• Issue

    Thoracic Cancer: Volume 12, Issue 5

    565-733
    March 2021

ISSUE INFORMATION

Free Access

Issue Information

  • Pages: 565-566
  • First Published: March 2021

MINI REVIEW

Open Access

Is video-assisted thoracoscopic lobectomy associated with higher overall costs compared with open surgery? Results of best evidence topic analysis

  • Pages: 567-579
  • First Published: 05 February 2021
Is video-assisted thoracoscopic lobectomy associated with higher overall costs compared with open surgery? Results of best evidence topic analysis

  • Is video-assisted thoracoscopic lobectomy associated with higher overall costs compared with open surgery? A review of the literature until May 2020 was performed, and 20 studies provided the most applicable evidence to evaluate this issue.
  • Thoracoscopic lobectomy was associated with higher operative costs than open lobectomy, but lower indirect costs. It translated into lower overall costs for thoracoscopic than for open lobectomy in 10 studies, similar in seven, and higher in three studies.
  • The worry that thoracoscopic lobectomy might be associated with increased total cost is thus not warranted, and should not be used as an excuse against the use of thoracoscopy in surgery for early stage lung cancers.

ORIGINAL ARTICLES

Open Access

Two polymorphic mutations in promoter region of DNA polymerase β in relatively higher percentage of thymic hyperplasia patients

  • Pages: 588-592
  • First Published: 13 December 2020
Two polymorphic mutations in promoter region of DNA polymerase β in relatively higher percentage of thymic hyperplasia patients

Two types of mutations in the promoter region of Polb gene, -168C>A and -188_-187insCGCCC, are associated with thymic hyperplasia and may become the new risk factors for this disease.

Open Access

In vitro studies of H520 cell cycle and apoptosis by anlotinib combined with radiotherapy

  • Pages: 593-602
  • First Published: 12 January 2021
In vitro studies of H520 cell cycle and apoptosis by anlotinib combined with radiotherapy

Anlotinib had an inhibitory effect on lung cancer H520 cell proliferation. Anlotinib combined with radiotherapy was able to synergistically inhibit tumor cell growth.

Open Access

Clinical utility of the C-reactive protein:albumin ratio in non-small cell lung cancer patients treated with nivolumab

  • Pages: 603-612
  • First Published: 12 January 2021
Clinical utility of the C-reactive protein:albumin ratio in non-small cell lung cancer patients treated with nivolumab

The baseline C-reactive protein:albumin ratio was significantly associated with overall survival in non-small cell lung cancer patients treated with nivolumab monotherapy. The time-series change of this marker may be useful in predicting the treatment efficacy with nivolumab.

Open Access

Real-world efficacy of atezolizumab in non-small cell lung cancer: A multicenter cohort study focused on performance status and retreatment after failure of anti-PD-1 antibody

  • Pages: 613-618
  • First Published: 15 January 2021
Real-world efficacy of atezolizumab in non-small cell lung cancer: A multicenter cohort study focused on performance status and retreatment after failure of anti-PD-1 antibody

Swimmers plot of atezolizumab according to the efficacy of prior anti-PD-1 treatment. Seven patients (18.4%, 7/38) continued atezolizumab over four months as an ICI retreatment.

Open Access

Tumor LAG-3 and NY-ESO-1 expression predict durable clinical benefits of immune checkpoint inhibitors in advanced non-small cell lung cancer

  • Pages: 619-630
  • First Published: 17 January 2021
Tumor LAG-3 and NY-ESO-1 expression predict durable clinical benefits of immune checkpoint inhibitors in advanced non-small cell lung cancer

NY-ESO-1 or LAG-3 expression in patients with high PD-L1 expression was significantly associated with a favorable OS and PFS for immunotherapy in NSCLC. Moreover, LAG-3 and NY-ESO-1 co-expression was considered as a predictable marker for survival outcome and LAG-3 showed a good negative predictive value.

