Understanding Lung Cancer: Types, Epidemiology, Risk Factors, Symptoms, Historical Development, Current and Future Research, and Social Implications
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This presentation covers the basic concepts of lung cancer, including its types, epidemiology, risk factors, symptoms, historical development, current and future research, and social implications. It also includes noteworthy researches for screening, diagnosis, and prognosis of lung cancer.
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Lung Cancer
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Basic Concepts
• The basic concepts that has to be learned to
understand about its conditions are-
• What is lung cancer?
• Types of lung cancer
• The types of lung cancer.
• The epidemiology
• The risk factors
• The basic concepts that has to be learned to
understand about its conditions are-
• What is lung cancer?
• Types of lung cancer
• The types of lung cancer.
• The epidemiology
• The risk factors
What is lung Cancer?
• Lung cancer is a malignant
lung tumor that is
characterized by uncontrolled
cell growth in the lung
tissues.
• Types of lung cancer-
• Non-small cell lung cancer
• Small cell lung cancer
• Lung metastasis
• Lung cancer is a malignant
lung tumor that is
characterized by uncontrolled
cell growth in the lung
tissues.
• Types of lung cancer-
• Non-small cell lung cancer
• Small cell lung cancer
• Lung metastasis
Epidemiology
(Canadian cancer society, 2017).
(Canadian cancer society, 2017).
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Risk factors
• Some of the risk factors associated with lung
cancer are cigarette smoking.
• Exposure to second hand smoke.
• Occupational exposures such as (Asbestos,
motor vehicle pollutants and emissions)
• Less intake of Beta carotene
• Radiations
• Some of the risk factors associated with lung
cancer are cigarette smoking.
• Exposure to second hand smoke.
• Occupational exposures such as (Asbestos,
motor vehicle pollutants and emissions)
• Less intake of Beta carotene
• Radiations
Signs and Symptoms
• Chest pain
• Bloody sputum
• Weight loss
• Loss of appetite
• Unknown fever
• Chest pain
• Bloody sputum
• Weight loss
• Loss of appetite
• Unknown fever
Historical development
• Lung cancer was not identified as a disease until 1700
• In 1810, the various features of the lung cancer was
identified
• The screening tests for lung cancer began in 1950s with
annual chest x-rays or sputum cytology (Canadian cancer
society, 2017).
• In 1949 Nitrogen mustard (mechlorethamine) becomes
the first chemotherapy approved by the FDA.
• Discovery of the interferon in treating cancer in mice
• Introduction of radiotherapy in the year 1960
• Lung cancer was not identified as a disease until 1700
• In 1810, the various features of the lung cancer was
identified
• The screening tests for lung cancer began in 1950s with
annual chest x-rays or sputum cytology (Canadian cancer
society, 2017).
• In 1949 Nitrogen mustard (mechlorethamine) becomes
the first chemotherapy approved by the FDA.
• Discovery of the interferon in treating cancer in mice
• Introduction of radiotherapy in the year 1960
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Current research
Noteworthy researches for screening lung cancer
early-
• Finding a low cost tool for predicting whether
the smoker has a high risk of developing lung
cancer
• Testing of the urine, blood and sputum or
exhaled breath
Noteworthy researches for screening lung cancer
early-
• Finding a low cost tool for predicting whether
the smoker has a high risk of developing lung
cancer
• Testing of the urine, blood and sputum or
exhaled breath
Current researches
Noteworthy researches for the diagnosis and the
prognosis of the lung cancer
• Endobronchial ultrasound biopsy
• Biomarkers
• Testing of the several tumor markers at the
same time
Noteworthy researches for the diagnosis and the
prognosis of the lung cancer
• Endobronchial ultrasound biopsy
• Biomarkers
• Testing of the several tumor markers at the
same time
Current researches
• Positive pleural lavage cytology (presence of cancer cells
in the washings from the lining of the lung and rib cage)
• Researches about Metformin (antidiabetic drug)
• Immunotherapy
• Radiation therapies like proton beam radiation therapy,
image –guided radiation therapy and dose-escalation
therapy
Computed tomography guided
fine needle aspiration cytology
Immunotherapy
• Positive pleural lavage cytology (presence of cancer cells
in the washings from the lining of the lung and rib cage)
• Researches about Metformin (antidiabetic drug)
• Immunotherapy
• Radiation therapies like proton beam radiation therapy,
image –guided radiation therapy and dose-escalation
therapy
Computed tomography guided
fine needle aspiration cytology
Immunotherapy
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Social implications of cancer research
The social implication may consist of:-
• Use of the human specimens
• Potential rights and the welfare of the human
participants.
• Privacy and confidentiality of the patient
information
• Informed consent
• Storage of the information for future researches
The social implication may consist of:-
• Use of the human specimens
• Potential rights and the welfare of the human
participants.
