Navigating Lung Cancer: Exploring Progress and Obstacles - A Comprehensive Review
DOI:
https://doi.org/10.12775/JEHS.2024.61.006Keywords
Lung cancer, NSCLC, tobacco smoking, TNM staging, Biomarker analysisAbstract
Lung cancer persists as a significant global health dilemma, characterized by elevated incidence and mortality rates worldwide. Despite recent strides in diagnostic methodologies, screening approaches, and therapeutic modalities, lung cancer retains its status as the foremost cause of cancer-related fatalities internationally. The disease is predominantly categorized into two primary forms: small-cell carcinomas and the notably more prevalent non-small-cell carcinomas, constituting approximately 85% of cases. While smoking stands as the primary risk factor for lung cancer, accounting for 80-90% of related deaths, other factors such as dietary habits, air pollution, genetic predisposition, and prior lung conditions play substantial roles. Diagnostic procedures encompass a range of techniques, including radiography, sputum cytology, bronchoscopy, biomarker analysis, among others. The imperative for progress and refinement in diagnostic tools, especially for early detection and monitoring in high-risk demographics, underscores the urgency. Continual research and enhancement of surgical, systemic, and localized treatments are indispensable in the battle against lung cancer. Despite advancements, challenges persist in achieving timely diagnoses, particularly in high-risk groups, and augmenting overall survival rates. This comprehensive review delves into current research advancements in lung cancer, with specific focus on classification, patient well-being, risk factors, diagnostic methodologies, and treatment options.
References
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021 May;71(3):209–49.
Bray F, Laversanne M, Weiderpass E, Soerjomataram I. The ever-increasing importance of cancer as a leading cause of premature death worldwide. Cancer. 2021 Aug 15;127(16):3029–30.
Ibodeng G-O, Uche IN, Mokua R, Galo M, Odigwe B, Galeas JN, et al. A snapshot of lung cancer: where are we now?-a narrative review. Ann Transl Med. 2023 Mar 31;11(6):261.
Midha A, Dearden S, McCormack R. EGFR mutation incidence in non-small-cell lung cancer of adenocarcinoma histology: a systematic review and global map by ethnicity (mutMapII). Am J Cancer Res. 2015 Aug 15;5(9):2892–911.
Nicholson AG, Tsao MS, Beasley MB, Borczuk AC, Brambilla E, Cooper WA, et al. The 2021 WHO classification of lung tumors: impact of advances since 2015. J Thorac Oncol. 2022 Mar;17(3):362–87.
Li C, Wang C, Yu J, Fan Y, Liu D, Zhou W, et al. Residential Radon and Histological Types of Lung Cancer: A Meta-Analysis of Case‒Control Studies. Int J Environ Res Public Health. 2020 Feb 24;17(4).
Malhotra J, Malvezzi M, Negri E, La Vecchia C, Boffetta P. Risk factors for lung cancer worldwide. Eur Respir J. 2016 Sep;48(3):889–902.
Wynder EL. Tobacco as a cause of lung cancer: some reflections. Am J Epidemiol. 1997 Nov 1;146(9):687–94.
Jia P-L, Zhang C, Yu J-J, Xu C, Tang L, Sun X. The risk of lung cancer among cooking adults: a meta-analysis of 23 observational studies. J Cancer Res Clin Oncol. 2018 Feb;144(2):229–40.
Gierach GL, Choudhury PP, García-Closas M. Toward Risk-Stratified Breast Cancer Screening: Considerations for Changes in Screening Guidelines. JAMA Oncol. 2020 Jan 1;6(1):31–3.
Thun M, Peto R, Boreham J, Lopez AD. Stages of the cigarette epidemic on entering its second century. Tob Control. 2012 Mar;21(2):96–101.
Armstrong BK. Cancer epidemiology and prevention. Int J Epidemiol. 2018 Dec 1;47(6):2097–8.
Allemani C, Matsuda T, Di Carlo V, Harewood R, Matz M, Nikšić M, et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018 Mar 17;391(10125):1023–75.
Graham H. Smoking prevalence among women in the European community 1950-1990. Soc Sci Med. 1996 Jul;43(2):243–54.
Franceschi S, Naett C. Trends in smoking in Europe. Eur J Cancer Prev. 1995 Aug;4(4):271–84.
Malvezzi M, Bertuccio P, Levi F, La Vecchia C, Negri E. European cancer mortality predictions for the year 2012. Ann Oncol. 2012 Apr;23(4):1044–52.
Alonso R, Piñeros M, Laversanne M, Musetti C, Garau M, Barrios E, et al. Lung cancer incidence trends in Uruguay 1990-2014: An age-period-cohort analysis. Cancer Epidemiol. 2018 Aug;55:17–22.
