570:solitary fibrous tumor 3072:Pseudomyxoma peritonei 2896:Adrenocortical adenoma 2836:Hepatocellular adenoma 2312:10.1136/tc.2007.022582 1287:10.1136/tc.2007.022582 782: 633:superior sulcus tumors 581:colloid adenocarcinoma 572:Four discrete variants 548: 540: 532: 511:Adenocarcinoma in situ 489: 344:tumor suppressor genes 319: 300: 260:small cell lung cancer 86:small cell lung cancer 3418:Sarcomatoid carcinoma 3305:Esthesioneuroblastoma 3234:Acinic cell carcinoma 2958:Papillary hidradenoma 2513:10.1056/NEJMoa1716078 2413:10.1056/NEJMoa1801946 2284:image page in Commons 1965:10.4329/wjr.v6.i4.116 1920:Weerakkody, Yuranga. 1894:Weerakkody, Yuranga. 1868:Weerakkody, Yuranga. 1842:Weerakkody, Yuranga. 1764:Weerakkody, Yuranga. 1738:Weerakkody, Yuranga. 1712:Weerakkody, Yuranga. 776: 606:Lung cancer screening 558:papillary predominant 546: 538: 530: 487: 413:or rearrangements in 306: 287: 3458:Small-cell carcinoma 3443:Giant-cell carcinoma 3062:Mucinous cystadenoma 2921:Neuroendocrine tumor 2858:Renal cell carcinoma 2694:Basal-cell carcinoma 2674:Small-cell carcinoma 2465:10.1200/jco.20.03579 1326:(1 Suppl): 191–202. 807:Adenocarcinoma is a 680:for adenocarcinoma. 584:fetal adenocarcinoma 499:large cell carcinoma 245:Nurses' Health Study 3536:Bronchial leiomyoma 3198:Medullary carcinoma 2684:Verrucous carcinoma 1571:Brunicardi (2014). 1442:10.1038/nature13385 1434:2014Natur.511..543T 1104:10.1038/nature25183 1096:2018Natur.553..446H 716:type II pneumocytes 552:lepidic predominant 328:somatic alterations 271:at an early stage. 98:shortness of breath 3588:Mediastinal tumors 3413:Rhabdoid carcinoma 3031:Cystadenocarcinoma 2863:Endometrioid tumor 2826:Cholangiocarcinoma 2714:Complex epithelial 2704:Inverted papilloma 1665:Scientific Reports 783: 752:performance status 555:acinar predominant 549: 541: 533: 495:squamous carcinoma 490: 320: 301: 155:Signs and symptoms 133:Surgical resection 3596: 3595: 3548: 3547: 3544: 3543: 3495:Immature teratoma 3284:respiratory tract 3246: 3245: 3242: 3241: 3219: 3218: 3175:Lobular carcinoma 3119: 3118: 2966: 2965: 2740: 2739: 2580:(10): 2236–2243. 2507:(21): 1976–1986. 2458:(20): 2327–2338. 2406:(22): 2093–2104. 1816:Muzio, Bruno Di. 1790:Muzio, Bruno Di. 1485:(3): 271–281.e7. 1428:(7511): 543–550. 1397:978-1-4160-2973-1 1199:978-0-07-174889-6 1090:(7689): 446–454. 