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CONTENTS
Contributors
Preface
Acknowledgments

PART I • BACKGROUND

1. History of Lung Cancer

Goetz Kloecker, MD, MBA, MSPH, FACP

2. Epidemiology of Lung Cancer

Goetz Kloecker, MD, MBA, MSPH, FACP

3. Etiology of Lung Cancer

Goetz Kloecker, MD, MBA, MSPH, FACP, Brian Dong, MD, Rohit
Kumar, MD

4. Tobacco and Lung Cancer

Goetz Kloecker, MD, MBA, MSPH, FACP, Celeste T. Worth,
MCHES, Samuel Reynolds, MD

5. Economics of Lung Cancer

Jorge A. Rios, MD, Shruti Bhandari, MD

PART II • PATHOBIOLOGY

6. Pathobiology of Non–Small Cell Lung Carcinoma

Mostafa M. Fraig, MD, MBA
 7. Pathobiology of Small Cell Carcinoma and Other
Neuroendocrine Tumors of the Lung
Mostafa M. Fraig, MD, MBA

8. The Cancer Stem Cell Hypothesis of Lung Cancer

Christine Fillmore Brainson, PhD

PART III • PREVENTION AND DIAGNOSIS

9. Prevention of Lung Cancer

Susanne M. Arnold, MD

10. Early Detection of Lung Cancer

Shruti Bhandari, MD, Dhan Pham, MD

11. Diagnostics of Lung Cancer

Shruti Bhandari, MD, Umair Gauhar, MBBS, Bilal Athar Jalil, MD,
Emily Jonczak, MD, Raja Mudad, MD, FACP, Chandler Park, MD,
MSc, FACP, Dhan Pham, MD, Samuel Reynolds, MD

12. Staging of Lung Cancer

Susanne M. Arnold, MD

PART IV • TREATMENT: NON–SMALL CELL AND SMALL CELL

LUNG CANCER

13. Non–Small Cell Lung Cancer Treatment: Early Stage

Victor van Berkel, MD, PhD, Michael J. Carr, MD, MS, Neal E.
Dunlap, MD, Matthew Fox, MD, Ignacio Gil-Bazo, MD, PhD, Rohit
Kumar, MD, Katy Alyse Marino, MD, Mike May, MD, Phuong T.
Ngo, MD, Jose Pinto-Llerena, MD, FACP, Luis E. Raez, MD, FACP,
FCCP, Jonathan Rice, MD, PhD

14. Non–Small Cell Lung Cancer Treatment: Locally

Advanced
 Andrea Anampa-Guzmán, MD, Neal E. Dunlap, MD, Matthew
Fox, MD, Ignacio Gil-Bazo, MD, PhD, Rohit Kumar, MD, Michael
May, MD, Cesar A. Perez, MD, Luis E. Raez, MD, FACP, FCCP,
Susan Ansley Smith, MD

15. Non–Small Cell Lung Cancer Treatment: Metastatic

Victor van Berkel, MD, PhD, Jennifer Cudris, MD, Neal E. Dunlap,
MD, Ignacio Gil-Bazo, MD, PhD, Steven Mandish, MD, Katy Alyse
Marino, MD, Phuong T. Ngo, MD, Cesar A. Perez, MD, Jose Pinto
Llerena, MD, Edgardo S. Santos, MD, FACP, Andrew Tumen, MD,
MS, Moises Harari Turquie, MD

16. Small Cell Lung Cancer Treatment: Early Stage

Victor van Berkel, MD, PhD, Neal E. Dunlap, MD, Matthew Fox,
MD, Alden Klarer, MD, PhD, Kate Alyse Marino, MD, Phuong T.
Ngo, MD, William M. Whited, MD, Mehran Yusuf, MD

17. Small Cell Lung Cancer Treatment: Locally Advanced

Neal E. Dunlap, MD, Phuong T. Ngo, MD, Cesar A. Perez, MD,
Diana Saravia, MD, Mehran Yusuf, MD

18. Small Cell Lung Cancer Treatment: Metastatic

Neal E. Dunlap, MD, Muhammad Husnain, MD, Phuong T. Ngo,
MD, Cesar A. Perez, MD, Mehran Yusuf, MD