Parkin DM, Bray FI, Devesa SS. Cancer burden in the year 2000. The global picture. Eur J Cancer. 2001 Oct;37 Suppl 8:S4-66.
Devesa SS, Blot WJ, Fraumeni JF. Declining lung cancer rates among young men and women in the United States: a cohort analysis. J Natl Cancer Inst. 1989 Oct 18;81(20):1568–71.
Malvezzi M, Bosetti C, Rosso T, Bertuccio P, Chatenoud L, Levi F, et al. Lung cancer mortality in European men: trends and predictions. Lung Cancer. 2013 May;80(2):138–45.
Lortet-Tieulent J, Renteria E, Sharp L, Weiderpass E, Comber H, Baas P, et al. Convergence of decreasing male and increasing female incidence rates in major tobacco-related cancers in Europe in 1988-2010. Eur J Cancer. 2015 Jun;51(9):1144–63.
GBD 2019 Tobacco Collaborators. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019. Lancet. 2021 Jun 19;397(10292):2337–60.
Palipudi KM, Gupta PC, Sinha DN, Andes LJ, Asma S, McAfee T, et al. Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey. PLoS ONE. 2012 Mar 16;7(3):e33466.
Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ. 2004 Jun 26;328(7455):1519.
Bailey-Wilson JE, Sellers TA, Elston RC, Evens CC, Rothschild H. Evidence for a major gene effect in early-onset lung cancer. J La State Med Soc. 1993 Apr;145(4):157–62.
Lorenzo Bermejo J, Hemminki K. Familial lung cancer and aggregation of smoking habits: a simulation of the effect of shared environmental factors on the familial risk of cancer. Cancer Epidemiol Biomarkers Prev. 2005 Jul;14(7):1738–40.
Cho J, Choi SM, Lee J, Lee C-H, Lee S-M, Kim D-W, et al. Proportion and clinical features of never-smokers with non-small cell lung cancer. Chin J Cancer. 2017 Feb 8;36(1):20.
Zhang T, Joubert P, Ansari-Pour N, Zhao W, Hoang PH, Lokanga R, et al. Genomic and evolutionary classification of lung cancer in never smokers. Nat Genet. 2021 Sep 6;53(9):1348–59.
Thorgeirsson TE, Geller F, Sulem P, Rafnar T, Wiste A, Magnusson KP, et al. A variant associated with nicotine dependence, lung cancer and peripheral arterial disease. Nature. 2008 Apr 3;452(7187):638–42.
Amos CI, Wu X, Broderick P, Gorlov IP, Gu J, Eisen T, et al. Genome-wide association scan of tag SNPs identifies a susceptibility locus for lung cancer at 15q25.1. Nat Genet. 2008 May;40(5):616–22.
McKay JD, Hung RJ, Gaborieau V, Boffetta P, Chabrier A, Byrnes G, et al. Lung cancer susceptibility locus at 5p15.33. Nat Genet. 2008 Dec;40(12):1404–6.
Hosgood HD, Wang W-C, Hong Y-C, Wang J-C, Chen K, Chang I-S, et al. Genetic variant in TP63 on locus 3q28 is associated with risk of lung adenocarcinoma among never-smoking females in Asia. Hum Genet. 2012 Jul;131(7):1197–203.
Miki D, Kubo M, Takahashi A, Yoon K-A, Kim J, Lee GK, et al. Variation in TP63 is associated with lung adenocarcinoma susceptibility in Japanese and Korean populations. Nat Genet. 2010 Oct;42(10):893–6.
Hu Z, Wu C, Shi Y, Guo H, Zhao X, Yin Z, et al. A genome-wide association study identifies two new lung cancer susceptibility loci at 13q12.12 and 22q12.2 in Han Chinese. Nat Genet. 2011 Jul 3;43(8):792–6.
Lan Q, Hsiung CA, Matsuo K, Hong Y-C, Seow A, Wang Z, et al. Genome-wide association analysis identifies new lung cancer susceptibility loci in never-smoking women in Asia. Nat Genet. 2012 Dec;44(12):1330–5.
Dong J, Jin G, Wu C, Guo H, Zhou B, Lv J, et al. Genome-wide association study identifies a novel susceptibility locus at 12q23.1 for lung squamous cell carcinoma in han chinese. PLoS Genet. 2013 Jan 17;9(1):e1003190.
Timofeeva MN, Hung RJ, Rafnar T, Christiani DC, Field JK, Bickeböller H, et al. Influence of common genetic variation on lung cancer risk: meta-analysis of 14 900 cases and 29 485 controls. Hum Mol Genet. 2012 Nov 15;21(22):4980–95.
