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Lung adenocarcinoma

MedGen UID:
57744
Concept ID:
C0152013
Neoplastic Process
Synonyms: Adenocarcinoma of lung; Adenocarcinoma of lung, somatic
SNOMED CT: Adenocarcinoma of lung (254626006)
 
HPO: HP:0030078
Monarch Initiative: MONDO:0005061
OMIM®: 211980
Orphanet: ORPHA415268

Definition

A carcinoma that arises from the lung and is characterized by the presence of malignant glandular epithelial cells. There is a male predilection with a male to female ratio of 2:1. Usually lung adenocarcinoma is asymptomatic and is identified through screening studies or as an incidental radiologic finding. If clinical symptoms are present they include shortness of breath, cough, hemoptysis, chest pain, and fever. Tobacco smoke is a known risk factor. [from NCI]

Conditions with this feature

Lung cancer
MedGen UID:
66885
Concept ID:
C0242379
Neoplastic Process
A primary or metastatic malignant neoplasm involving the lung.
Li-Fraumeni syndrome 1
MedGen UID:
322656
Concept ID:
C1835398
Disease or Syndrome
Li-Fraumeni syndrome (LFS) is a cancer predisposition syndrome associated with high risks for a diverse spectrum of childhood- and adult-onset malignancies. The lifetime risk of cancer in individuals with LFS is =70% for men and =90% for women. Five cancer types account for the majority of LFS tumors: adrenocortical carcinomas, breast cancer, central nervous system tumors, osteosarcomas, and soft-tissue sarcomas. LFS is associated with an increased risk of several additional cancers including leukemia, lymphoma, gastrointestinal cancers, cancers of head and neck, kidney, larynx, lung, skin (e.g., melanoma), ovary, pancreas, prostate, testis, and thyroid. Individuals with LFS are at increased risk for cancer in childhood and young adulthood; survivors are at increased risk for multiple primary cancers.
BAP1-related tumor predisposition syndrome
MedGen UID:
482122
Concept ID:
C3280492
Disease or Syndrome
BAP1 tumor predisposition syndrome (BAP1-TPDS) is associated with an increased risk for a specific skin lesion, BAP1-inactivated melanocytic tumors (BIMT; formerly called atypical Spitz tumors), and the following cancers, in descending order of frequency: uveal (eye) melanoma (UM), malignant mesothelioma (MMe), cutaneous melanoma (CM), renal cell carcinoma (RCC), and basal cell carcinoma (BCC). Hepatocellular carcinoma, cholangiocarcinoma, and meningioma may also be associated with BAP1-TPDS. Affected individuals can have more than one type of primary cancer. In general, the median age of onset of these tumors is younger than in the general population. UM tends to be a more aggressive class 2 tumor with higher risk for metastasis and reduced survival compared to UM occurring in the general population. Due to the limited number of families reported to date, the penetrance, natural history, and frequencies of BAP1-associated tumors are yet to be determined. Other suspected but unconfirmed tumors in BAP1-TPDS include (in alphabetic order): breast cancer, neuroendocrine carcinoma, non-small-cell lung adenocarcinoma, thyroid cancer, and urinary bladder cancer.
Fanconi renotubular syndrome 5
MedGen UID:
1711127
Concept ID:
C5394473
Disease or Syndrome
Fanconi renotubular syndrome-5 (FRTS5) is a mitochondrial disorder characterized by proximal renotubular dysfunction from birth, followed by progressive kidney disease and pulmonary fibrosis. It occurs only in individuals of Acadian descent (Crocker et al., 1997 and Hartmannova et al., 2016). For a discussion of genetic heterogeneity of Fanconi renotubular syndrome, see FRTS1 (134600).

Professional guidelines

PubMed

Yin X, Li Y, Wang H, Jia T, Wang E, Luo Y, Wei Y, Qin Z, Ma X
Semin Cancer Biol 2022 Nov;86(Pt 2):595-606. Epub 2022 Mar 8 doi: 10.1016/j.semcancer.2022.03.006. PMID: 35276343
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Denisenko TV, Budkevich IN, Zhivotovsky B
Cell Death Dis 2018 Jan 25;9(2):117. doi: 10.1038/s41419-017-0063-y. PMID: 29371589Free PMC Article

Recent clinical studies

Etiology

Willner J, Narula N, Moreira AL
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Liu J, Shen H, Gu W, Zheng H, Wang Y, Ma G, Du J
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Diagnosis

