4.3 Review

Lung cancer and interstitial lung disease: a literature review

Journal

JOURNAL OF THORACIC DISEASE
Volume 10, Issue 6, Pages 3829-+

Publisher

AME PUBL CO
DOI: 10.21037/jtd.2018.05.75

Keywords

Lung cancer (LC); pulmonary fibrosis; interstital lung disease (ILD)

Ask authors/readers for more resources

The association between lung cancer (LC) and interstitial lung disease (ILD) can be explained by the shared risk factors like smoking and physiopathology of fibrogenesis and cancerogenesis. The relative LC risk is shown to be 3.5-to 7.3-times higher in ILD, with LC occurrence estimated at 10-20% in ILD, with >15% of ILD patients likely to die from LC. ILD incidence upon LC diagnosis varied from 2.4-10.9%. Primary radiological presentations consist of peripheral lesions, mostly in the inferior pulmonary lobes, either close to or within the ILD areas. There is a trend towards inverted proportion of adenocarcinomas and squamous-cell carcinomas, with EGFR mutations very rarely found. ILD negatively impacted LC prognosis, with surgery associated with increased morbidity-mortality, particularly due to acute exacerbation (AE) of ILD. Limited resection reduced this risk, whilst increasing that of cancer mortality. Studies on radiotherapy that can induce AE-ILD are scarce. Chemotherapy was associated with similar response rates to those in LC patients without ILD, yet worse survival. This difference may be accounted for by ILD patients' poorer health and higher risk of drug-induced pneumonitis. Further studies are warranted to better understand cancer physiopathology within the fibrotic areas, along with the therapeutic strategies required.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Oncology

A 2021 inventory in oncology news

Jacques-Olivier Bay, Carole Bouleuc, Nelly Firmin, Virginie Gandemer, Nicolas Magne, Daniel Orbach, Nicolas Penel, Manuel Rodrigues, Antoine Thiery-Vuillemin, Marie Wislez, Gilles L'Allemain, Renaud Sabatier, Jacques Robert

Summary: This article presents a summary of the most important advances in treatment and patient care in oncology in 2021, including breast and gynecological cancers (endometrium and cervix), lung cancer, brain cancer, urologic cancer, and digestive cancers. It also highlights progresses in hematological malignancies, pediatric oncology, and supportive care for patients.

BULLETIN DU CANCER (2022)

Review Oncology

Targeted Therapy for Older Patients with Non-Small Cell Lung Cancer: Systematic Review and Guidelines from the French Society of Geriatric Oncology (SoFOG) and the French-Language Society of Pulmonology (SPLF)/French-Language Oncology Group (GOLF)

Laurent Greillier, Manon Gauvrit, Elena Paillaud, Nicolas Girard, Coline Montegut, Rabia Boulahssass, Marie Wislez, Frederic Pamoukdjian, Romain Corre, Mathilde Cabart, Philippe Caillet, Yaniss Belaroussi, Matthieu Frasca, Pernelle Noize, Pascal Wang, Soraya Mebarki, Simone Mathoulin-Pelissier, Anne-Laure Couderc

Summary: This study conducted a systematic review of the efficacy, toxicity, and feasibility of targeted therapy in older patients with non-small cell lung cancer (NSCLC). Guidelines were developed based on the findings to help clinicians adapt the type of targeted therapy based on the oncological and geriatric profile of older NSCLC patients. The expert panel concluded that osimertinib is recommended as a first-line treatment for older patients with EGFR mutation. However, there is limited data and no definitive recommendations for older patients with ALK and ROS1 rearrangements. Assessment of malnutrition, functional decline, and comorbidities is important before initiating targeted therapy.