976:978-92-832-2418-1 813:radiation therapy 750:, resectability, 442:respiratory tract 243:According to the 67: 66: 19:Medical condition 3616: 3381: 3380: 3354: 3353: 3334:Laryngeal cancer 3273: 3266: 3259: 3250: 3249: 3166: 3136:Ductal carcinoma 3132: 3131: 3112: 3068: 3054:Krukenberg tumor 3014: 3013: 2868:Renal oncocytoma 2780:Linitis plastica 2769:Gastrointestinal 2765: 2764: 2751: 2750: 2658: 2657: 2637: 2630: 2623: 2614: 2613: 2608: 2607: 2597: 2565: 2559: 2558: 2556: 2555: 2541: 2535: 2534: 2524: 2492: 2486: 2485: 2467: 2442: 2436: 2435: 2425: 2415: 2391: 2385: 2384: 2374: 2342: 2336: 2333: 2323: 2280: 2274: 2273: 2263: 2253: 2229: 2216: 2215: 2197: 2188:(9): 1496–1504. 2173: 2167: 2166: 2156: 2124: 2118: 2117: 2107: 2083: 2077: 2076: 2066: 2042: 2033: 2032: 2015: 2009: 2008: 2006: 2005: 1994: 1988: 1987: 1977: 1967: 1943: 1937: 1936: 1934: 1932: 1917: 1911: 1910: 1908: 1906: 1891: 1885: 1884: 1882: 1880: 1865: 1859: 1858: 1856: 1854: 1839: 1833: 1832: 1830: 1828: 1813: 1807: 1806: 1804: 1802: 1787: 1781: 1780: 1778: 1776: 1761: 1755: 1754: 1752: 1750: 1735: 1729: 1728: 1726: 1724: 1709: 1703: 1700: 1698: 1680: 1656: 1650: 1647: 1641: 1633: 1623: 1591: 1585: 1584: 1568: 1555: 1554: 1543: 1537: 1536: 1534: 1533: 1519: 1513: 1512: 1502: 1470: 1464: 1463: 1453: 1413: 1402: 1401: 1383: 1352: 1351: 1315: 1309: 1308: 1298: 1266: 1260: 1259: 1257: 1255: 1244: 1233: 1232: 1230: 1228: 1213: 1204: 1203: 1185: 1176: 1175: 1149: 1124: 1123: 1079: 1056: 1055: 1045: 1013: 996: 995: 993: 991: 985: 979:. Archived from 968: 957: 828:Targeted therapy 823:Targeted therapy 661:pleural effusion 470:typical symptoms 145:targeted therapy 94:persistent cough 44: 22: 21: 3624: 3623: 3619: 3618: 3617: 3615: 3614: 3613: 3599: 3598: 3597: 3592: 3574: 3540: 3531:Peripheral lung 3504: 3470: 3452: 3370: 3343: 3286: 3277: 3247: 3238: 3215: 3192: 3169: 3158: 3154:Comedocarcinoma 3127: 3125: 3115: 3096: 3083: 3060: 3035: 3009: 3007: 3001: 2972: 2962: 2909: 2872: 2844: 2817:Somatostatinoma 2760:adenocarcinomas 2758: 2736: 2722:Warthin's tumor 2708: 2647: 2641: 2611: 2566: 2562: 2553: 2551: 2543: 2542: 2538: 2493: 2489: 2443: 2439: 2392: 2388: 2343: 2339: 2300:Tobacco Control 2281: 2277: 2230: 2219: 2174: 2170: 2125: 2121: 2084: 2080: 2043: 2036: 2029: 2017: 2016: 2012: 2003: 2001: 1995: 1991: 1944: 1940: 1930: 1928: 1918: 1914: 1904: 1902: 1892: 1888: 1878: 1876: 1866: 1862: 1852: 1850: 1840: 1836: 1826: 1824: 1814: 1810: 1800: 1798: 1788: 1784: 1774: 1772: 1762: 1758: 1748: 1746: 1736: 1732: 1722: 1720: 1710: 1706: 1701: 1657: 1653: 1648: 1635: 1634: 1592: 1588: 1569: 1558: 1545: 1544: 1540: 1531: 1529: 1521: 1520: 1516: 1471: 1467: 1414: 1405: 1398: 1384: 1355: 1316: 1312: 1275:Tobacco Control 1267: 1263: 1253: 1251: 1246: 1245: 1236: 1226: 1224: 1215: 1214: 1207: 1200: 1186: 1179: 1164: 1150: 1127: 1080: 1059: 1014: 999: 989: 987: 983: 977: 966: 958: 951: 947: 941: 940:in a lifetime). 