Peer-Reviewed Publication
Cancers (Basel)2026;18(11)May 22, 2026Journal Article

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

Jieun Lee1, Yuchae Jung2, Seung Yun Lee1, Ye Won Song3, Jongsun Jung4, Chan Kwon Park5, Young Jo Sa6, Tae-Jung Kim1
1Department of Hospital Pathology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 07345, Republic of Korea.
2Department of Artificial Intelligence Convergence & Engineering, Open Cyber University of Korea, Seoul 02087, Republic of Korea.
3College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea.
4Syntekabio, Genome Data Integration Center, 519, Techno World 2, No. 187, Yuseong-gu, Daejeon 34025, Republic of Korea.
5Division 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.
6Department 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.

Abstract

BACKGROUND/OBJECTIVES: How 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. METHODS: Whole-exome sequencing was performed on 33 FFPE samples from 11…

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