• Title/Summary/Keyword: lung

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Lung Cancer Detection by Screening - Presenting Circulating miRNAs as a Promising Next Generation Biomarker Breakthrough

  • Ramshankar, Vijayalakshmi;Krishnamurthy, Arvind
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2167-2172
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    • 2013
  • Lung cancer remains a major cause of morbidity and mortality worldwide, accounting for more deaths than any other cause. All the clinical practice guidelines recommended against routine screening for lung cancer have cited lack of robust evidence, at least until a few years back. However, the potential to screen lung cancers has received renewed interest due to superior performance of low dose CT (LD-CT) in detecting early stage cancers. The incremental costs and risks involved due to the invasive procedures in the screened population due to a high false positivity rate questions the use of LD-CT scan as a reliable community based screening tool. There is therefore an urgent need to find a less invasive and a more reliable biomarker that is crucial to increase the probability of early lung cancer detection. This can truly make a difference in lung cancer survival and at the same time be more cost and resource utilization effective. Sampling blood serum being minimally invasive, low risk and providing an easy to obtain biofluid, needs to be explored for potential biomarkers. This review discusses the use of circulatory miRNAs that have been able to discriminate lung cancer patients from disease free controls. Several studies conducted recently suggest that circulating miRNAs may have promising future applications for screening and early detection of lung cancer.

Resection for Pancreatic Cancer Lung Metastases

  • Okui, Masayuki;Yamamichi, Takashi;Asakawa, Ayaka;Harada, Masahiko;Horio, Hirotoshi
    • Journal of Chest Surgery
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    • v.50 no.5
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    • pp.326-328
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    • 2017
  • Background: Pancreatic cancer is a highly aggressive solid tumor. Patients with metastases from pancreatic cancer have poor survival rates. Here, we report the outcomes of 6 patients for whom resection of lung metastases was performed after a pancreatectomy to treat pancreatic cancer. Methods: We retrospectively reviewed the perioperative clinical data of patients with lung metastases resulting from primary pancreatic cancer who were treated with lung resection between 2008 and 2015. We report 6 cases where lung resection was performed to treat lung metastases after a pancreatectomy. Results: The number of lung metastases was 1 in 5 cases and 2 in 1 case. The surgical procedures performed to treat the lung metastases included 4 wedge resections and 2 lobectomies. The cell type of the primary tumor and metastases was tubular adenocarcinoma in 5 cases and intraductal papillary-mucinous carcinoma in 1 case. All 6 patients survived with a mean follow-up period of 65.6 months, although the disease recurred in 2 patients. Conclusion: Resection of lung metastases resulting from primary pancreatic cancer may lengthen survival, provided the patient can tolerate surgery.

No Association between Tumor Necrosis Factor-alpha Gene Polymorphisms and Lung Cancer Risk

  • Kim, Jin Hee;Hong, Yun-Chul
    • Environmental Analysis Health and Toxicology
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    • v.28
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    • pp.12.1-12.5
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    • 2013
  • Objectives The role of genetic polymorphisms of tumor necrosis factor-alpha (TNF-${\alpha}$) for lung cancer development was evaluated. Methods Genotypes of the TNF-${\alpha}$ polymorphisms, -1210C>T, -487A>G, -417A>G, IVS1+123G>A, and IVS3+51A>G, were determined in 616 lung cancer cases and 616 lung cancer-free controls. Results After adjusting for body mass index and smoking, each TNF-${\alpha}$ genotype or haplotype composed of five TNF-${\alpha}$ single nucleotide polymorphisms did not show an association with lung cancer risk (p>0.05). The statistical power was found to be 88.4%, 89.3%, 93.3%, 69.7%, and 93.9% for 1210C>T, -487A>G, -417A>G, IVS1+123G>A, and IVS3+51A>G, respectively. Furthermore, the effects of each SNP or haplotype on lung cancer risk were not found to be different according to the cell type of lung cancer (p>0.05). In the repeated analysis with only subjects without other diseases related to inflammation, there was also no association between polymorphisms or haplotypes of the TNF-${\alpha}$ gene and lung cancer risk (p>0.05). Conclusions This study found no association between common variants of the TNF-${\alpha}$ gene and lung cancer risk.