929: 909: 825: 805: 788: 760: 744: 643:If possible, a 641: 594: 539:Acinar pattern. 482: 474:medical imaging 466: 438: 436:Pathophysiology 415:adenocarcinomas 407: 336: 282: 277: 249:tobacco smoking 241: 236: 212: 157: 105:pathophysiology 20: 17: 12: 11: 5: 3622: 3612: 3611: 3594: 3593: 3591: 3590: 3584: 3582: 3576: 3575: 3573: 3572: 3564: 3558: 3556: 3550: 3549: 3546: 3545: 3542: 3541: 3539: 3538: 3533: 3528: 3523: 3518: 3516:Pancoast tumor 3512: 3510: 3506: 3505: 3503: 3502: 3497: 3492: 3487: 3481: 3479: 3472: 3471: 3469: 3468: 3462: 3460: 3454: 3453: 3451: 3450: 3445: 3440: 3435: 3430: 3425: 3420: 3415: 3410: 3405: 3398:Adenocarcinoma 3395: 3389: 3387: 3378: 3372: 3371: 3369: 3368: 3366:Tracheal tumor 3362: 3360: 3351: 3345: 3344: 3342: 3341: 3336: 3331: 3325: 3324: 3319: 3314: 3308: 3307: 3302: 3296: 3294: 3288: 3287: 3282:involving the 3276: 3275: 3268: 3261: 3253: 3244: 3243: 3240: 3239: 3237: 3236: 3230: 3228: 3221: 3220: 3217: 3216: 3214: 3213: 3208: 3202: 3200: 3194: 3193: 3191: 3190: 3185: 3179: 3177: 3171: 3170: 3168: 3167: 3156: 3151: 3146: 3140: 3138: 3129: 3121: 3120: 3117: 3116: 3114: 3113: 3093: 3091: 3085: 3084: 3082: 3081: 3076: 3075: 3074: 3058: 3057: 3056: 3045: 3043: 3037: 3036: 3034: 3033: 3023: 3021: 3011: 3003: 3002: 3000: 2999: 2994: 2993: 2992: 2987: 2976: 2974: 2973:skin appendage 2968: 2967: 2964: 2963: 2961: 2960: 2955: 2950: 2945: 2940: 2935: 2930: 2929: 2928: 2917: 2915: 2914:Other/multiple 2911: 2910: 2908: 2907: 2902: 2893: 2888: 2882: 2880: 2874: 2873: 2871: 2870: 2865: 2860: 2854: 2852: 2846: 2845: 2843: 2842: 2833: 2831:Klatskin tumor 2828: 2822: 2821: 2820: 2819: 2814: 2809: 2804: 2799: 2788: 2787: 2782: 2773: 2771: 2762: 2748: 2742: 2741: 2738: 2737: 2735: 2734: 2729: 2724: 2718: 2716: 2710: 2709: 2707: 2706: 2701: 2696: 2691: 2686: 2681: 2676: 2670: 2668: 2655: 2649: 2648: 2640: 2639: 2632: 2625: 2617: 2610: 2609: 2560: 2536: 2487: 2437: 2386: 2357:(1): 101–111. 2337: 2335: 2334: 2306:(3): 198–204. 2275: 2244:(3): 288–300. 2217: 2168: 2139:(2): 148–154. 2119: 2098:(2): 239–243. 2078: 2057:(2): 478–486. 2034: 2028:978-9283204299 2027: 2010: 1989: 1958:(4): 116–118. 1938: 1912: 1886: 1860: 1834: 1808: 1782: 1756: 1730: 1704: 1651: 1586: 1556: 1538: 1514: 1465: 1403: 1396: 1353: 1310: 1281:(3): 198–204. 1261: 1234: 1205: 1198: 1177: 1162: 1125: 1057: 1028:(2): 244–285. 