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Frank G.A.

Russian Medical Academy of Continuous Professional Education

Avdalyan A.M.

Moscow Multidisciplinary Clinical Center “Kommunarka”;
Russian University of Medicine

Telezhnikova I.M.

Moscow Multidisciplinary Clinical Center “Kommunarka”;
Vladimirsky Moscow Regional Clinical Research Institute

Classification of non-small cell lung cancer according to the WHO 2021: from morphology to personalized therapy

Authors:

Frank G.A., Avdalyan A.M., Telezhnikova I.M.

More about the authors

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To cite this article:

Frank GA, Avdalyan AM, Telezhnikova IM. Classification of non-small cell lung cancer according to the WHO 2021: from morphology to personalized therapy. Russian Journal of Archive of Pathology. 2026;87(1):60‑67. (In Russ.)
https://doi.org/10.17116/patol20268801160

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References:

  1. Padinharayil H, Varghese J, John MC, et al. Non-small cell lung carcinoma (NSCLC): Implications on molecular pathology and advances in early diagnostics and therapeutics. Genes & Diseases. 2022;10(3):960.  https://doi.org/10.1016/j.gendis.2022.07.023
  2. Thandra KC, Barsouk A, Saginala K, Aluru JS, Barsouk A. Epidemiology of lung cancer. Contemporary oncology (Poznan, Poland). 2021;25(1). https://doi.org/10.5114/wo.2021.103829
  3. Tsao MS, Nicholson AG, Maleszewski JJ, Marx A, Travis WD. Reprint of “Introduction to 2021 WHO Classification of Thoracic Tumors.” Journal of Thoracic Oncology. 2022;17(3):337-340.  https://doi.org/10.1016/j.jtho.2022.01.008
  4. Nicholson AG, Tsao MS, Beasley MB, et al. The 2021 WHO Classification of Lung Tumors: Impact of Advances Since 2015. Journal of Thoracic Oncology. 2022;17(3):362-387.  https://doi.org/10.1016/j.jtho.2021.11.003
  5. National Cancer Institute. Cancer Statistics [Internet]. Bethesda, MD: Surveillance, Epidemiology, and End Results Program; [cited 2025 Jul 27]. https://seer.cancer.gov/statistics/index.html
  6. Lu L, Xu H. An Update on the Classification of Lung and Pleural Tumors. Journal of Clinical and Translational Pathology. 2023; 3(2):106-113.  https://doi.org/10.14218/JCTP.2023.00008
  7. Mattiuzzi C., Lippi G. Current Cancer Epidemiology. Journal of epidemiology and global health. 2019;9(4). https://doi.org/10.2991/jegh.k.191008.001
  8. Sasaki T, Kuno H, Hiyama T, et al. 2021 WHO Classification of Lung Cancer: Molecular Biology Research and Radiologic-Pathologic Correlation. RadioGraphics. 2024;44(3). https://doi.org/10.1148/rg.230136
  9. Moreira AL, Ocampo PS, Xia Y, et al. A Grading System for Invasive Pulmonary Adenocarcinoma: A Proposal From the International Association for the Study of Lung Cancer Pathology Committee. Journal of Thoracic Oncology. 2020;11(8):1233-1242. https://doi.org/10.1016/j.jtho.2020.06.001
  10. Tan WW, Jett K, Gerber DE. Non-Small Cell Lung Cancer (NSCLC) [Updated Jul 07, 2025]. In: Medscape Drugs & Diseases [Internet]. New York: WebMD LLC; 2025. https://emedicine.medscape.com/article/279960-overview
  11. Nakaoku T, Tsuta K, Ichikawa H. Druggable Oncogene Fusions in Invasive Mucinous Lung Adenocarcinoma. Clin Cancer Res. 2014;20(12):3087-3093. https://doi.org/10.1158/1078-0432.CCR-14-0107
  12. Kadota K, Nitadori J, Sima CS, et al. Tumor Spread through Air Spaces Is an Important Pattern of Invasion and Impacts the Prognosis of Patients With Lung Adenocarcinoma. The American Journal of Surgical Pathology. 2015;39(7):912-920.  https://doi.org/10.1097/PAS.0000000000000444
  13. Lu S, Tan K, Xia Y, et al. Spread Through Air Spaces (STAS) Is an Independent Predictor of Recurrence and Lung Cancer—Specific Death in Patients With Stage I Lung Adenocarcinoma. Chest. 2017;151(3):A82.  https://doi.org/10.1016/j.chest.2017.02.264
