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world cancer report - iarc

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is frequent and survival rates are poor<br />

(two-year survival of 20-30% for limited<br />

stage disease) although limited stage<br />

small cell <strong>cancer</strong> has a cure rate of about<br />

10-15%. Treatment should be considered<br />

since good symptom control can be<br />

attained. Prophylactic cranial irradiation<br />

may reduce the risk of brain metastases,<br />

and has recently been shown in metaanalysis<br />

to prolong survival in limited<br />

small cell <strong>cancer</strong>.<br />

Although survival for stage I <strong>cancer</strong>s may<br />

reach about 65%, overall survival from lung<br />

<strong>cancer</strong> is poor (Fig. 5.10). In population-<br />

REFERENCES<br />

1. Ferlay J, Bray F, Parkin DM, Pisani P (2001) Globocan<br />

2000: Cancer Incidence and Mortality Worldwide (IARC<br />

Cancer Bases No. 5), Lyon, IARCPress.<br />

2. Parkin DM, Whelan SL, Ferlay J, Raymond L, Young J,<br />

eds (1997) Cancer Incidence in Five Continents, Vol. VII<br />

(IARC Scientific Publication No. 143 and IARC Cancerbase<br />

No. 2), Lyon, IARCPress.<br />

3. IARC (1986) Tobacco Smoking (IARC Monographs on<br />

the Evaluation of the Carcinogenic Risk of Chemicals to<br />

Humans, Vol. 38), Lyon, IARCPress.<br />

4. Hackshaw AK, Law MR, Wald NJ (1997) The accumulated<br />

evidence on lung <strong>cancer</strong> and environmental tobacco<br />

smoke. BMJ, 315: 980-988.<br />

5. Samet JM (1989) Radon and lung <strong>cancer</strong>. J Natl Cancer<br />

Inst, 81: 745-757.<br />

6. Lubin JH, Boice JD, Edling C, Hornung RW, Howe G,<br />

Kunz E (1994) Radon and lung <strong>cancer</strong> risk: a joint analysis<br />

of 11 underground miners studies. In: Public Health<br />

Service, National Institute of Health eds, NIH Publication<br />

No. 94-3644, Washington D.C., US Department of Health<br />

and Human Services.<br />

7. Speizer FE, Samet JM (1994) Air pollution and lung <strong>cancer</strong>.<br />

In: Samet JM ed., Epidemiology of Lung Cancer (Lung<br />

Biology in Health and Disease, Vol. 74), New York, Marcel<br />

Dekker, 131-150.<br />

8. Smith KR, Liu Y (1994) Indoor air pollution in developing<br />

countries. In: Samet JM ed., Epidemiology of Lung<br />

Cancer (Lung Biology in Health and Disease, Vol. 74), New<br />

York, Marcel Dekker, 151-184.<br />

9. World Cancer Research Fund (1997) Lung. In:<br />

WCRF/AICR ed, Food, Nutrition and the Prevention of<br />

Cancer: a Global Perspective, Washington, DC, World<br />

based series from high-income countries,<br />

the five-year relative survival barely<br />

exceeds 10%. However, survival is better<br />

among patients aged less than 55 at diagnosis<br />

(five-year relative survival in the<br />

order of 15%). There is evidence of a very<br />

modest improvement in survival during the<br />

last 20 years. In developing countries, survival<br />

rates are comparable to those in<br />

industrialized countries.<br />

In the light of poor survival rates, prevention<br />

of lung <strong>cancer</strong> is a priority. However,<br />

the development of novel therapies<br />

remains important in view of the fact that<br />

Cancer Research Fund/American Institute of Cancer<br />

Research, 130-147.<br />

10. Lam S, Shibuya H (1999) Early diagnosis of lung <strong>cancer</strong>.<br />

Clin Chest Med, 20: 53-61.<br />

11. Mulshine JL, Henschke CI (2000) Prospects for lung<strong>cancer</strong><br />

screening. Lancet, 355: 592-593.<br />

12. Montuenga LM, Mulshine JL (2000) New molecular<br />

strategies for early lung <strong>cancer</strong> detection. Cancer Invest,<br />

18: 555-563.<br />

13. Wright GS, Gruidl ME (2000) Early detection and prevention<br />

of lung <strong>cancer</strong>. Curr Opin Oncol, 12 : 143-148.<br />

14. Bunn PA, Jr., Soriano A, Johnson G, Heasley L (2000)<br />

New therapeutic strategies for lung <strong>cancer</strong>: biology and<br />

molecular biology come of age. Chest, 117: 163S-168S.<br />

15. Bennett WP, Hussain SP, Vahakangas KH, Khan MA,<br />

Shields PG, Harris CC (1999) Molecular epidemiology of<br />

human <strong>cancer</strong> risk: gene-environment interactions and p53<br />

mutation spectrum in human lung <strong>cancer</strong>. J Pathol, 187: 8-<br />

18.<br />

16. Minna JD, Sekido Y, Fong KM, Gazdar AF (1997)<br />

Molecular biology of lung <strong>cancer</strong>. In: DeVita VT, Hellman S,<br />

Rosenberg, SA eds, Cancer: Principles and Practice of<br />

Oncology, Philadelphia, Lippincott-Raven Publishers, 849-<br />

857.<br />

17. Williams C (1998) Lung <strong>cancer</strong>. In: Morris D, Kearsley J,<br />

Williams C eds, Cancer: a comprehensive clinical guide,<br />

Harwood Academic Publishers, 141-152.<br />

18. Antonia SJ, Sotomayor E (2000) Gene therapy for lung<br />

<strong>cancer</strong>. Curr Opin Oncol, 12: 138-142.<br />

most patients will die of disease progression<br />

and current treatments can be highly<br />

toxic. Trials of vaccination against tumour<br />

specific antigens such as carcinoembryonic<br />

antigen (CEA) and Fuc-GM1 are<br />

underway [18]. A further strategy under<br />

investigation is that of vaccination with<br />

tumour cells designed to have enhanced<br />

immunogenicity due to the expression of,<br />

for example, cytokine granulocytemacrophage<br />

colony-stimulating factor<br />

(GM-CSF).<br />

WEBSITE<br />

NCI Lung Cancer Homepage:<br />

http://www.<strong>cancer</strong>.gov/<strong>cancer</strong>_information/<strong>cancer</strong>_type/<br />

lung/<br />

Lung <strong>cancer</strong><br />

187

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