997: 975: 948: 946: 943: 928: 925: 908: 905: 824: 821: 804: 801: 787: 784: 759: 756: 743: 740: 720:hyperchromasia 640: 639:Histopathology 637: 593: 590: 589: 588: 585: 582: 579: 566: 565: 562: 559: 556: 553: 547:Solid pattern. 481: 480:Classification 478: 465: 462: 437: 434: 406: 403: 335: 332: 281: 278: 276: 273: 240: 237: 235: 232: 231: 230: 223: 211: 208: 203: 202: 199: 196: 193: 190: 187: 184: 181: 178: 175: 172: 169: 156: 153: 90:adenocarcinoma 65: 64: 61: 55: 54: 46: 45: 37: 36: 31: 27: 26: 18: 15: 9: 6: 4: 3: 2: 3621: 3610: 3607: 3606: 3604: 3589: 3586: 3585: 3583: 3581: 3577: 3571: 3568: 3565: 3563: 3560: 3559: 3557: 3555: 3551: 3537: 3534: 3532: 3529: 3527: 3524: 3522: 3519: 3517: 3514: 3513: 3511: 3507: 3501: 3498: 3496: 3493: 3491: 3488: 3486: 3483: 3482: 3480: 3478: 3473: 3467: 3464: 3463: 3461: 3459: 3455: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3403: 3399: 3396: 3394: 3391: 3390: 3388: 3386: 3382: 3379: 3377: 3373: 3367: 3364: 3363: 3361: 3359: 3355: 3352: 3350: 3346: 3340: 3337: 3335: 3332: 3330: 3327: 3326: 3323: 3320: 3318: 3315: 3313: 3310: 3309: 3306: 3303: 3301: 3298: 3297: 3295: 3293: 3289: 3285: 3281: 3274: 3269: 3267: 3262: 3260: 3255: 3254: 3251: 3235: 3232: 3231: 3229: 3226: 3222: 3212: 3209: 3207: 3204: 3203: 3201: 3199: 3195: 3189: 3186: 3184: 3181: 3180: 3178: 3176: 3172: 3165: 3161: 3157: 3155: 3152: 3150: 3147: 3145: 3142: 3141: 3139: 3137: 3133: 3130: 3128:and medullary 3122: 3111: 3107: 3103: 3099: 3095: 3094: 3092: 3090: 3086: 3080: 3077: 3073: 3070: 3069: 3067: 3063: 3059: 3055: 3052: 3051: 3050: 3047: 3046: 3044: 3042: 3038: 3032: 3028: 3025: 3024: 3022: 3019: 3015: 3012: 3004: 2998: 2995: 2991: 2988: 2986: 2983: 2982: 2981: 2978: 2977: 2975: 2969: 2959: 2956: 2954: 2951: 2949: 2946: 2944: 2941: 2939: 2936: 2934: 2931: 2927: 2924: 2923: 2922: 2919: 2918: 2916: 2912: 2906: 2903: 2901: 2897: 2894: 2892: 2889: 2887: 2884: 2883: 2881: 2879: 2875: 2869: 2866: 2864: 2861: 2859: 2856: 2855: 2853: 2851: 2847: 2841: 2837: 2834: 2832: 2829: 2827: 2824: 2823: 2818: 2815: 2813: 2810: 2808: 2805: 2803: 2800: 2798: 2795: 2794: 2793: 2790: 2789: 2786: 2783: 2781: 2778: 2775: 2774: 2772: 2770: 2766: 2763: 2761: 2756: 2752: 2749: 2747: 2743: 2733: 2730: 2728: 2725: 2723: 2720: 2719: 2717: 2715: 2711: 2705: 2702: 2700: 2697: 2695: 2692: 2690: 2687: 2685: 2682: 2680: 2677: 2675: 2672: 2671: 2669: 2667: 2663: 2659: 2656: 2654: 2650: 2646: 2638: 2633: 2631: 2626: 2624: 2619: 2618: 2615: 2605: 2601: 2596: 2591: 2587: 2583: 2579: 2575: 2571: 2564: 2550: 2546: 2540: 2532: 2528: 2523: 2518: 2514: 2510: 2506: 2502: 2498: 2491: 2483: 2479: 