PLoS ONE (Jan 2017)

Clinical contributions of exhaled volatile organic compounds in the diagnosis of lung cancer.

  • Tsuyoshi Oguma,
  • Takashi Nagaoka,
  • Muneshige Kurahashi,
  • Naofumi Kobayashi,
  • Shinji Yamamori,
  • Chizuko Tsuji,
  • Hiroto Takiguchi,
  • Kyoko Niimi,
  • Hiromi Tomomatsu,
  • Katsuyoshi Tomomatsu,
  • Naoki Hayama,
  • Takuya Aoki,
  • Tetsuya Urano,
  • Kazushige Magatani,
  • Sunao Takeda,
  • Tadashi Abe,
  • Koichiro Asano

DOI
https://doi.org/10.1371/journal.pone.0174802
Journal volume & issue
Vol. 12, no. 4
p. e0174802

Abstract

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BACKGROUND:Exhaled volatile organic compounds (VOC) are being considered as biomarkers for various lungs diseases, including cancer. However, the accurate measurement of extremely low concentrations of VOC in expired air is technically challenging. We evaluated the clinical contribution of exhaled VOC measured with a new, double cold-trap method in the diagnosis of lung cancer. METHODS:Breath samples were collected from 116 patients with histologically confirmed lung cancer and 37 healthy volunteers (controls) after inspiration of purified air, synthesized through a cold-trap system. The exhaled VOC, trapped in the same system, were heat extracted. We analyzed 14 VOC with gas chromatography. RESULTS:The concentrations of exhaled cyclohexane and xylene were significantly higher in patients with lung cancer than in controls (p = 0.002 and 0.0001, respectively), increased significantly with the progression of the clinical stage of cancer (both p < 0.001), and decreased significantly after successful treatment of 6 patients with small cell lung cancer (p = 0.06 and 0.03, respectively). CONCLUSION:Measurements of exhaled VOCs by a double cold-trap method may help diagnose lung cancer and monitor its progression and regression.