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<title lang=en>Lung cancer in combined pulmonary fibrosis and emphysema: a series of 47 Western patients</title>
<creator>Girard, Nicolas</creator>
<creator>Marchand-Adam, Sylvain</creator>
<creator>Naccache, Jean-Marc</creator>
<creator>Borie, Raphael</creator>
<creator>Urban, Thierry</creator>
<creator>Jouneau, Stéphane</creator>
<creator>Marchand, Eric</creator>
<creator>Ravel, Anne-Claire</creator>
<creator>Kiakouama, Lize</creator>
<creator>Etienne-Mastroianni, Bénédicte</creator>
<creator>Cadranel, Jacques</creator>
<creator>Cottin, Vincent</creator>
<creator>Cordier, Jean-François</creator>
<creator>Maladies "Orphelines Pulmonaires (GERMOP), Groupe, </creator>
<contributor>Pathologies Respiratoires : Protéolyse et Aérosolthérapie ; Université François Rabelais - Tours - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor>Centre Hospitalier Universitaire d'Angers (CHU Angers) ; PRES Université Nantes Angers Le Mans [UNAM]</contributor>
<contributor>Interactions cellulaires tumorales et leur environnement et réponse aux agents anti-cancéreux ; Université Pierre et Marie Curie - Paris 6 (UPMC)</contributor>
<contributor>Service de pneumologie et réanimation [CHU Tenon] ; Assistance publique - Hôpitaux de Paris (AP-HP) - CHU Tenon [APHP]</contributor>
<contributor>Intergroupe Francophone de Cancérologie Thoracique [Paris] (IFCT) ; Intergroupe Francophone de Cancérologie thoracique</contributor>
<contributor>Department of Pneumology [Lyon] ; Hospices Civils de Lyon</contributor>
<contributor>Centre de Référence des Maladies Pulmonaires Rares [bron] ; Hôpital Louis Pradel [Lyon]</contributor>
<contributor>Hôpital Louis-Pradel [Lyon] ; Université Claude Bernard Lyon 1 (UCBL) - Hospices Civils de Lyon - Hôpital Louis-Pradel</contributor>
<description>International audience</description>
<source>Journal of Thoracic Oncology: Official Publication of the International Association for the Study of Lung Cancer</source>
<identifier>hal-01063912</identifier>
<identifier>https://hal.archives-ouvertes.fr/hal-01063912</identifier>
<source>https://hal.archives-ouvertes.fr/hal-01063912</source>
<source>Journal of Thoracic Oncology: Official Publication of the International Association for the Study of Lung Cancer, 2014, 9 (8), pp.1162--1170. 〈10.1097/JTO.0000000000000209〉</source>
<identifier>DOI : 10.1097/JTO.0000000000000209</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1097/JTO.0000000000000209</relation>
<identifier>PUBMED : 25157769</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/25157769</relation>
<language>en</language>
<subject>[SDV] Life Sciences [q-bio]</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>INTRODUCTION: The syndrome of combined pulmonary fibrosis and emphysema (CPFE) is characterized by imaging features consisting of the association of centrilobular and/or paraseptal emphysema and pulmonary fibrosis. Virtually all patients are smokers and thus at high risk of developing lung cancer. METHODS: This retrospective multicentre study was conducted by the Groupe d'Etudes et de Recherche sur les Maladies "Orphelines" Pulmonaires (GERM"O"P). RESULTS: A total of 47 patients presenting with lung cancer and CPFE syndrome were identified. All patients were smokers, with a mean of 47 pack-years. A pathological diagnosis of lung cancer was obtained for 38 (81%) patients. Histological type was squamous cell carcinoma in 17 (36%) patients, adenocarcinoma in 14 (30%), non-small-cell lung cancer not otherwise specified in three (6%), small-cell lung cancer in three (6%), and sarcomatoid carcinoma in one (2%). Overall, 20 of the 47 patients could not receive standard-of-care treatment for lung cancer, as per international recommendations or guidelines; this limitation was considered to be directly related to the CPFE syndrome in eight (40%) cases. CONCLUSION: Lung cancer in patients with CPFE syndrome represents a specific entity with a poor prognosis, that further represents the most characteristic and severe model of tobacco-related disease.</description>
<date>2014</date>
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