Lung cancer is the most common cause of cancer related deaths worldwide1. Even with advances in chemotherapy and surgical therapy, the overall 5-year survival in lung cancer remains dismal at 12% to 16%2. At present lung cancer therapy is in the path of a revolution toward personalised therapy. In the past decade, multiple advances have been made in understanding the underlying biology and molecular mechanism of lung cancer, especially adenocarcinoma. With the arrival of targeted therapy there has been significantly improved outcome in metastatic lung malignancy.
There are 2 broad categories of lung cancer- Small Cell Lung Cancer (SCLC) and Non-Small Cell Lung Cancer (NSCLC). Non-small cell lung cancer consists mainly of adenocarcinoma (38.5%), squamous cell carcinoma (20%) and large cell carcinoma. In the past several decades adenocarcinoma has replaced squamous cell carcinoma as the most prevalent histopathological type.
7.Sae-Won Han, Tae-You Kim, PilGyu Hwang, SoohyunJeong, Jeongmi Kim, In Sil Choi, Do-Youn Oh, ) Predictive and Prognostic Impact of Epidermal Growth Factor Receptor Mutation in Non–Small-Cell Lung Cancer Patients Treated With Gefitinib, Journal of Clinical Oncology 23, no. 11 (April 2005) 2493-2501.
8.Inoue A, Suzuki T, Fukuhara T, et al. Prospective phase II study of gefitinib for chemotherapy-naive patients with advanced non-small-cell lung cancer with epidermal growth factor receptor gene mutations. J ClinOncol2006;24:3340-334.
9.Rosell R, Moran T, Queralt C, et al. Screening for epidermal growth factor receptor mutations in lung cancer. N Engl J Med 2009;361.
10.Tony S. Mok, M.D., Yi-Long Wu, M.D., F.A.C.S., Sumitra Thongprasert, M.D., Chih-Hsin Yang, M.D., Ph.D., Da-Tong Chu, M.D., Gefitinib or Carboplatin–Paclitaxel in Pulmonary Adenocarcinoma N Engl J Med 2009; 361:947-9579
12.Toyooka S, Takano T, Kosaka T, Hotta KMatsuo KIchihara S Fujiwara Y Soh J Otani H Kiura K Aoe : Epidermal growth factor receptor mutation, but not sex and smoking, is independently associated with favorable prognosis of gefitinib-treated patients with lung adenocarcinoma, Cancer Sci. 2008 Feb;99(2):303-8 ( Smokers good response)
13.Masayuki Takeda , Kazuhiko Nakagawa Toxicity profile of epidermal growth factor receptor tyrosine kinase inhibitors in patients with epidermal growth factor receptor gene mutation-positive lung cancer, Mol Clin Oncol. 2017Jan;6(1):3–6.
Corresponding Author
Dr Suraj KP
Professor, Department of Pulmonary Medicine
Government Medical College, Kozhikode
Call For Paper Volume 12 Issue 10 November 2024
The JMSCR is accepting manuscripts for its coming issues to be Publish Volume 12 Issue 11 November 2024 the JMSCR invites authors to submit manuscripts Reporting original medical research, original article, research article, case report, systematic reviews, or educational Innovations for publication for the coming issues that will be released in Volume 12 Issue 11 November 2024. Types of manuscripts suitable for JMSCR include: Medical research, Clinical research Educational Innovation, Brief Report, Reviews on Teaching In keeping with high quality scholarship, Read More.....