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Prognostic Markers

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Part of the book series: Molecular Pathology Library ((MPLB,volume 1))

Abstract

DNA damage in lung cancers results in molecular genetic abnormalities that contribute to their pathogenesis and progression.1 Many studies have examined the predictive value of specific molecular genetic abnormalities involving cell cycle regulation, apoptosis, and so forth, in individual tumors on the clinical outcomes of lung cancer patients.24 Both loss of specific tumor-suppressor gene function and the activation of specific oncogenes have been studied as potential prognostic indicators, as have other molecular abnormalities, for example, epigenetic phenomena such as hypermethylation.322 Ultimately, no one molecular marker is expected to predict prognosis by itself because development and progression of cancer involves the accumulation of multiple genetic abnormalities with complex pathways, feedback loops, and redundancies such that abnormalities of any of several proteins in a pathway can produce similar effects on the cells. Therefore, molecular profiles of multiple markers are likely to be more useful than examination of one or two markers alone in predicting prognosis.19 The markers presented here are those that have undergone the most investigation to date.

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Sienko, A., Allen, T.C., Cagle, P.T. (2008). Prognostic Markers. In: Zander, D.S., Popper, H.H., Jagirdar, J., Haque, A.K., Cagle, P.T., Barrios, R. (eds) Molecular Pathology of Lung Diseases. Molecular Pathology Library, vol 1. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72430-0_18

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