A Study on the Size of Lung by Radiographic Method in Normal Korean (정상(正常) 한국인(韓國人)의 폐야(肺野)크기에 대(對)한 조사연구(調査硏究))

  • Kim, Wha-Gon
    • Journal of radiological science and technology
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    • v.1 no.1
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    • pp.69-73
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    • 1978
  • This study was conducted in order to determine width, length of lung by radiographic method. The measurements carried out on normal chest X-ray film of 1,036 persons who took the radiograph from the April of 1977 to the June of 1978. As a result of this study, the following conclusions were obtained: 1. In the case of male, the average width, and length of both side lung size from new birth to nineteen of age was larger than female with the exception of partly age group. 2. Lung size in average width at adult was from 27.60cm to 29.20cm and female was 25.10cm to 26.22cm. 3. The mean length of left lung at adult was from 26.32cm to 25.27cm in female. 4. The average length of right lung at adult was from 25.8cm to 28.35cm in male and female was from 24.86cm to 25.17cm. 5. It was found that lung sige in width and length was slightly increased until 39 years of age, but was trend to decrease it of lung in the age of 40 years old. 6. In the case of adult, the difference of the average length between right and left lung, the length of right lung was slightly shorter than left that.

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Hormonal Replacement Therapy and the Risk of Lung Cancer in Women: An Adaptive Meta-analysis of Cohort Studies

  • Bae, Jong-Myon;Kim, Eun Hee
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.6
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    • pp.280-286
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    • 2015
  • Objectives: Approximately 10% to 15% of lung cancer cases occur in never-smokers. Hormonal factors have been suggested to lead to an elevated risk of lung cancer in women. This systematic review (SR) aimed to investigate the association between hormonal replacement therapy (HRT) and the risk of lung cancer in women using cohort studies. Methods: We first obtained previous SR articles on this topic. Based on these studies we made a list of refereed, cited, and related articles using the PubMed and Scopus databases. All cohort studies that evaluated the relative risk of HRT exposure on lung cancer occurrence in women were selected. Estimate of summary effect size (sES) with 95% confidence intervals (CIs) were calculated. Results: A total of 14 cohort studies were finally selected. A random effect model was applied due to heterogeneity (I-squared, 64.3%). The sES of the 14 articles evaluating the impact of HRT exposure on lung cancer occurrence in women indicated no statistically significant increase in lung cancer risk (sES, 0.99; 95% CI, 0.90 to 1.09). Conclusions: These results showed that HRT history had no effect on the risk of lung cancer in women, even though the sES of case-control studies described in previous SR articles indicated that HRT had a protective effect against lung cancer. It is necessary to conduct a pooled analysis of cohort studies.

The analysis of α-quartz in the worker's lung died of coal workers' pneumoconiosis by FT-IR (푸리에 변환 적외선 분광기에 의한 사망한 탄광부 진폐증자의 폐조직내 석영농도)

  • Kim, Hae-Jeong;Choi, Ho-Chun;Chung, Ho-Keun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.1 no.2
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    • pp.238-245
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    • 1991
  • This study was analysis of ${\alpha}$-quartz in the 37 worker's lung died of coal workers' pneumoconiosis(CWP) and in the 9 normal's lung by Fourier transform infrared spectrophotometer. The results were as follows : 1. The dried lung weight percents in wet lung weight were 24.4%, 25.4%, coal workers' pneumoconiosis and normal lungs, respectively. Ash weight percents in dried lung weight were 7.7%, 5.0%, coal workers' pneumoconiosis and normal lungs, respectively. 2. The presision (as of coefficient of variation) for the ${\alpha}$-quartz determination were 2.6% in standard quartz (ranged from 9.9 to $198.0{\mu}g$) and 3.7% in ashed lung samples. 3. The characterstic ${\alpha}$-quartz absorption spectra in lungs of CWP were only shawn by LTA ashing. 4. Geometric mean of ${\alpha}$-quartz concentration in CWP lung was 173mg/100g dried lung. 5. The concentrations of ${\alpha}$-quartz in Korean CWP lungs were similar to those of foreign coal miner's lungs.

