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Published on: May 23, 2015
Ancillary testing in lung cancer diagnosis
William Dubinski1, Natasha B Leighl, Ming-Sound Tsao
1Department of Pathology, Toronto General Hospital, University Health Network, 200 Elizabeth Street, Toronto, ON, Canada M5G 2C4.
Pathologists now use advanced tests beyond morphology for lung cancer diagnosis. Immunohistochemistry and molecular diagnostics provide crucial prognostic and predictive information for targeted therapies and patient management.
Area of Science:
- Oncology
- Pathology
- Molecular Diagnostics
Background:
- Historically, lung cancer diagnosis relied on tumor morphology in histologic sections.
- Emerging targeted therapies necessitate more than just accurate cancer typing.
- Pathologists increasingly provide prognostic and predictive information impacting patient management.
Purpose of the Study:
- To review current ancillary tests in lung cancer pathologic diagnosis.
- To highlight the role of immunohistochemistry and molecular diagnostics.
- To inform on tests influencing patient management strategies.
Main Methods:
- Literature review of ancillary diagnostic tests for lung cancer.
- Focus on immunohistochemistry techniques.
- Emphasis on molecular diagnostic methodologies.
Main Results:
- Ancillary tests are integral to modern lung cancer diagnosis.
- Immunohistochemistry aids in precise tumor subtyping.
- Molecular diagnostics identify targets for personalized medicine.
Conclusions:
- Ancillary tests are essential for comprehensive lung cancer diagnosis.
- Accurate prognostication and prediction are improved by these methods.
- Integration of these tests optimizes patient treatment pathways.
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