A Single-Institution Analysis of the Surgical Management of Pulmonary Large Cell Neuroendocrine Carcinomas

The Annals of Thoracic Surgery
Christian RoeselStefan Welter

Abstract

Large cell neuroendocrine carcinoma (LCNEC) is an uncommon tumor of the lung and represents approximately 3% of all lung cancers. LCNEC displays biological behaviors resembling those of small cell lung carcinomas and features of high-grade neuroendocrine tumors. LCNEC of the lung are considered aggressive. Reported prognoses are heterogeneous, and the optimum treatment remains undefined. We conducted a retrospective study of all patients who were treated for LCNEC in our Department of Thoracic Surgery between May 2005 and December 2013. Primary outcomes of interest were patient survival and prognostic factors. Kaplan-Meier analysis was performed to determine the significant predictors of overall survival. Within the prescribed period, 127 patients were treated for LCNEC, and 125 underwent surgical resection with curative intent. Induction chemotherapy or radiochemotherapy was given to 9 patients, and 63 patients received postoperative chemotherapy. Complete resection was achieved in 99.2%. The overall 1-, 3- and 5-year survival rates were 83.7%, 63.2%, and 53.8% of all patients, and the 5-year survival in patients at stages I, II, and III was 64.5%, 40%, and 29.7%. There was a significant survival difference at 5 years between ...Continue Reading

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Citations

Aug 3, 2017·General Thoracic and Cardiovascular Surgery·Masayuki OkuiHirotoshi Horio
Dec 1, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T Ploenes, C Aigner
May 13, 2020·Journal of Clinical Medicine·Anna LowczakAnna Doboszyńska
May 29, 2021·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Akira SugimotoGenichiro Ishii
Aug 31, 2021·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Seok-Yun LeeSusanne Rogers

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