  14. Warth A, Muley T, Kossakowski C, et al. Prognostic Impact of Intra-alveolar Tumor Spread in Pulmonary Adenocarcinomas. American Journal of Surgical Pathology. 2015;39(6):793-801.  https://doi.org/10.1097/PAS.0000000000000429
  15. Eguchi T, Kameda K, Lu S, et al. Prognostic Impact of Spread Through Air Spaces in 635 Stage I Lung Adenocarcinomas After Resection: An Analysis From a Multicenter Cohort Study. Journal of Thoracic Oncology. 2017;12(8):e98-e99.  https://doi.org/10.1016/j.jtho.2017.05.011
  16. Matsubara D, Soda M, Yoshimoto T, et al. Inactivating mutations and hypermethylation of the NKX2‐1/TTF‐1 gene in non‐terminal respiratory unit‐type lung adenocarcinomas. Cancer Science. 2017;108(9):1888-1896. https://doi.org/10.1111/cas.13313
  17. Yang SR, Chang JC, Leduc C, et al. Invasive mucinous adenocarcinomas with spatially separate lung lesions: analysis of clonal relationship by comparative molecular profiling. Journal of Thoracic Oncology. 2021;16(7):1188-1199. https://doi.org/10.1016/j.jtho.2021.03.023
  18. Jurmeister P, Vollbrecht C, Behnke A, et al. Next generation sequencing of lung adenocarcinoma subtypes with intestinal differentiation reveals distinct molecular signatures associated with histomorphology and therapeutic options. Lung Cancer. 2019;138:43-51.  https://doi.org/10.1016/j.lungcan.2019.10.005
  19. Thway K, Nicholson AG, Lawson K, et al. Primary pulmonary myxoid sarcoma with EWSR1-CREB1 fusion: a new tumor entity. The American journal of surgical pathology. 2011;35(11):1722-1732. https://doi.org/10.1097/PAS.0b013e318227e4d2
  20. Chen M, Liu P, Yan F, et al. Distinctive features of immunostaining and mutational load in primary pulmonary enteric adenocarcinoma: implications for differential diagnosis and immunotherapy. J Transl Med. 2018;16(1). https://doi.org/10.1186/s12967-018-1449-z
  21. Zhang J, Sun J, Liang XL, Lu JL, Luo YF, Liang ZY. Differences between low and high grade fetal adenocarcinoma of the lung: a clinicopathological and molecular study. Journal of Thoracic Disease. 2017;9(7):2071. https://doi.org/10.21037/jtd.2017.07.14
  22. Nakatani Y, Masudo K, Miyagi Y, et al. Aberrant nuclear localization and gene mutation of β-catenin in low-grade adenocarcinoma of fetal lung type: up-regulation of the Wnt signaling pathway may be a common denominator for the development of tumors that form morules. Modern pathology. 2002;15(6):617-624.  https://doi.org/10.1038/modpathol.3880575
  23. Hanna NH, Schneider BJ, Temin S, et al. Therapy for Stage IV Non-Small-Cell Lung Cancer Without Driver Alterations: ASCO and OH (CCO) Joint Guideline Update. JCO. 2020;38(14): 1608-1632. https://doi.org/10.1200/jco.19.03022
  24. Lindeman NI, others. Updated Molecular Testing Guideline for the Selection of Lung Cancer Patients for Treatment With Targeted Tyrosine Kinase Inhibitors. Journal of Thoracic Oncology. 2018;13(3):323-358.  https://doi.org/10.1016/j.jtho.2017.12.001
  25. Berezowska S, Maillard M, Keyter M, Bisig B. Pulmonary squamous cell carcinoma and lymphoepithelial carcinoma — morphology, molecular characteristics and differential diagnosis. Histopathology. 2024;84(1):32-49.  https://doi.org/10.1111/his.15076
  26. Travis WD. Lung Cancer Pathology: Current Concepts. Clinics in Chest Medicine. 2020;41(1):67-85.  https://doi.org/10.1016/j.ccm.2019.11.001
  27. Yatabe Y, Dacic S, Borczuk AC, et al. Best Practices Recommendations for Diagnostic Immunohistochemistry in Lung Cancer. Journal of Thoracic Oncology. 2019;14(3):377-407.  https://doi.org/10.1016/j.jtho.2018.12.005
  28. Molina-Vila MÁ. Liquid biopsy in lung cancer: present and future. Translational Lung Cancer Research. 2016;5(5):452.  https://doi.org/10.21037/tlcr.2016.10.05
  29. Smeltzer MP, King JC, Connolly C, et al. The 2024 International Association for the Study of Lung Cancer Global Survey on Biomarker Testing. Journal of Thoracic Oncology. 2025;S1556-0864(25):00937-2.  https://doi.org/10.1016/j.jtho.2025.07.114

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