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Anesthetic management during whole-lung lavage using lung ultrasound in a patient with pulmonary alveolar proteinosis: a case report

  • Jung, Jae Wan;Lee, Hyunho;Oh, Jimi
    • Journal of Yeungnam Medical Science
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    • v.38 no.4
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    • pp.374-380
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    • 2021
  • Pulmonary alveolar proteinosis (PAP) is an uncommon disease characterized by progressive accumulation of lipoprotein material in the lungs due to impaired surfactant clearance. Whole-lung lavage (WLL) is the current standard treatment and consists of sequential lavage of each lung to mechanically remove the residual material from the alveoli. Although WLL is considered safe, unexpected complications can occur. Moreover, due to the rarity of the disease itself, this procedure is unknown to many physicians, and management of intraoperative complications can be challenging for anesthesiologists. Lung ultrasound (LUS) provides reliable and valuable information for detecting perioperative pulmonary complications and, in particular, quantitation of lung water content. There have been reports on monitoring the different stages of controlled deaeration of the non-ventilated lung during WLL using LUS. However, it has been limited to non-ventilated lungs. Therefore, we report the use of LUS in WLL to proactively detect pulmonary edema in the ventilated lung and implement a safe and effective anesthesia strategy. Given the limited diagnostic tools available to anesthesiologists in the operating room, LUS is a reliable, fast, and noninvasive method for identifying perioperative pulmonary complications in patients with PAP undergoing WLL.

Indoor Radon and Lung Cancer: Estimation of Attributable Risk, Disease Burden, and Effects of Mitigation

  • Kim, Si-Heon;Koh, Sang-Baek;Lee, Cheol-Min;Kim, Changsoo;Kang, Dae Ryong
    • Yonsei Medical Journal
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    • v.59 no.9
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    • pp.1123-1130
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    • 2018
  • Purpose: Exposure to indoor radon is associated with lung cancer. This study aimed to estimate the number of lung cancer deaths attributable to indoor radon exposure, its burden of disease, and the effects of radon mitigation in Korea in 2010. Materials and Methods: Lung cancer deaths due to indoor radon exposure were estimated using exposure-response relations reported in previous studies. Years of life lost (YLLs) were calculated to quantify disease burden in relation to premature deaths. Mitigation effects were examined under scenarios in which all homes with indoor radon concentrations above a specified level were remediated below the level. Results: The estimated number of lung cancer deaths attributable to indoor radon exposure ranged from 1946 to 3863, accounting for 12.5-24.7% of 15623 total lung cancer deaths in 2010. YLLs due to premature deaths were estimated at 43140-101855 years (90-212 years per 100000 population). If all homes with radon levels above $148Bq/m^3$ are effectively remediated, 502-732 lung cancer deaths and 10972-18479 YLLs could be prevented. Conclusion: These findings suggest that indoor radon exposure contributes considerably to lung cancer, and that reducing indoor radon concentration would be helpful for decreasing the disease burden from lung cancer deaths.

Application of machine learning and deep neural network for wave propagation in lung cancer cell

  • Xing, Lumin;Liu, Wenjian;Li, Xin;Wang, Han;Jiang, Zhiming;Wang, Lingling
    • Advances in nano research
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    • v.13 no.3
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    • pp.297-312
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    • 2022
  • Coughing and breath shortness are common symptoms of nano (small) cell lung cancer. Smoking is main factor in causing such cancers. The cancer cells form on the soft tissues of lung. Deformation behavior and wave vibration of lung affected when cancer cells exist. Therefore, in the current work, phase velocity behavior of the small cell lung cancer as a main part of the body via an exact size-dependent theory is presented. Regarding this problem, displacement fields of small cell lung cancer are obtained using first-order shear deformation theory with five parameters. Besides, the size-dependent small cell lung cancer is modeled via nonlocal stress/strain gradient theory (NSGT). An analytical method is applied for solving the governing equations of the small cell lung cancer structure. The novelty of the current study is the consideration of the five-parameter of displacement for curved panel, and porosity as well as NSGT are employed and solved using the analytical method. For more verification, the outcomes of this reports are compared with the predictions of deep neural network (DNN) with adaptive optimization method. A thorough parametric investigation is conducted on the effect of NSGT parameters, porosity and geometry on the phase velocity behavior of the small cell lung cancer structure.

Surgical Treatment for Multiple Primary Lung Cancer -Report of 2 cases- (다발성 원발성 폐암 수술 치험 -2예 보고-)

  • 이정은;장인석;이상호;최준영
    • Journal of Chest Surgery
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    • v.36 no.6
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    • pp.436-438
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    • 2003
  • Multiple primary lung cancer is classified into a synchronous primary lung cancer or a metachronous primary lung cancer. Both are rarely encountered disease entities. We report our surgical experience of each one case of synchronous and metachronous primary lung cancer.