Lung Cancer and Interstitial Lung Diseases: A Systematic Review

Author:

Archontogeorgis Kostas1,Steiropoulos Paschalis1,Tzouvelekis Argyris1,Nena Evangelia2,Bouros Demosthenes1

Affiliation:

1. Department of Pneumonology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece

2. Laboratory of Hygiene and Environmental Protection, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece

Abstract

Interstitial lung diseases (ILDs) represent a heterogeneous group of more than two hundred diseases of either known or unknown etiology with different pathogenesis and prognosis. Lung cancer, which is the major cause of cancer death in the developed countries, is mainly attributed to cigarette smoking and exposure to inhaled carcinogens. Different studies suggest a link between ILDs and lung cancer, through different pathogenetic mechanisms, such as inflammation, coagulation, dysregulated apoptosis, focal hypoxia, activation, and accumulation of myofibroblasts as well as extracellular matrix accumulation. This paper reviews current evidence on the association between lung cancer and interstitial lung diseases such as idiopathic pulmonary fibrosis, sarcoidosis, systemic sclerosis, dermatomyositis/polymyositis, rheumatoid arthritis, systemic lupus erythematosus, and pneumoconiosis.

Publisher

Hindawi Limited

Subject

Pulmonary and Respiratory Medicine,General Medicine

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