Huang J, Zhang J, Zhang F, Lu S, Guo S, Shi R, Zhai Y, Gao Y, Tao X, Jin Z, You L, Wu J
Comput Biol Med 2023 Oct;165:107402. Epub 2023 Aug 28 doi: 10.1016/j.compbiomed.2023.107402. PMID: 37657358
Qi C, Ma J, Sun J, Wu X, Ding J
Aging (Albany NY) 2023 Jun 13;15(11):5075-5095. doi: 10.18632/aging.204782. PMID: 37315289Free PMC Article
Luo MY, Zhou Y, Gu WM, Wang C, Shen NX, Dong JK, Lei HM, Tang YB, Liang Q, Zou JH, Xu L, Ma P, Zhuang G, Bi L, Xu L, Zhu L, Chen HZ, Shen Y
Cancer Res 2022 Oct 4;82(19):3516-3531. doi: 10.1158/0008-5472.CAN-21-4074. PMID: 36193649
Liu J, Shen H, Gu W, Zheng H, Wang Y, Ma G, Du J
Front Immunol 2022;13:960738. Epub 2022 Aug 11 doi: 10.3389/fimmu.2022.960738. PMID: 36032135Free PMC Article
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Semin Ultrasound CT MR 2019 Jun;40(3):255-264. Epub 2018 Nov 30 doi: 10.1053/j.sult.2018.11.009. PMID: 31200873

Therapy

Luo MY, Zhou Y, Gu WM, Wang C, Shen NX, Dong JK, Lei HM, Tang YB, Liang Q, Zou JH, Xu L, Ma P, Zhuang G, Bi L, Xu L, Zhu L, Chen HZ, Shen Y
Cancer Res 2022 Oct 4;82(19):3516-3531. doi: 10.1158/0008-5472.CAN-21-4074. PMID: 36193649
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Seo JS, Ju YS, Lee WC, Shin JY, Lee JK, Bleazard T, Lee J, Jung YJ, Kim JO, Shin JY, Yu SB, Kim J, Lee ER, Kang CH, Park IK, Rhee H, Lee SH, Kim JI, Kang JH, Kim YT
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Science 2004 Jun 4;304(5676):1497-500. Epub 2004 Apr 29 doi: 10.1126/science.1099314. PMID: 15118125

Prognosis

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Clin Lung Cancer 2020 Nov;21(6):e607-e621. Epub 2020 May 22 doi: 10.1016/j.cllc.2020.05.014. PMID: 32620471
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Neuro Oncol 2017 Oct 19;19(11):1511-1521. doi: 10.1093/neuonc/nox077. PMID: 28444227Free PMC Article

Clinical prediction guides

Shu L, Tang J, Liu S, Tao Y
Cell Oncol (Dordr) 2024 Apr;47(2):555-571. Epub 2023 Oct 9 doi: 10.1007/s13402-023-00883-w. PMID: 37814076
Wang Y, Xu Y, Liu C, Yuan C, Zhang Y
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Comput Biol Med 2023 Oct;165:107402. Epub 2023 Aug 28 doi: 10.1016/j.compbiomed.2023.107402. PMID: 37657358
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Mod Pathol 2021 Apr;34(4):710-719. Epub 2020 Oct 3 doi: 10.1038/s41379-020-00692-8. PMID: 33011748

Recent systematic reviews

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Guo L, Liu S, Zhang S, Chen Q, Zhang M, Quan P, Sun X
Oncotarget 2017 May 23;8(21):34507-34515. doi: 10.18632/oncotarget.15671. PMID: 28427144Free PMC Article
Travis WD, Brambilla E, Noguchi M, Nicholson AG, Geisinger KR, Yatabe Y, Beer DG, Powell CA, Riely GJ, Van Schil PE, Garg K, Austin JH, Asamura H, Rusch VW, Hirsch FR, Scagliotti G, Mitsudomi T, Huber RM, Ishikawa Y, Jett J, Sanchez-Cespedes M, Sculier JP, Takahashi T, Tsuboi M, Vansteenkiste J, Wistuba I, Yang PC, Aberle D, Brambilla C, Flieder D, Franklin W, Gazdar A, Gould M, Hasleton P, Henderson D, Johnson B, Johnson D, Kerr K, Kuriyama K, Lee JS, Miller VA, Petersen I, Roggli V, Rosell R, Saijo N, Thunnissen E, Tsao M, Yankelewitz D
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