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Lung Cancer Diagnosis

Lung cancer, also known as primary bronchial lung cancer, refers to malignant tumors originating in the trachea, bronchi and lungs. Lung cancer has become the malignant tumor with the highest morbidity and mortality in the world. According to data, there are about 1.825 million new lung cancer patients and 1.6 million new deaths each year.

Non-small Cell Carcinoma

This is the most common form of lung cancer, accounting for approximately 85% of all lung cancer cases. Non-small cell lung cancer can be divided into several types, including:

  • Adenocarcinoma

Adenocarcinoma usually occurs in mucus-producing cells outside the lungs.

  • Squamous cell carcinoma

Squamous cell carcinoma is usually found in the pulmonary airways.

  • Undifferentiated large cell carcinoma

This type of cancer cannot be classified as adenocarcinoma or squamous cell carcinoma.

Small Cell Carcinoma This type of lung cancer spreads more quickly than non-small cell lung cancer, but it is less common, accounting for about 15 percent of all lung cancers.

Lung Cancer Diagnosis

There is an important factor that determines the survival of lung cancer patients: the time of diagnosis of the disease, the sooner the lung cancer is detected, the higher the survival rate. Therefore, early diagnosis of lung cancer is extremely important.

Conventional Diagnostic Methods

  • Imaging Examination
    Imaging examinations mainly include chest X-ray, CT, nuclear magnetic resonance, positron emission tomography (PET) and so on.

Imaging Examination

In general, chest radiographs can identify small noncalcified nodules in the lung that are ≥10 mm in diameter. Multi-slice spiral CT (MSCT) low-dose scanning is currently the highest level of lung cancer screening technology. Low-dose MSCT can very accurately detect small lung cancers >5mm in diameter. The advantage of PET-CT is that it can perform simultaneous examination of the whole body, with higher specificity, but relatively low resolution, so it is suitable for qualitative diagnosis.

  • Lung Biopsy
    Percutaneous puncture lung biopsy (PALB) is to locate under X-ray fluoroscopy, or under the guidance of "B" ultrasound, or under the guidance of CT, use a fine needle to penetrate the lesion, extract some cells or tissues, and then remove these lesions. Pathological examination of cells or tissues to confirm the diagnosis; currently, CT-guided percutaneous lung biopsy is mainly used in clinic. Lesions and benign lung lesions require bacteriological diagnosis of local infection.
  • Lung Adenocarcinoma Tissue

    Lung Adenocarcinoma Tissue

    Lung Squamous Cell Carcinoma Tissue

    Lung Squamous Cell Carcinoma Tissue

    Large Cell Carcinoma Tissue

    Large Cell Carcinoma Tissue

    Small Cell Carcinoma Tissue

    Small Cell Carcinoma Tissue

  • Lung Cancer Biomarkers Detection
    Lung cancer serum tumor markers may become valuable indicators for tumor staging and prognostic analysis, and can be used to evaluate treatment effects.

Lung Cancer Biomarkers Detection

Commonly used tumor markers for lung cancer include neuron-specific enolase (NSE), precursor gastrin-releasing peptide (ProGRP), carcinoembryonic antigen (CEA), cytokeratin 19 fragment (CYFRA21-1) and squamous Cell carcinoma-associated antigen (SCCA), etc. However, tumor marker test results must be combined with other test results and cannot be used alone to diagnose cancer.

Tumor biomarkers of lung cancer can be detected by line immunoassay (LIA), enzyme-linked immunosorbent assay (ELISA), and CRISPR molecular diagnostic techniques.

Molecular Diagnostic Methods

As an important supplement to imaging and cytology screening strategies, molecular diagnosis of lung cancer includes not only early diagnosis, but also prognostic indicators and prediction of targeted therapy.

Molecular Diagnostic Methods

At present, the molecular diagnosis of lung cancer mainly includes gene mutation and targeted therapy prediction, miRNA, cancer stem cells, methylation and so on.

In addition, biosensing technology based on CRISPR-Cas system, due to its high specificity and high sensitivity, can also be used for molecular diagnosis of lung cancer. For example, the SHERLOCK technology based on the CRISPR-Cas13 system can detect different mutations in liquid biopsies of patients with non-small cell lung cancer.

Our Services

Utilizing the DeteCasTM platform based on the CRISPR-Cas system, CD BioSciences can provide various services in lung cancer diagnosis, such as nucleic acids detection service, protein biomarker detection service and small molecule detection service. If you are interested in these services, please contact us.

References

  1. Kelly, M., et al. Lung cancer: diagnosis, treatment principles, and screening. American Family Physician. 2015.
  2. Yadlapalli, R., et al. Non-Small Cell Lung Cancer: Treatment, Diagnosis, and Life after Treatment. Cancer Treatment. 2022, 13(7):14.
For research use only. Not intended for any clinical use.

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