2475: 2471: 2466: 2461: 2457: 2453: 2449: 2441: 2433: 2429: 2424: 2419: 2414: 2409: 2405: 2401: 2397: 2390: 2382: 2378: 2373: 2368: 2364: 2360: 2356: 2352: 2348: 2341: 2331: 2327: 2322: 2317: 2313: 2309: 2305: 2301: 2297: 2291: 2288: 2287: 2285: 2279: 2271: 2267: 2262: 2257: 2252: 2247: 2243: 2239: 2235: 2228: 2226: 2224: 2222: 2213: 2209: 2205: 2201: 2196: 2191: 2187: 2183: 2179: 2172: 2164: 2160: 2155: 2150: 2146: 2142: 2138: 2134: 2130: 2123: 2115: 2111: 2106: 2101: 2097: 2093: 2089: 2082: 2074: 2070: 2065: 2060: 2056: 2052: 2048: 2041: 2039: 2030: 2024: 2020: 2014: 2000: 1993: 1985: 1981: 1976: 1971: 1966: 1961: 1957: 1953: 1949: 1942: 1927: 1923: 1916: 1901: 1897: 1890: 1875: 1871: 1864: 1849: 1845: 1838: 1823: 1819: 1812: 1797: 1793: 1786: 1771: 1767: 1760: 1745: 1741: 1734: 1719: 1715: 1708: 1697: 1692: 1688: 1684: 1679: 1674: 1670: 1666: 1662: 1655: 1645: 1639: 1631: 1627: 1622: 1617: 1613: 1609: 1605: 1601: 1597: 1590: 1582: 1578: 1574: 1567: 1565: 1563: 1561: 1552: 1548: 1542: 1528: 1524: 1523:"Lung cancer" 1518: 1510: 1506: 1501: 1496: 1492: 1488: 1484: 1480: 1476: 1469: 1461: 1457: 1452: 1447: 1443: 1439: 1435: 1431: 1427: 1423: 1419: 1412: 1410: 1408: 1399: 1393: 1389: 1382: 1380: 1378: 1376: 1374: 1372: 1370: 1368: 1366: 1364: 1362: 1360: 1358: 1349: 1345: 1341: 1337: 1333: 1329: 1325: 1321: 1314: 1306: 1302: 1297: 1292: 1288: 1284: 1280: 1276: 1272: 1265: 1249: 1243: 1241: 1239: 1222: 1218: 1212: 1210: 1201: 1195: 1191: 1184: 1182: 1173: 1169: 1165: 1163:9780071807289 1159: 1155: 1148: 1146: 1144: 1142: 1140: 1138: 1136: 1134: 1132: 1130: 1121: 1117: 1113: 1109: 1105: 1101: 1097: 1093: 1089: 1085: 1078: 1076: 1074: 1072: 1070: 1068: 1066: 1064: 1062: 1053: 1049: 1044: 1039: 1035: 1031: 1027: 1023: 1019: 1012: 1010: 1008: 1006: 1004: 1002: 986:on 2009-08-23 982: 978: 972: 965: 964: 956: 954: 949: 942: 938: 932: 924: 920: 918: 917:pembrolizumab 914: 907:Immunotherapy 904: 902: 897: 895: 891: 887: 883: 878: 876: 872: 868: 864: 860: 856: 852: 848: 844: 840: 835: 833: 829: 820: 818: 814: 810: 800: 797: 793: 780: 775: 771: 769: 765: 764:pneumonectomy 755: 753: 749: 739: 735: 733: 729: 725: 721: 717: 713: 709: 703: 700: 695: 691: 687: 681: 679: 675: 670: 665: 662: 658: 654: 653:thoracentesis 649: 646: 636: 634: 628: 626: 622: 618: 614: 609: 607: 602: 598: 586: 583: 580: 577: 576: 575: 573: 569: 563: 560: 557: 554: 551: 550: 545: 537: 529: 525: 523: 522:five subtypes 518: 516: 512: 506: 502: 500: 496: 486: 477: 475: 471: 461: 457: 455: 451: 447: 443: 433: 430: 428: 424: 420: 416: 412: 402: 399: 394: 