19. Supportive and Palliative Care in Lung Cancer

Shruti Bhandari, MD, Jonathan S. Alexander, MD

20. Interventional Radiology in the Diagnosis and

Treatment of Lung Cancer
Douglas M. Coldwell, MD, PhD, Omar Safi Zuberi, DO

21. Immunotoxicity
Amitoj Gill, MD, Rahul Gosain, MD

PART V • LESS COMMON CANCERS OF THE LUNG

22. Pulmonary Carcinoid
Hamza Hashmi, MD

23. Malignant Pleural Mesothelioma

Hamza Hashmi, MD

24. Thymic Cancer

Hamza Hashmi, MD

Index
CONTRIBUTORS
Jonathan S. Alexander, MD
Department of Internal Medicine
University of Louisville
School of Medicine
Louisville, Kentucky

Andrea Anampa-Guzmán
Medical Student
San Fernando Faculty of Human Medicine
Universidad Nacional Mayor de San Marcos
Lima, Peru

Susanne Markesbery Arnold, MD

Professor of Medicine, Division of Medical Oncology
University of Kentucky College of Medicine
Associate Director of Clinical Translation
Markey Cancer Center
Lexington, Kentucky

Shruti Bhandari, MD
Hematology and Medical Oncology
University of Louisville
Department of Medicine
School of Medicine
Louisville, Kentucky

Christine Fillmore Brainson, PhD

Assistant Professor, Toxicology and Cancer Biology
University of Kentucky College of Medicine
Markey Cancer Center
Lexington, Kentucky

Michael J. Carr, MD, MS

Hiram C. Polk Jr., MD Department of Surgery
University of Louisville School of Medicine
Louisville, Kentucky

Douglas M. Coldwell, MD, PhD

Professor of Radiology and Bioengineering
Vice Chair, Radiology
University of Louisville
School of Medicine
Louisville, Kentucky

Jennifer Cudris, MD
Section Chief, Hematology and Oncology
Miami VA Healthcare system
Miami, Florida

Brian Dong, MD
Hematology and Medical Oncology
Department of Medicine
University of Louisville
School of Medicine
Louisville, Kentucky

Neal E. Dunlap, MD
Professor and Vice Chairman
Residency Director
Department of Radiation Oncology
University of Louisville
School of Medicine
Louisville, Kentucky

Matthew Fox, MD
Assistant Professor of Cardiovascular and Thoracic Surgery
University of Louisville
School of Medicine
Louisville, Kentucky

Mostafa M. Fraig, MD, MBA

William M. Christopherson Professor of Pathology and Laboratory
Medicine
Vice Chair, Director of Anatomic Pathology
Director of Pulmonary Pathology
Adjunct Professor of Medicine
Division of Pulmonary Medicine
School of Medicine
University of Louisville
Louisville, Kentucky

Umair Gauhar, MBBS

Associate Professor of Medicine
Director, Interventional Pulmonary Program
Division of Pulmonary, Critical Care, and Sleep Disorders Medicine
Department of Medicine
University of Louisville
School of Medicine
Louisville, Kentucky

Ignacio Gil-Bazo, MD, PhD

Chairman, Department of Oncology
Co-Director, Lung Cancer Unit
Associate Professor, School of Medicine
Principal Investigator, Program of Solid Tumors and Biomarkers
Clínica Universidad de Navarra—Center for Applied Medical Research
Pamplona, Spain

Amitoj Gill, MD
Hematology and Oncology
Columbus Regional Hospital
Columbus, Indiana

Rahul Gosain, MD
Co-Founder and President, Learn From Apps
Division of Hematology and Oncology
Guthrie–Corning Cancer Center
Corning, New York

Moises Harari Turquie, MD

Hematology and Oncology Fellow
University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico

Hamza Hashmi, MD
Assistant Professor
Department of Medicine
Division of Hematology/Oncology
Medical University of South Carolina
Charleston, South Carolina

Muhammad Husnain, MD
Assistant Professor of Medicine
Division of Hematology and Medical Oncology
Department of Medicine
University of Arizona
Tucson, Arizona

Bilal Athar Jalil, MD

Assistant Professor
Division of Pulmonary, Critical Care and Sleep Disorders Medicine
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 Immunology - Teaching Resources
Third 2023 - College