Open Access

HSP90 inhibition overcomes EGFR amplification-induced resistance to third-generation EGFR-TKIs

  • Pages: 631-642
  • First Published: 20 January 2021
HSP90 inhibition overcomes EGFR amplification-induced resistance to third-generation EGFR-TKIs

Third-generation EGFR-TKIs overcome EGFR T790M-meditated resistance. However, amplified EGFR confers resistance to third-generation EGFR-TKIs. Inhibiting HSP90, a chaperon for EGFR, suppresses the proliferation of EGFR-amplified cells by degrading EGFR in vitro, providing a preclinical rationale for the use of HSP90 inhibitors to overcome the EGFR amplification-meditated resistance.

Open Access

Crizotinib for recurring non-small-cell lung cancer with EML4-ALK fusion genes previously treated with alectinib: A phase II trial

  • Pages: 643-649
  • First Published: 20 January 2021
Crizotinib for recurring non-small-cell lung cancer with EML4-ALK fusion genes previously treated with alectinib: A phase II trial

We evaluated the efficacy and safety of crizotinib in patients with ALK-positive non-small cell lung cancer refractory to alectinib. We included nine patients and stipulated an overall response rate (ORR) of 50% and a lower limit of interest of 15%. The ORR was 33.3%, failing to meet the criteria. However, the treatment showed efficacy alongside tolerable adverse effects.

Open Access

HN1L promotes invasion and metastasis of the esophagogastric junction adenocarcinoma

  • Pages: 650-658
  • First Published: 20 January 2021
HN1L promotes invasion and metastasis of the esophagogastric junction adenocarcinoma

This study investigated the expression level of HN1L in AEG and adjacent nontumor tissues and further explored the correlation between HN1L expression and clinical parameters, confirming the regulatory effect of HN1L on the malignant proliferation of AEG. We found that knockdown of HN1L could effectively inhibit tumor growth, invasion, and metastasis, which indicates that HN1L may be a potential therapeutic target for AEG patients.

Open Access

Tumor-educated platelet SNORD55 as a potential biomarker for the early diagnosis of non-small cell lung cancer

  • Pages: 659-666
  • First Published: 21 January 2021
Tumor-educated platelet SNORD55 as a potential biomarker for the early diagnosis of non-small cell lung cancer

Our findings reveal cancer-specific changes of SNORD55 in platelets of NSCLC, which paving the way for the exploitation of sensitive and specific NSCLC diagnostic biomarker either alone or in combination, providing certain basis for clinical projects of TEP SNORD55 in early screening of NSCLC.

Open Access

Diffusion-weighted whole-body imaging with background suppression (DWIBS) is effective and economical for detection of metastasis or recurrence of lung cancer

  • Pages: 676-684
  • First Published: 21 January 2021
Diffusion-weighted whole-body imaging with background suppression (DWIBS) is effective and economical for detection of metastasis or recurrence of lung cancer

DWIBS has benefits of diagnostic accuracy and is less expensive in medical costs for the detection of a relapse. DWIBS could potentially replace PET-CT after lung cancer resection.

CASE REPORTS

Open Access

Ruptured pseudoaneurysm of the thoracic aorta mimicking lung cancer: A case report

  • Pages: 685-689
  • First Published: 09 January 2021
Ruptured pseudoaneurysm of the thoracic aorta mimicking lung cancer: A case report

PTA shows stable hemodynamics, but the risk of rupture is extremely high and frequently fatal. To assist in the differential diagnoses, clinicians need to be familiar with imaging findings of PTA.

Open Access

Early-onset interstitial pneumonitis in a patient with advanced non-small cell lung cancer treated with crizotinib and osimertinib

  • Pages: 690-692
  • First Published: 12 January 2021

Both crizotinib and osimertinib had an adverse effect of interstitial pneumonitis in non-small cell lung cancer (NSCLC) treatment. Here, we report a 60-year-old male patient with advanced non-small cell lung cancer resistant to osimertinib. Crizotinib was used in combination with osimertinib due to elevated mesenchymal epithelial transition (MET) copy number amplification, but an early-onset interstitial pneumonitis occurred within two days.

Open Access

Coexistence of atypical adenomatous hyperplasia, minimally invasive adenocarcinoma and invasive adenocarcinoma: Gene mutation analysis

  • Pages: 693-698
  • First Published: 14 January 2021
Coexistence of atypical adenomatous hyperplasia, minimally invasive adenocarcinoma and invasive adenocarcinoma: Gene mutation analysis

We analyzed the origin and evolution of lung adenocarcinoma based on the WES results of MPLC in one individual. Analysis of the WES results reflects a progressive genomic evolution at the single nucleotide level, which we believe supports the lung adenocarcinoma model from AAH to MIA and ADC. Meanwhile, we explored possible potential driver genes and therapeutic targets.