Akhtar N, Bansal JG. Risk factors of Lung Cancer in nonsmoker. Curr Probl Cancer. 2017 Jul 27;41(5):328–39.
Lam TK, Gallicchio L, Lindsley K, Shiels M, Hammond E, Tao XG, et al. Cruciferous vegetable consumption and lung cancer risk: a systematic review. Cancer Epidemiol Biomarkers Prev. 2009 Jan;18(1):184–95.
Woodson K, Tangrea JA, Barrett MJ, Virtamo J, Taylor PR, Albanes D. Serum alpha-tocopherol and subsequent risk of lung cancer among male smokers. J Natl Cancer Inst. 1999 Oct 20;91(20):1738–43.
Omenn GS, Goodman GE, Thornquist MD, Balmes J, Cullen MR, Glass A, et al. Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease. N Engl J Med. 1996 May 2;334(18):1150–5.
Liu C, Bronson RT, Russell RM, Wang X-D. β-Cryptoxanthin supplementation prevents cigarette smoke-induced lung inflammation, oxidative damage, and squamous metaplasia in ferrets. Cancer Prev Res (Phila Pa). 2011 Aug;4(8):1255–66.
Sinha R, Kulldorff M, Swanson CA, Curtin J, Brownson RC, Alavanja MC. Dietary heterocyclic amines and the risk of lung cancer among Missouri women. Cancer Res. 2000 Jul 15;60(14):3753–6.
Sinha R, Kulldorff M, Curtin J, Brown CC, Alavanja MC, Swanson CA. Fried, well-done red meat and risk of lung cancer in women (United States). Cancer Causes Control. 1998 Dec;9(6):621–30.
Thompson PA. Navigating the maize between red meat and oncomirs. Cancer Prev Res (Phila Pa). 2014 Aug;7(8):777–80.
Abid Z, Cross AJ, Sinha R. Meat, dairy, and cancer. Am J Clin Nutr. 2014 Jul;100 Suppl 1(1):386S-93S.
Guertin KA, Freedman ND, Loftfield E, Graubard BI, Caporaso NE, Sinha R. Coffee consumption and incidence of lung cancer in the NIH-AARP Diet and Health Study. Int J Epidemiol. 2016 Jun;45(3):929–39.
Brenner DR, Fehringer G, Zhang Z-F, Lee Y-CA, Meyers T, Matsuo K, et al. Alcohol consumption and lung cancer risk: A pooled analysis from the International Lung Cancer Consortium and the SYNERGY study. Cancer Epidemiol. 2019 Feb;58:25–32.
Bandera EV, Freudenheim JL, Vena JE. Alcohol consumption and lung cancer: a review of the epidemiologic evidence. Cancer Epidemiol Biomarkers Prev. 2001 Aug;10(8):813–21.
Li R, Zhou R, Zhang J. Function of PM2.5 in the pathogenesis of lung cancer and chronic airway inflammatory diseases. Oncol Lett. 2018 May;15(5):7506–14.
Loomis D, Grosse Y, Lauby-Secretan B, El Ghissassi F, Bouvard V, Benbrahim-Tallaa L, et al. The carcinogenicity of outdoor air pollution. Lancet Oncol. 2013 Dec;14(13):1262–3.
Gordon SB, Bruce NG, Grigg J, Hibberd PL, Kurmi OP, Lam KH, et al. Respiratory risks from household air pollution in low and middle income countries. Lancet Respir Med. 2014 Oct;2(10):823–60.
Korzeniowska A, Kozłowska A, Maksymowicz M, Machowiec P, Zimna A, Wróblewski H, et al. impact of indoor air pollution on the lung cancer – literature review. J Educ Health Sport. 2023 Apr 18;21(1):26–32.
Pope CA, Burnett RT, Thun MJ, Calle EE, Krewski D, Ito K, et al. Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution. JAMA. 2002 Mar 6;287(9):1132–41.
Brenner DR, Boffetta P, Duell EJ, Bickeböller H, Rosenberger A, McCormack V, et al. Previous lung diseases and lung cancer risk: a pooled analysis from the International Lung Cancer Consortium. Am J Epidemiol. 2012 Oct 1;176(7):573–85.
Mayne ST, Buenconsejo J, Janerich DT. Previous lung disease and risk of lung cancer among men and women nonsmokers. Am J Epidemiol. 1999 Jan 1;149(1):13–20.
