Evidence map›Paper›PMID 40841521›Full record

ReviewNature reviews. Disease primers2025

Lung metastases.

Lodovica Zullo, Dimitris Filippiadis, Lizza E L Hendriks, Daniel Portik, Jonathan D Spicer, Ignacio I Wistuba, Benjamin Besse

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
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  6. Review
  7. Article
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  11. Review
  12. Article
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  15. Observational
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4 · The record

Corrections and comments

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

7 authors.

Lodovica ZulloCancer Medicine Department, Gustave Roussy, Villejuif, France.ORCID http://orcid.org/0000-0002-1659-788X
Dimitris Filippiadis2nd Department of Radiology, University General Hospital "Attikon" Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Lizza E L HendriksDepartment of Pulmonary Diseases, GROW - Research Institute for Oncology and Reproduction, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3521-2535
Daniel PortikEuropean Organisation for Research and Treatment of Cancer (EORTC) Headquarters, Brussels, Belgium.ORCID http://orcid.org/0009-0008-8392-3252
Jonathan D SpicerDepartment of Surgery, Faculty of Medicine and Health Sciences, McGill University, Montréal, Quebec, Canada.
Ignacio I WistubaDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Benjamin BesseCancer Medicine Department, Gustave Roussy, Villejuif, France. benjamin.besse@gustaveroussy.fr.ORCID http://orcid.org/0000-0001-5090-8189

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Up to 50% of patients with metastatic cancer develop lung metastases during their disease course. Lung metastases are linked to poor prognosis across various cancer types and might impair the quality of life of patients, causing dyspnoea, cough, haemoptysis and pain, potentially diminishing physical, functional and emotional well-being. Lung metastases arise from a complex interplay of tumour-secreted factors such as VEGF, TGFβ and CCL2, which drive vascular remodelling, immune cell recruitment and extracellular matrix reprogramming. Additionally, tumour-derived exosomes and microparticles contribute to organotropism and immunosuppression by altering the lung microenvironment. The ensemble of these modifications creates a pre-metastatic niche conducive to tumour cell colonization and outgrowth. Lung metastases are primarily diagnosed through imaging; histological confirmation is sometimes required to distinguish them from primary lung cancer. The size and number of lung metastases, timing of primary cancer treatment, histology, and the patient's clinical condition are all considered to determine the most appropriate treatment. When a locoregional approach is not possible, histology-based, molecular-driven systemic therapy is the choice. No systemic treatment is currently available specifically for lung metastases. Advances in understanding the distinct stages of pre-metastatic niche formation and lung metastasis outgrowth might lead to the development of prevention strategies and tailored treatments.

Indexed as

Lung NeoplasmsNeoplasm MetastasisHumansPrognosisQuality of LifeTumor Microenvironment

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.