CANCERS (2022)

Article Oncology

Final results of the IFCT-0803 study, a phase II study of cetuximab, pemetrexed, cisplatin, and concurrent radiotherapy in patients with locally advanced, unresectable, stage III, non-squamous, non-small-cell lung cancer

J. Tredaniel, F. Barlesi, C. Le Pechoux, D. Lerouge, E. Pichon, S. Le Moulec, L. Moreau, S. Friard, V. Westeel, L. Petit, O. Carre, F. Guichard, O. Raffy, J. Villa, A. Prevost, A. Langlais, F. Morin, M. Wislez, P. Giraud, G. Zalcman, F. Mornex, for the French Cooperative Thoracic Intergroup (IFCT) French Cooperat Thoracic Intergrp IFCT

Summary: The IFCT-0803 trial evaluated the addition of cetuximab to cisplatin and pemetrexed chemoradiotherapy in patients with non-small-cell lung cancer, showing excellent disease control rate and survival rates.

CANCER RADIOTHERAPIE (2022)

Article Oncology

Risk factors for early mortality of lung cancer patients in France: A nationwide analysis

Helene Goussault, Sebastien Gendarme, Jean-Baptiste Assie, Camille Jung, Salome Epaud, Christelle Algans, Noemie Salaun-Penquer, Mathilde Rousseau, Andrea Lazatti, Christos Chouaid

Summary: Despite therapeutic advances, lung cancer remains the leading cause of cancer-related death. This study aimed to identify the risk factors associated with death within 3 months of the first hospitalization for lung cancer in France. The results showed that early mortality was influenced by age, gender, disease metastasis at diagnosis, hospitalization via the emergency room, and duration of hospitalization. Socioeconomic characteristics, on the other hand, were not associated with early mortality. Improving survival rates for lung cancer patients requires early diagnosis and better organization of diagnosis and specific care pathways.

CANCER MEDICINE (2022)

Article Economics

Long-term hospital resource utilization and associated costs of care for patients initiating nivolumab in advanced non-small cell lung cancer in France

Valentine Grumberg, Christos Chouaid, Francois-Emery Cotte, Baptiste Jouaneton, Ronan Jolivel, Anne-Francoise Gaudin, Dorothee Reynaud, Jean-Baptiste Assie, Isabelle Borget

Summary: Healthcare resource utilization and costs for patients with advanced non-small cell lung cancer (aNSCLC) treated with nivolumab decreased over time.

JOURNAL OF MEDICAL ECONOMICS (2022)

Article Oncology

Brigatinib for Pretreated, ALK-Positive, Advanced Non-Small-Cell Lung Cancers: Long-Term Follow-Up and Focus on Post-Brigatinib Lorlatinib Efficacy in the Multicenter, Real-World BrigALK2 Study

Renaud Descourt, Maurice Perol, Gaelle Rousseau-Bussac, David Planchard, Bertrand Mennecier, Marie Wislez, Jacques Cadranel, Alexis Benjamin Cortot, Florian Guisier, Loick Galland, Pascal Do, Roland Schott, Eric Dansin, Jennifer Arrondeau, Jean-Bernard Auliac, Margaux Geier, Christos Chouaid

Summary: This analysis evaluates the efficacy of brigatinib in ALK(+) advanced non-small cell lung cancer patients, with a focus on post-brigatinib lorlatinib efficacy. The results show that brigatinib is effective in heavily pretreated patients and lorlatinib demonstrates activity after brigatinib.

CANCERS (2022)

Article Oncology

Immune-Checkpoint Inhibitors for Malignant Pleural Mesothelioma: A French, Multicenter, Retrospective Real-World Study

Jean-Baptiste Assie, Florian Crepin, Emmanuel Grolleau, Anthony Canellas, Margaux Geier, Aude Grebert-Manuardi, Nabila Akkache, Aldo Renault, Pierre-Alexandre Hauss, Marielle Sabatini, Valentine Bonnefoy, Alexis Cortot, Marie Wislez, Clement Gauvain, Christos Chouaid, Arnaud Scherpereel, Isabelle Monnet

Summary: This study evaluated the real-life efficacy of second-line and onward nivolumab in malignant pleural mesothelioma patients in France and identified predictive factors for treatment response.