Young RP, Hopkins RJ, Christmas T, Black PN, Metcalf P, Gamble GD. COPD prevalence is increased in lung cancer, independent of age, sex and smoking history. Eur Respir J. 2009 Aug;34(2):380–6.
Zheng W, Blot WJ, Liao ML, Wang ZX, Levin LI, Zhao JJ, et al. Lung cancer and prior tuberculosis infection in Shanghai. Br J Cancer. 1987 Oct;56(4):501–4.
Aoki K. Excess incidence of lung cancer among pulmonary tuberculosis patients. Jpn J Clin Oncol. 1993 Aug;23(4):205–20.
Caramori G, Adcock IM, Casolari P, Ito K, Jazrawi E, Tsaprouni L, et al. Unbalanced oxidant-induced DNA damage and repair in COPD: a link towards lung cancer. Thorax. 2011 Jun;66(6):521–7.
Buzaglo J, Gayer C, Mallick R, Charap E, Ferris A, Golant M, et al. Understanding the experience of living with non-small-cell lung cancer (NSCLC): a qualitative study. J Community Support Oncol. 2014 Jan;12(1):6–12.
Gajewska N, Szadowska-Szlachetka Z, Rząca MS, Gutek A, Gawron Ż, Gujska D, et al. Jakość życia pacjentów leczonych systemowo z powodu raka płuca = The quality of life of patients treated with systemic due to lung cancer | Journal of Education, Health and Sport. Journal of Education, Health and Sport. 2016 Dec 19;
Leppert W. Quality of life in patients with advanced lung cancer at home palliative care and at the in-patient palliative care unit. Medycyna Paliatywna/Palliative Medicine. 2010;
Pękała M, Kozaka J. Quality of life of lung cancer patients. psy. 2016;20(2):90–7.
Nooreldeen R, Bach H. Current and future development in lung cancer diagnosis. Int J Mol Sci. 2021 Aug 12;22(16).
Usman Ali M, Miller J, Peirson L, Fitzpatrick-Lewis D, Kenny M, Sherifali D, et al. Screening for lung cancer: A systematic review and meta-analysis. Prev Med. 2016 Aug;89:301–14.
Kalemkerian GP. Staging and imaging of small cell lung cancer. Cancer Imaging. 2012 Jan 12;11:253–8.
Collins LG, Haines C, Perkel R, Enck RE. Lung cancer: diagnosis and management. Am Fam Physician. 2007 Jan 1;75(1):56–63.
Detterbeck FC, Boffa DJ, Kim AW, Tanoue LT. The eighth edition lung cancer stage classification. Chest. 2017 Jan;151(1):193–203.
Goldstraw P, Chansky K, Crowley J, Rami-Porta R, Asamura H, Eberhardt WEE, et al. The IASLC lung cancer staging project: proposals for revision of the TNM stage groupings in the forthcoming (eighth) edition of the TNM classification for lung cancer. J Thorac Oncol. 2016 Jan;11(1):39–51.
Hyer JD, Silvestri G. Diagnosis and staging of lung cancer. Clin Chest Med. 2000 Mar;21(1):95–106, viii.
Hollings N, Shaw P. Diagnostic imaging of lung cancer. Eur Respir J. 2002 Apr;19(4):722–42.
Toyoda Y, Nakayama T, Kusunoki Y, Iso H, Suzuki T. Sensitivity and specificity of lung cancer screening using chest low-dose computed tomography. Br J Cancer. 2008 May 20;98(10):1602–7.
National Lung Screening Trial Research Team, Aberle DR, Adams AM, Berg CD, Black WC, Clapp JD, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011 Aug 4;365(5):395–409.
Lardinois D, Weder W, Hany TF, Kamel EM, Korom S, Seifert B, et al. Staging of non-small-cell lung cancer with integrated positron-emission tomography and computed tomography. N Engl J Med. 2003 Jun 19;348(25):2500–7.
Guhlmann A, Storck M, Kotzerke J, Moog F, Sunder-Plassmann L, Reske SN. Lymph node staging in non-small cell lung cancer: evaluation by [18F]FDG positron emission tomography (PET). Thorax. 1997 May;52(5):438–41.
Rivera MP, Mehta AC, Wahidi MM. Establishing the diagnosis of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May;143(5 Suppl):e142S-65S.
Andolfi M, Vaccarili M, Crisci R, Puma F. Management of tracheal chondrosarcoma almost completely obstructing the airway: a case report. J Cardiothorac Surg. 2016 Jul 11;11(1):101.
Woolner LB, Fontana RS, Cortese DA, Sanderson DR, Bernatz PE, Payne WS, et al. Roentgenographically occult lung cancer: pathologic findings and frequency of multicentricity during a 10-year period. Mayo Clin Proc. 1984 Jul;59(7):453–66.