• Privacy and confidentiality of the patient
information
• Informed consent
• Storage of the information for future researches
Future researches
• Robot assisted surgery
• Combination of both
immunotherapy and
Chemotherapy.
• Use of the monoclonal
antibodies
Robot assisted surgery
• Robot assisted surgery
• Combination of both
immunotherapy and
Chemotherapy.
• Use of the monoclonal
antibodies
Robot assisted surgery
Future researches
• Antibody drug conjugates
• Cell cycle checkpoint inhibitors
• Development of appetite enhancing drugs
• Antibody drug conjugates
• Cell cycle checkpoint inhibitors
• Development of appetite enhancing drugs
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Quiz questions
• What is lung cancer? State some of the
common symptoms ?
• Name some promising fields of research in
lung cancer treatment?
• What is lung cancer? State some of the
common symptoms ?
• Name some promising fields of research in
lung cancer treatment?
References
• Arrieta, O., Varela-Santoyo, E., Soto-Perez-de-Celis, E., Sánchez-Reyes, R., De la Torre-Vallejo, M., Muñiz-Hernández, S., & Cardona, A. F. (2016).
Metformin use and its effect on survival in diabetic patients with advanced non-small cell lung cancer. BMC cancer, 16(1), 633.
• Cameron, S. J., Lewis, K. E., Beckmann, M., Allison, G. G., Ghosal, R., Lewis, P. D., & Mur, L. A. (2016). The metabolomic detection of lung cancer
biomarkers in sputum. Lung Cancer, 94, 88-95.
• Canadian cancer society. (2017). Research in lung cancer. Access date: 1.12.2018. Retrieved from:
http://www.cancer.ca/en/cancer-information/cancer-type/lung/statistics/?region=on
• Cancer Genome Atlas Research Network. (2012). Comprehensive genomic characterization of squamous cell lung cancers. Nature, 489(7417),
519.
• Casadio, C., Guarize, J., Donghi, S., Di Tonno, C., Fumagalli, C., Vacirca, D., ... & Barberis, M. (2015). Molecular testing for targeted therapy in
advanced non–small cell lung cancer: suitability of endobronchial ultrasound transbronchial needle aspiration. American journal of clinical
pathology, 144(4), 629-634.
• Govindan, R., Szczesna, A., Ahn, M. J., Schneider, C. P., Gonzalez Mella, P. F., Barlesi, F., ... & Fadeeva, N. (2017). Phase III trial of ipilimumab
combined with paclitaxel and carboplatin in advanced squamous non–small-cell lung cancer. Journal of Clinical Oncology, 35(30), 3449-3457.
• Jiang, T., & Zhou, C. (2015). The past, present and future of immunotherapy against tumor. Translational lung cancer research, 4(3), 253.
• Koike, T., Goto, T., Kitahara, A., Sato, S., Saitoh, M., Hashimoto, T., ... & Tsuchida, M. (2017). Characteristics and timing of recurrence during
postoperative surveillance after curative resection for lung adenocarcinoma. Surgery today, 47(12), 1469-1475.
• Nguyen, Q. N., Ly, N. B., Komaki, R., Levy, L. B., Gomez, D. R., Chang, J. Y., ... & Liao, Z. (2015). Long-term outcomes after proton therapy, with
concurrent chemotherapy, for stage II–III inoperable non-small cell lung cancer. Radiotherapy and Oncology, 115(3), 367-372.
• Rosell, R., Dafni, U., Felip, E., Curioni-Fontecedro, A., Gautschi, O., Peters, S., ... & Früh, M. (2017). Erlotinib and bevacizumab in patients with
advanced non-small-cell lung cancer and activating EGFR mutations (BELIEF): an international, multicentre, single-arm, phase 2 trial. The
Lancet Respiratory Medicine, 5(5), 435-444.
• Sheervalilou, R., Ansarin, K., Fekri Aval, S., Shirvaliloo, S., Pilehvar soltanahmadi, Y., Mohammadian, M., & Zarghami, N. (2016). An update on‐
sputum Micro RNA s in lung cancer diagnosis. Diagnostic cytopathology, 44(5), 442-449.
• Tammemagi, M. C., Schmidt, H., Martel, S., McWilliams, A., Goffin, J. R., Johnston, M. R., ... & Soghrati, K. (2017). Participant selection for lung
cancer screening by risk modelling (the Pan-Canadian Early Detection of Lung Cancer [PanCan] study): a single-arm, prospective study. The
Lancet Oncology, 18(11), 1523-1531.
• Tarhini, A. A., Rafique, I., Floros, T., Tran, P., Gooding, W. E., Villaruz, L. C., ... & Gomez Garcia, J. (2017). Phase 1/2 study of rilotumumab (AMG‐
102), a hepatocyte growth factor inhibitor, and erlotinib in patients with advanced non–small cell lung cancer. Cancer, 123(15), 2936-2944.