CANCERS (2022)

Article Oncology

Cost-Effectiveness of an Organized Lung Cancer Screening Program for Asbestos-Exposed Subjects

Sebastien Gendarme, Jean-Claude Pairon, Pascal Andujar, Francois Laurent, Patrick Brochard, Fleur Delva, Benedicte Clin, Antoine Gislard, Christophe Paris, Isabelle Thaon, Helene Goussault, Florence Canoui-Poitrine, Christos Chouaid

Summary: This study analyzed the cost-effectiveness ratio of implementing a lung cancer screening program for asbestos-exposed population. The results show that biennial screening for smokers with high asbestos exposure is cost-effective.

CANCERS (2022)

Article Oncology

A 2022 inventory in oncology news

Jacques-Olivier Bay, Carole Bouleuc, Christophe Caux, Frederic Delom, Nelly Firmin, Virginie Gandemer, Gilles L'Allemain, Nicolas Magne, Daniel Orbach, Jacques Robert, Manuel Rodrigues, Renaud Sabatier, Antoine Thiery-Vuillemin, Marie Wislez

Summary: This article presents the analysis of highlights from 2022 by the editorial committee members of The Cancer Bulletin. Their objective is to provide readers with a thoughtful, educational, and practical reading by analyzing published data and placing it in the context of cancer management. The goal is to offer rational bases for different treatment approaches in 2023.

BULLETIN DU CANCER (2023)

Article Oncology

Lung cancer screening: Update, news and perspectives

Pascal Wang, Jeanne Chapron, Souhail Bennani, Marie-Pierre Revel, Marie Wislez

Summary: Lung cancer is the main cause of cancer deaths in France and worldwide, with an overrepresentation of metastatic stages at diagnosis. Multiple randomized trials have evaluated the use of low-dose chest CT for early detection and have shown a reduction in lung cancer-specific mortality. The challenge now is to implement a national CT screening policy that is effective, cost-efficient, and minimizes harm to eligible individuals.

BULLETIN DU CANCER (2023)

Article Oncology

Reaching multidisciplinary consensus on the management of non-bulky/non-infiltrative stage IIIA N2 non-small cell lung cancer

Arnaud Scherpereel, Etienne Martin, Laurent Brouchet, Romain Corre, Michael Duruisseaux, Pierre-Emmanuel Falcoz, Philippe Giraud, Cecile Le Pechoux, Marie Wislez, Marco Alifano

Summary: This modified Delphi study aimed to generate agreement through multidisciplinary decision-making on the clinical management of non-bulky/non-infiltrative stage IIIA N2 NSCLC. The study found that there was agreement on endo-bronchial ultrasound/endoscopic ultrasound as the preferred method for initial mediastinal staging and on the use of surgery and (neo)adjuvant chemotherapy as first-line treatment for single-station disease. It also showed consensus on the use of concurrent chemo-radiotherapy with adjuvant immunotherapy for patients with multi-station N2 disease.

LUNG CANCER (2023)

Article Oncology

Evaluation of Real-Life Chemoimmunotherapy Combination in Patients with Metastatic Small Cell Lung Carcinoma (SCLC): A Multicentric Case-Control Study

Remy Ezzedine, Anthony Canellas, Charles Naltet, Marie Wislez, Reza Azarian, Andrei Seferian, Etienne Giroux Leprieur

Summary: Chemoimmunotherapy has shown superiority in the real-life treatment of advanced small cell lung cancer, especially in patients with brain and liver metastases. However, it is not beneficial for patients aged 70 or older with impaired performance status.

CANCERS (2023)

Article Oncology

Outcome following nivolumab treatment in patients with advanced non-small cell lung cancer and comorbid interstitial lung disease in a real-world setting

Jean-Baptiste Assie, Christos Chouaid, Hilario Nunes, Dorothee Reynaud, Anne-Francoise Gaudin, Valentine Grumberg, Ronan Jolivel, Baptiste Jouaneton, Francois-Emery Cotte, Boris Duchemann

Summary: This study evaluated the survival outcome following nivolumab treatment in non-small cell lung cancer (NSCLC) patients with pre-treated interstitial lung disease (ILD) in a real-world setting. The results showed that the outcomes of ILD patients treated with nivolumab were similar to those of non-ILD patients, suggesting that immunotherapy could be beneficial for these patients.

THERAPEUTIC ADVANCES IN MEDICAL ONCOLOGY (2023)

No Data Available