Ikeda N, Hayashi A, Iwasaki K, Honda H, Tsuboi M, Usuda J, et al. Comprehensive diagnostic bronchoscopy of central type early stage lung cancer. Lung Cancer. 2007 Jun;56(3):295–302.
Wahidi MM, Herth FJF, Ernst A. State of the art: interventional pulmonology. Chest. 2007 Jan;131(1):261–74.
D’Urso V, Doneddu V, Marchesi I, Collodoro A, Pirina P, Giordano A, et al. Sputum analysis: non-invasive early lung cancer detection. J Cell Physiol. 2013 May;228(5):945–51.
Risse EK, Vooijs GP, van’t Hof MA. Relationship between the cellular composition of sputum and the cytologic diagnosis of lung cancer. Acta Cytol. 1987;31(2):170–6.
MacDougall B, Weinerman B. The value of sputum cytology. J Gen Intern Med. 1992;7(1):11–3.
Li W, Liu J-B, Hou L-K, Yu F, Zhang J, Wu W, et al. Liquid biopsy in lung cancer: significance in diagnostics, prediction, and treatment monitoring. Mol Cancer. 2022 Jan 20;21(1):25.
Kennedy TC, Hirsch FR, Miller YE, Prindiville S, Murphy JR, Dempsey E, et al. A randomized study of fluorescence bronchoscopy versus white-light bronchoscopy for early detection of lung cancer in high risk patients. Lung Cancer. 2000 Sep;29(1):244–5.
Subramaniam S, Thakur RK, Yadav VK, Nanda R, Chowdhury S, Agrawal A. Lung cancer biomarkers: State of the art. J Carcinog. 2013 Feb 28;12:3.
Howington JA, Blum MG, Chang AC, Balekian AA, Murthy SC. Treatment of stage I and II non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May;143(5 Suppl):e278S-e313S.
Lemjabbar-Alaoui H, Hassan OU, Yang Y-W, Buchanan P. Lung cancer: Biology and treatment options. Biochim Biophys Acta. 2015 Dec;1856(2):189–210.
Stokes WA, Rusthoven CG. Surgery vs. SBRT in retrospective analyses: confounding by operability is the elephant in the room. J Thorac Dis. 2018 Jun;10(Suppl 17):S2007–10.
Ye X, Fan W, Wang H, Wang J, Wang Z, Gu S, et al. Expert consensus workshop report: Guidelines for thermal ablation of primary and metastatic lung tumors (2018 edition). J Cancer Res Ther. 2018;14(4):730–44.
Casal RF, Walsh G, McArthur M, Hill LR, Landaeta MF, Armas Villalba AJ, et al. Bronchoscopic laser interstitial thermal therapy: an experimental study in normal porcine lung parenchyma. J Bronchology Interv Pulmonol. 2018 Oct;25(4):322–9.
Ettinger DS, Wood DE, Aisner DL, Akerley W, Bauman JR, Bharat A, et al. Non-Small Cell Lung Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2022 May;20(5):497–530.
Ramnath N, Dilling TJ, Harris LJ, Kim AW, Michaud GC, Balekian AA, et al. Treatment of stage III non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May;143(5 Suppl):e314S-e340S.
Dillman RO, Seagren SL, Propert KJ, Guerra J, Eaton WL, Perry MC, et al. A randomized trial of induction chemotherapy plus high-dose radiation versus radiation alone in stage III non-small-cell lung cancer. N Engl J Med. 1990 Oct 4;323(14):940–5.
Simoff MJ, Lally B, Slade MG, Goldberg WG, Lee P, Michaud GC, et al. Symptom management in patients with lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May 1;143(5 Suppl):e455S-97S.
Navada S, Lai P, Schwartz AG, Kalemkerian GP. Temporal trends in small cell lung cancer: Analysis of the national Surveillance, Epidemiology, and End-Results (SEER) database. JCO. 2006 Jun 20;24(18_suppl):7082–7082.
Kalemkerian GP, Loo BW, Akerley W, Attia A, Bassetti M, Boumber Y, et al. NCCN guidelines insights: small cell lung cancer, version 2.2018. J Natl Compr Canc Netw. 2018 Oct;16(10):1171–82.
Jett JR, Schild SE, Kesler KA, Kalemkerian GP. Treatment of small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May;143(5 Suppl):e400S-19S.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mateusz Dorochowicz, Aleksandra Krzemienowska-Cebulla, Iwona Matus, Hanna Senat, Aleksandra Madej
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 349
Number of citations: 0