• Wong, K. M., Ding, K., Li, S., Bradbury, P., Tsao, M. S., Der, S. D., ... & Leighl, N. B. (2017). A Cost-Effectiveness Analysis of Using the JBR. 10-
Based 15-Gene Expression Signature to Guide Adjuvant Chemotherapy in Early Stage Non–Small-Cell Lung Cancer. Clinical lung cancer, 18(1),
e41-e47.
• Arrieta, O., Varela-Santoyo, E., Soto-Perez-de-Celis, E., Sánchez-Reyes, R., De la Torre-Vallejo, M., Muñiz-Hernández, S., & Cardona, A. F. (2016).
Metformin use and its effect on survival in diabetic patients with advanced non-small cell lung cancer. BMC cancer, 16(1), 633.
• Cameron, S. J., Lewis, K. E., Beckmann, M., Allison, G. G., Ghosal, R., Lewis, P. D., & Mur, L. A. (2016). The metabolomic detection of lung cancer
biomarkers in sputum. Lung Cancer, 94, 88-95.
• Canadian cancer society. (2017). Research in lung cancer. Access date: 1.12.2018. Retrieved from:
http://www.cancer.ca/en/cancer-information/cancer-type/lung/statistics/?region=on
• Cancer Genome Atlas Research Network. (2012). Comprehensive genomic characterization of squamous cell lung cancers. Nature, 489(7417),
519.
• Casadio, C., Guarize, J., Donghi, S., Di Tonno, C., Fumagalli, C., Vacirca, D., ... & Barberis, M. (2015). Molecular testing for targeted therapy in
advanced non–small cell lung cancer: suitability of endobronchial ultrasound transbronchial needle aspiration. American journal of clinical
pathology, 144(4), 629-634.
• Govindan, R., Szczesna, A., Ahn, M. J., Schneider, C. P., Gonzalez Mella, P. F., Barlesi, F., ... & Fadeeva, N. (2017). Phase III trial of ipilimumab
combined with paclitaxel and carboplatin in advanced squamous non–small-cell lung cancer. Journal of Clinical Oncology, 35(30), 3449-3457.
• Jiang, T., & Zhou, C. (2015). The past, present and future of immunotherapy against tumor. Translational lung cancer research, 4(3), 253.
• Koike, T., Goto, T., Kitahara, A., Sato, S., Saitoh, M., Hashimoto, T., ... & Tsuchida, M. (2017). Characteristics and timing of recurrence during
postoperative surveillance after curative resection for lung adenocarcinoma. Surgery today, 47(12), 1469-1475.
• Nguyen, Q. N., Ly, N. B., Komaki, R., Levy, L. B., Gomez, D. R., Chang, J. Y., ... & Liao, Z. (2015). Long-term outcomes after proton therapy, with
concurrent chemotherapy, for stage II–III inoperable non-small cell lung cancer. Radiotherapy and Oncology, 115(3), 367-372.
• Rosell, R., Dafni, U., Felip, E., Curioni-Fontecedro, A., Gautschi, O., Peters, S., ... & Früh, M. (2017). Erlotinib and bevacizumab in patients with
advanced non-small-cell lung cancer and activating EGFR mutations (BELIEF): an international, multicentre, single-arm, phase 2 trial. The
Lancet Respiratory Medicine, 5(5), 435-444.
• Sheervalilou, R., Ansarin, K., Fekri Aval, S., Shirvaliloo, S., Pilehvar soltanahmadi, Y., Mohammadian, M., & Zarghami, N. (2016). An update on‐
sputum Micro RNA s in lung cancer diagnosis. Diagnostic cytopathology, 44(5), 442-449.
• Tammemagi, M. C., Schmidt, H., Martel, S., McWilliams, A., Goffin, J. R., Johnston, M. R., ... & Soghrati, K. (2017). Participant selection for lung
cancer screening by risk modelling (the Pan-Canadian Early Detection of Lung Cancer [PanCan] study): a single-arm, prospective study. The
Lancet Oncology, 18(11), 1523-1531.
• Tarhini, A. A., Rafique, I., Floros, T., Tran, P., Gooding, W. E., Villaruz, L. C., ... & Gomez Garcia, J. (2017). Phase 1/2 study of rilotumumab (AMG‐
102), a hepatocyte growth factor inhibitor, and erlotinib in patients with advanced non–small cell lung cancer. Cancer, 123(15), 2936-2944.
• Wong, K. M., Ding, K., Li, S., Bradbury, P., Tsao, M. S., Der, S. D., ... & Leighl, N. B. (2017). A Cost-Effectiveness Analysis of Using the JBR. 10-
Based 15-Gene Expression Signature to Guide Adjuvant Chemotherapy in Early Stage Non–Small-Cell Lung Cancer. Clinical lung cancer, 18(1),
e41-e47.
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