Open Access

Long-term remission of small cell lung cancer after reactivation of tuberculosis following immune-checkpoint blockade: A case report

  • Pages: 699-702
  • First Published: 17 January 2021
Long-term remission of small cell lung cancer after reactivation of tuberculosis following immune-checkpoint blockade: A case report

Our case illustrates the complexity of ICI-associated immune modulation in tuberculosis. Since new lesions in lung cancer patients are commonly associated with tumor progression, infections with mycobacterial tuberculosis may be underdiagnosed in lung cancer.

Open Access

How far will minimally invasive thoracic surgery go? Uniportal video-assisted thoracoscopic lingulectomy with 1 cm incision complicated by a mediastinal lingual artery: A case report

  • Pages: 703-706
  • First Published: 18 January 2021
How far will minimally invasive thoracic surgery go? Uniportal video-assisted thoracoscopic lingulectomy with 1 cm incision complicated by a mediastinal lingual artery: A case report

This is a report of a 36-year-old female with a ground-glass nodule in the left lingual segment determined on computed tomography (CT) who successfully underwent 1 cm incision uniportal thoracoscopic lingulectomy. This procedure is technically safe and feasible in selected patients and produces better cosmetic results than traditional thoracoscopic surgery.

Open Access

Tegafur-uracil-induced pericardial effusion during adjuvant chemotherapy for resected lung adenocarcinoma: A case report

  • Pages: 707-710
  • First Published: 18 January 2021
Tegafur-uracil-induced pericardial effusion during adjuvant chemotherapy for resected lung adenocarcinoma: A case report

This is a rare case report of tegafur-uracil-induced pericardial effusion that mimics a malignant pericardial effusion in a patient with primary lung cancer. In cases of pericardial effusion without symptoms and no suspicious metastatic lesions in other organs, we should be concerned about tegafur-uracil-induced pericardial effusion, and short-term follow-up after discontinuation of tegafur-uracil should be recommended.

Open Access

Synchronous triple primary lung cancer with three different histological subtypes in the same lobe: A case report

  • Pages: 711-714
  • First Published: 20 January 2021
Synchronous triple primary lung cancer with three different histological subtypes in the same lobe: A case report

This is the first case of synchronous triple primary lung cancer with different histological subtypes in the same lobe of the lung.

Open Access

Transformation from adenocarcinoma to squamous cell lung carcinoma with MET amplification after lorlatinib resistance: A case report

  • Pages: 715-719
  • First Published: 21 January 2021
Transformation from adenocarcinoma to squamous cell lung carcinoma with MET amplification after lorlatinib resistance: A case report

Little has been reported on acquired resistance mechanisms to lorlatinib. Here, we report a case of a patient with ALK-positive lung adenocarcinoma that acquired resistance to lorlatinib during treatment for brain metastasis and showed histological transformation to squamous cell carcinoma with MET amplification. We also review the previous literature on the resistance mechanism to ALK inhibitors.

Open Access

Immune checkpoint inhibitors-induced eosinophilic pneumonia: A case report

  • Pages: 720-724
  • First Published: 21 January 2021
Immune checkpoint inhibitors-induced eosinophilic pneumonia: A case report

This report describes a 78-year-old man with renal cell carcinoma treated with nivolumab and ipilimumab immunotherapy and is the first reported case of eosinophilic pneumonia caused by treatment with combined immune checkpoint inhibitors (ICIs).

STUDY PROTOCOL

Open Access

Novel prospective umbrella-type lung cancer registry study for clarifying clinical practice patterns: CS-Lung-003 study protocol

  • Pages: 725-731
  • First Published: 12 January 2021
Novel prospective umbrella-type lung cancer registry study for clarifying clinical practice patterns: CS-Lung-003 study protocol

We constructed an umbrella-type lung cancer patient registry (CS-Lung-003) integrating multiple related prospective observational studies (linked studies) that reflect clinical questions about lung cancer treatment. Under this single registry, researchers collaborate on patient registration and data provision for their own and other studies.