Liquid biopsies to distinguish malignant from benign pulmonary nodules
- PMID: 33960710
- PMCID: PMC8169297
- DOI: 10.1111/1759-7714.13982
Liquid biopsies to distinguish malignant from benign pulmonary nodules
Abstract
Over the past decades, low-dose computed tomography (LD-CT) screening has been widely used for the early detection of lung cancer. Increasing numbers of indeterminate pulmonary nodules are now being discovered. However, it remains challenging to distinguish malignant from benign pulmonary nodules, especially those considered to be small or ground-glass (GGN) nodules. Liquid biopsies have been successfully applied in the diagnosis of advanced lung cancer, and the potential value for early detection of lung cancer has made great progress. Recent studies have demonstrated the value of various blood-based tumor biomarkers in determining the nature of pulmonary nodules, including cell-free DNA (cfDNA), microRNAs (miRNAs), circulating tumor cells (CTCs) and tumor-associated autoantibodies (AAbs). In this review, we summarize the latest progress of liquid biopsies, and their potential applications and challenges in the diagnosis of malignant pulmonary nodules.
Keywords: biomarker; cell-free DNA; liquid biopsy; miRNA; pulmonary nodule diagnosis.
© 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.
Conflict of interest statement
The authors have declared that no conflict of interest exists.
Figures
Similar articles
-
Application of liquid biopsy in differentiating lung cancer from benign pulmonary nodules (Review).Int J Mol Med. 2025 Jul;56(1):106. doi: 10.3892/ijmm.2025.5547. Epub 2025 May 9. Int J Mol Med. 2025. PMID: 40341969 Free PMC article. Review.
-
Current advances and future prospects of blood-based techniques for identifying benign and malignant pulmonary nodules.Crit Rev Oncol Hematol. 2025 Mar;207:104608. doi: 10.1016/j.critrevonc.2024.104608. Epub 2025 Jan 4. Crit Rev Oncol Hematol. 2025. PMID: 39761937 Review.
-
Combining serum miRNAs, CEA, and CYFRA21-1 with imaging and clinical features to distinguish benign and malignant pulmonary nodules: a pilot study : Xianfeng Li et al.: Combining biomarker, imaging, and clinical features to distinguish pulmonary nodules.World J Surg Oncol. 2017 May 25;15(1):107. doi: 10.1186/s12957-017-1171-y. World J Surg Oncol. 2017. PMID: 28545454 Free PMC article.
-
Detecting pulmonary malignancy against benign nodules using noninvasive cell-free DNA fragmentomics assay.ESMO Open. 2024 Aug;9(8):103595. doi: 10.1016/j.esmoop.2024.103595. Epub 2024 Jul 31. ESMO Open. 2024. PMID: 39088983 Free PMC article.
-
Comparative Study of Autoantibody Responses between Lung Adenocarcinoma and Benign Pulmonary Nodules.J Thorac Oncol. 2016 Mar;11(3):334-45. doi: 10.1016/j.jtho.2015.11.011. Epub 2016 Feb 16. J Thorac Oncol. 2016. PMID: 26896032
Cited by
-
Development of a clinical prediction model for benign and malignant pulmonary nodules with a CTR ≥ 50% utilizing artificial intelligence-driven radiomics analysis.BMC Med Imaging. 2025 Jan 17;25(1):21. doi: 10.1186/s12880-024-01533-9. BMC Med Imaging. 2025. PMID: 39825237 Free PMC article.
-
Intraoperative Lung Ultrasound in the Detection of Pulmonary Nodules: A Valuable Tool in Thoracic Surgery.Diagnostics (Basel). 2025 Apr 24;15(9):1074. doi: 10.3390/diagnostics15091074. Diagnostics (Basel). 2025. PMID: 40361892 Free PMC article. Review.
-
Clinical application of serum seven tumour-associated autoantibodies in patients with pulmonary nodules.Heliyon. 2024 May 3;10(9):e30576. doi: 10.1016/j.heliyon.2024.e30576. eCollection 2024 May 15. Heliyon. 2024. PMID: 38765082 Free PMC article.
-
Osteosarcoma immune prognostic index can indicate the nature of indeterminate pulmonary nodules and predict the metachronous metastasis in osteosarcoma patients.Front Oncol. 2022 Jul 22;12:952228. doi: 10.3389/fonc.2022.952228. eCollection 2022. Front Oncol. 2022. PMID: 35936683 Free PMC article.
-
Noninvasive diagnosis of pulmonary nodules using a circulating tsRNA-based nomogram.Cancer Sci. 2023 Dec;114(12):4607-4621. doi: 10.1111/cas.15971. Epub 2023 Sep 28. Cancer Sci. 2023. PMID: 37770420 Free PMC article.
References
-
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424. - PubMed
-
- MacMahon H, Naidich DP, Goo JM, Lee KS, Leung ANC, Mayo JR, et al. Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner Society 2017. Radiology. 2017;284(1):228–43. - PubMed
-
- Ettinger DS, Aisner DL, Wood DE, Akerley W, Bauman J, Chang JY, et al. NCCN guidelines insights: non‐small cell lung cancer, version 5.2018. J Natl Compr Canc Netw. 2018;16(7):807–21. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
- 201904a07020064/the Key Research and Development Project of Anhui Province
- LHJJ202002/the Joint Fund between the Second Affiliated Hospital of Anhui Medical University and the Center of Medical Physics and Technology of Hefei Institute of Physical Sciences of Chinese Academy of Sciences
- 81872438/National Natural Science Foundation of China
- CAPTRALung2020004/the CAPTRA-Lung Research Funds
- J2018Y04/the Hefei Innovation Project
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials
Miscellaneous