392: 388: 384: 380: 376: 371: 369: 365: 361: 357: 353: 349: 345: 341: 331: 329: 325: 317: 313: 309: 305: 298: 294: 290: 286: 272: 270: 265: 264:squamous cell 261: 256: 254: 253:relative risk 250: 246: 227: 224: 220: 217: 216: 215: 207: 200: 197: 194: 191: 188: 185: 182: 179: 176: 173: 170: 167: 166: 165: 162: 152: 150: 149:immunotherapy 146: 142: 138: 134: 129: 127: 123: 119: 115: 110: 106: 101: 99: 95: 91: 87: 83: 79: 75: 71: 62: 60: 56: 52: 47: 43: 38: 35: 32: 28: 23: 3562:Mesothelioma 3526:Central lung 3397: 3300:Nasal cavity 2985:Hidrocystoma 2979: 2905:Hürthle cell 2886:Prolactinoma 2791: 2776: 2577: 2573: 2563: 2552:. Retrieved 2548: 2539: 2504: 2500: 2490: 2455: 2452:J Clin Oncol 2451: 2440: 2403: 2399: 2389: 2354: 2350: 2340: 2303: 2299: 2278: 2241: 2237: 2185: 2181: 2171: 2136: 2132: 2122: 2095: 2091: 2081: 2054: 2050: 2018: 2013: 2002:. Retrieved 1992: 1955: 1951: 1941: 1929:. Retrieved 1925: 1915: 1903:. Retrieved 1899: 1889: 1877:. Retrieved 1873: 1863: 1851:. Retrieved 1847: 1837: 1825:. Retrieved 1821: 1811: 1799:. Retrieved 1795: 1785: 1773:. Retrieved 1769: 1759: 1747:. Retrieved 1743: 1733: 1721:. Retrieved 1717: 1707: 1668: 1664: 1654: 1638:cite journal 1603: 1599: 1589: 1572: 1550: 1541: 1530:. Retrieved 1526: 1517: 1482: 1479:Cell Systems 1478: 1468: 1425: 1421: 1387: 1323: 1319: 1313: 1278: 1274: 1264: 1252:. Retrieved 1225:. Retrieved 1220: 1189: 1153: 1087: 1083: 1025: 1021: 988:. 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ROS1 161:stage I 3554:Pleura 3329:Larynx 3280:Cancer 3225:Acinar 3089:Serous 3018:Cystic 2812:VIPoma 2777:tract: 2746:Glands 2645:cancer 2602:  2592:  2529:  2519:  2480:  2472:  2430:  2420:  2379:  2369:  2328:  2318:  2268:  2258:  2210:  2202:  2161:  2151:  2112:  2071:  2025:  1982:  1972:  1693:  1685:  1628:  1618:  1579:  1507:  1497:  1458:  1448:  1422:Nature 1394:  1346:  1338:  1320:Cancer 1303:  1293:  1196:  1170:  1160:  1118:  1110:  1084:Nature 1050:  1040:  973:  645:biopsy 613:PET/CT 425:, and 391:CDKN2A 385:, and 295:. 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Index


lobectomy
Specialty
lung cancer
lung
non-small cell lung cancers
small cell lung cancer
adenocarcinoma
persistent cough
shortness of breath
pathophysiology
histologic
lesion
tumor
computed tomography (CT)
X-ray
Surgical resection
chemotherapy
radiotherapy
targeted therapy
immunotherapy
stage I
Nurses' Health Study
tobacco smoking
relative risk
small cell lung cancer
squamous cell
metastasize

Micrograph

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