Evidence map›Paper›PMID 42279273›Full record

ArticleCancers2026

Divergent Genomic Drivers in Benign-Appearing Lung Precursors and Their Synchronous Carcinomas.

Jieun Lee, Yuchae Jung, Seung Yun Lee, Ye Won Song, Jongsun Jung, Chan Kwon Park, Young Jo Sa, Tae-Jung Kim

Abstract read
In one paragraph

Article in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jieun LeeDepartment of Hospital Pathology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 07345, Republic of Korea.ORCID 0000-0001-8074-9561
Yuchae JungDepartment of Artificial Intelligence Convergence & Engineering, Open Cyber University of Korea, Seoul 02087, Republic of Korea.ORCID 0000-0003-2202-7303
Seung Yun LeeDepartment of Hospital Pathology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 07345, Republic of Korea.ORCID 0009-0003-9655-6678
Ye Won SongCollege of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea.ORCID 0009-0000-1430-4978
Jongsun JungSyntekabio, Genome Data Integration Center, 519, Techno World 2, No. 187, Yuseong-gu, Daejeon 34025, Republic of Korea.
Chan Kwon ParkDivision of Pulmonology, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 10, 63-ro, Yeongdeungpo-gu, Seoul 07345, Republic of Korea.
Young Jo SaDepartment of Thoracic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 10, 63-ro, Yeongdeungpo-gu, Seoul 07345, Republic of Korea.
Tae-Jung KimDepartment of Hospital Pathology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 07345, Republic of Korea.ORCID 0000-0003-3140-3681

Funding

National Research Foundation of Korea RS-2022-NR070026
6 · The paper itself

Abstract

BACKGROUND/

objectivesHow the histologically benign tier of lung preinvasive lesions-atypical adenomatous hyperplasia (AAH) and squamous dysplasia (SD)-relates genomically to its paired carcinoma is unclear. To identify early versus late events, we compared synchronous preinvasive and invasive lesions from the same patient.

methodsWhole-exome sequencing was performed on 33 FFPE samples from 11 patients (7 AAH-lung adenocarcinoma [LUAD] and 4 SD-squamous cell carcinoma [SqCC] pairs, with paired normal lung). FFPE artefacts were mitigated by paired-normal subtraction, panel-of-normals filtering, and orthogonal caller cross-validation. Cancer-panel variants were classified as cancer-only, shared, or preinvasive-only.

resultsOnly ∼10% of cancer-panel variants were shared between paired lesions (∼50% carcinoma-only, ∼40% preinvasive-only), indicating that benign AAH/SD do not broadly mirror the paired carcinoma. Within this small shared fraction, the early-driver pattern diverged between tracks: AAH-LUAD pairs tended to share

conclusionsIn this pilot cohort, benign AAH and SD were genomically largely distinct from their paired carcinomas, sharing only a small set of key drivers whose identity diverged between glandular and squamous tracks. This suggests that benign-appearing AAH/SD differ from the more advanced AIS/MIA precursors not only histologically but also at the genomic level. These hypothesis-generating findings require confirmation in larger, multi-omic cohorts.

Indexed as

atypical adenomatous hyperplasiaclonal evolutionEGFRhallmarks of cancerlung adenocarcinomasquamous cell carcinomasquamous dysplasiaTP53U2AF1whole-exome sequencing

Identifiers

PMID42279273
PMCPMC13255679

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.