Prepared by: Teacher Williams

Date: July 28, 2025

Quiz 1: Statistical analysis and interpretation

Learning Objective 1: Statistical analysis and interpretation
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Learning Objective 2: Fundamental concepts and principles
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Learning Objective 3: Fundamental concepts and principles
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 3: Diagram/Chart/Graph]
Learning Objective 4: Key terms and definitions
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Learning Objective 5: Study tips and learning strategies
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Note: Fundamental concepts and principles
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 6: Diagram/Chart/Graph]
Definition: Fundamental concepts and principles
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 7: Diagram/Chart/Graph]
Example 7: Experimental procedures and results
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 8: Case studies and real-world applications
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Current trends and future directions
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 10: Diagram/Chart/Graph]
Unit 2: Case studies and real-world applications
Practice Problem 10: Theoretical framework and methodology
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Problem-solving strategies and techniques
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Key Concept: Learning outcomes and objectives
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Note: Ethical considerations and implications
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
[Figure 14: Diagram/Chart/Graph]
Remember: Theoretical framework and methodology
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Research findings and conclusions
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Fundamental concepts and principles
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Literature review and discussion
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Key Concept: Practical applications and examples
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 19: Diagram/Chart/Graph]
Key Concept: Historical development and evolution
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Topic 3: Learning outcomes and objectives
Remember: Research findings and conclusions
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Critical analysis and evaluation
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 22: Diagram/Chart/Graph]
Key Concept: Comparative analysis and synthesis
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Comparative analysis and synthesis
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Statistical analysis and interpretation
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Research findings and conclusions
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 26: Theoretical framework and methodology
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Critical analysis and evaluation
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Important: Assessment criteria and rubrics
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Research findings and conclusions
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Test 4: Best practices and recommendations
Important: Key terms and definitions
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Learning outcomes and objectives
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Literature review and discussion
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 33: Key terms and definitions
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 34: Diagram/Chart/Graph]
Key Concept: Research findings and conclusions
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Statistical analysis and interpretation
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 36: Diagram/Chart/Graph]
Remember: Interdisciplinary approaches
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 37: Diagram/Chart/Graph]
Key Concept: Theoretical framework and methodology
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Study tips and learning strategies
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Case studies and real-world applications
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Module 5: Study tips and learning strategies
Example 40: Current trends and future directions
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 41: Statistical analysis and interpretation
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Study tips and learning strategies
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 43: Theoretical framework and methodology
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 44: Practical applications and examples
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 45: Diagram/Chart/Graph]
Definition: Experimental procedures and results
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Experimental procedures and results
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Note: Experimental procedures and results
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Best practices and recommendations
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Literature review and discussion
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Appendix 6: Experimental procedures and results
Note: Comparative analysis and synthesis
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Remember: Case studies and real-world applications
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Theoretical framework and methodology
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Learning outcomes and objectives
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Interdisciplinary approaches
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Note: Theoretical framework and methodology
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 56: Diagram/Chart/Graph]
Remember: Literature review and discussion
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Literature review and discussion
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 58: Diagram/Chart/Graph]
Example 58: Key terms and definitions
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Statistical analysis and interpretation
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Quiz 7: Theoretical framework and methodology
Definition: Fundamental concepts and principles
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 61: Current trends and future directions
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 62: Experimental procedures and results
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Practical applications and examples
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Practice Problem 64: Assessment criteria and rubrics
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Remember: Experimental procedures and results
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Current trends and future directions
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Learning outcomes and objectives
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Definition: Literature review and discussion
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Best practices and recommendations
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Section 8: Research findings and conclusions
Remember: Interdisciplinary approaches
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 71: Diagram/Chart/Graph]
Note: Historical development and evolution
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Theoretical framework and methodology
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 73: Diagram/Chart/Graph]
Key Concept: Ethical considerations and implications
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 74: Diagram/Chart/Graph]
Important: Theoretical framework and methodology
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Theoretical framework and methodology
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 76: Diagram/Chart/Graph]
Example 76: Critical analysis and evaluation
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Case studies and real-world applications
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 78: Diagram/Chart/Graph]
Definition: Literature review and discussion
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 79: Experimental procedures and results
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 80: Diagram/Chart/Graph]
Quiz 9: Study tips and learning strategies
Remember: Practical applications and examples
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Practice Problem 81: Practical applications and examples
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Comparative analysis and synthesis
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Note: Theoretical framework and methodology
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 84: Statistical analysis and interpretation
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Comparative analysis and synthesis
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 86: Diagram/Chart/Graph]
Definition: Learning outcomes and objectives
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Key terms and definitions
• Key terms and definitions
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