Glossary

The glossary explains some of the words used across this website and covers some key cancer and research terms, which primarily focus on lung cancer.

National cancer control plan (NCCP)

A formal government strategy outlining prevention and control activities, including national targets, that will be adopted to specifically address the burden of cancer in a country.1 See also ‘Non-communicable disease plan’

National screening programme

A nationwide screening programme directed towards the early detection of a specific disease or condition in an otherwise healthy population.2 National screening programmes may be organised or opportunistic. See ‘Early detection’, ‘Opportunistic screening’ and ‘Organised screening’

Neurotrophic tyrosine receptor kinase (NTRK)

A biomarker that, when an error is present, can indicate non-small-cell lung cancer. It can be treated with medication that blocks the biomarker action, thus slowing cancer growth.3See also ‘biomarker’ and ‘non-small-cell lung cancer’

Never smoker

A person who has never smoked or has smoked fewer than 100 cigarettes during their lifetime.4 There is contention around this term, as it can be seen as depersonalising.5 Where it is used on the website this is to reflect its usage in the source literature. The Lung Cancer Policy Network prefers the term ‘person who has never smoked’. See also ‘Non-smoker’

Next generation sequencing (NGS)

DNA sequencing technology that allows the entire human genome to be sequenced within a day.6 This allows for a fast, in-depth look at the biological information that cells use to develop and operate.7

Nodule

A small area of opacity on a computed tomography scan that may or may not be lung cancer. There are several different type of nodule, and further imaging may be required to determine which nodules are benign or malignant masses of cells in the lung.8 See also ‘Benign tumour’ and ‘Incidental nodule management protocol’

Nodule clinic

A dedicated service for the tracking and follow-up of pulmonary nodules that have been detected incidentally. It usually consists of a multidisciplinary team who are responsible for managing the individual with a nodule, and providing follow-up care where appropriate.9 See also ‘Nodule’, ‘Multidisciplinary team’ and ‘Incidental nodule management protocol’

Nodule navigator

A person responsible for guiding patients through the nodule management pathway, which includes coordinating and monitoring follow-up care between patients and clinicians, being a point of contact for patients, and providing information and education to patients.10 See also ‘Nodule’ and ‘Incidental nodule management protocol’

(Lung) nodule registry

A database of all detected pulmonary nodules within a health system. It facilitates data analysis to: track rates of follow-up, highlight areas for system improvement, provide epidemiology insights and collate information that can be used to inform future research.11

Nodule risk stratification

A process that uses factors such as nodule size, shape and growth rate, and patient medical history, to assess the likelihood of a nodule being malignant.12 See also ‘Malignant tumour’ and ‘Risk prediction model’

Non-communicable disease (NCD) plan

A formal government strategy outlining prevention and control activities, including national targets, that will be adopted to address the burden of NCDs in a country.2 13 See also ‘National cancer control plan’

Non-small-cell lung cancer (NSCLC)

An umbrella term for any type of lung cancer other than small-cell lung cancer. The most common types of NSCLC are squamous cell carcinoma, large-cell carcinoma and adenocarcinoma.14 See also ‘Small-cell lung cancer’

References

  1. Union for International Cancer Control (UICC). National cancer control planning. [Updated 11/02/2019]. Available from: https://www.uicc.org/national-cancer-control-planning [Accessed 04/03/2022]

  2. World Health Organization. 2020. WHO report on cancer: setting priorities, investing wisely and providing care for all. Geneva: WHO

  3. American Lung Association. 2022. NTRK and Lung Cancer. Available from: https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/symptoms-diagnosis/biomarker-testing/ntrk-and-lung-cancer [Accessed 10/08/2023]

  4. Yale Medicine. 2022. Fact sheet: Lung cancer in nonsmokers. [Updated 04/02/22]. Available from: https://www.yalemedicine.org/conditions/lung-cancer-in-nonsmokers [Accessed 11/04/22]

  5. International Association for the Study of Lung Cancer. 2021. IASLC Language Guide. Denver: IASLC

  6. Behjati S, Tarpey PS. 2013. What is next generation sequencing? Arch Dis Child Educ Pract Ed 98(6): 236-8

  7. National Human Genome Research Institute. 2023. DNA Sequencing. Available from: https://www.genome.gov/genetics-glossary/DNA-Sequencing [Accessed 10/08/2023]

  8. McNulty W, Baldwin D. 2019. Management of pulmonary nodules. BJR Open 1(1): 20180051

  9. Massachusetts General Hospital. Pulmonary Nodule Clinic Frequently Asked Questions.  Available from: https://www.massgeneral.org/cancer-center/treatments-and-services/pulmonary-nodule-clinic/frequently-asked-questions [Accessed 14/10/24]

  10. Archbold. Lung Nodule Navigator.  Available from: https://www.archbold.org/services/pulmonology-services/lung-navigator/ [Accessed 14/10/24]

  11. Borg M, Rasmussen TR, Hilberg O. 2024. Introduction of the Danish Lung Nodule Registry: A part of the Danish Lung Cancer Registry. Cancer Epidemiol 89: 102543

  12. Chae J. 2023. Understanding lung nodules: Determining risks and diagnosing.  Available from: https://cancerblog.mayoclinic.org/2023/08/01/understanding-lung-nodules-determining-risks-and-diagnosing/ [Accessed 14/10/24]

  13. Bennett JE, Kontis V, Mathers CD, et al. 2020. NCD Countdown 2030: pathways to achieving Sustainable Development Goal target 3.4. The Lancet 396(10255): 918-34

  14. National Cancer Institute. Non-Small Cell Lung Cancer Treatment (PDQ®)–Health Professional Version. [Updated 04/03/22].  Available from: https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq [Accessed 07/03/22]