A 20-year retrospective study of small-cell carcinomas in Taiwan

Background and Objectives Small‐cell carcinomas (SCC) develop most commonly in the lung (small‐cell lung carcinoma, SCLC) and only small percentages are present at extra‐pulmonary sites. This study aimed to examine the distribution, treatment, and survival of SCCs. Methods The records for 922 SCC ca...

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Veröffentlicht in:Journal of surgical oncology 2010-10, Vol.102 (5), p.497-502
Hauptverfasser: Li, Anna Fen-Yau, Hsu, Han-Shui, Hsu, Chih-Yi, Li, Alice Chia-Heng, Li, Win-Yin, Liang, Wen-Yih, Chen, Jeou-Yuan
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container_end_page 502
container_issue 5
container_start_page 497
container_title Journal of surgical oncology
container_volume 102
creator Li, Anna Fen-Yau
Hsu, Han-Shui
Hsu, Chih-Yi
Li, Alice Chia-Heng
Li, Win-Yin
Liang, Wen-Yih
Chen, Jeou-Yuan
description Background and Objectives Small‐cell carcinomas (SCC) develop most commonly in the lung (small‐cell lung carcinoma, SCLC) and only small percentages are present at extra‐pulmonary sites. This study aimed to examine the distribution, treatment, and survival of SCCs. Methods The records for 922 SCC cases of various origins between January 1989 and December 2008 were retrieved and analyzed. Results The lung (89.2%) was the most common location, followed by the esophagus (1.8%), urinary bladder (1.6%), uterine cervix (1.5%), colorectum (1.4%), skin (1.0%), stomach (0.9%), head and neck (0.7%), prostate (0.3%), and small intestine (0.1%). Limited disease (LD) SCLC patients underwent surgery and chemotherapy had significantly higher survival rates than those who received chemotherapy alone, those who underwent combined radiotherapy and chemotherapy, and those who were administered supportive treatment. Actuarial 1‐, 2‐, and 3‐year survival rate was 28.9%, 9.4%, and 4.8% for total SCLC cases, 41.3%, 17.5%, and 9.6% for LD‐SCLC patients, and 21.9%, 4.2%, and 1.8% for extensive disease (ED)‐SCLC patients (P 
doi_str_mv 10.1002/jso.21629
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This study aimed to examine the distribution, treatment, and survival of SCCs. Methods The records for 922 SCC cases of various origins between January 1989 and December 2008 were retrieved and analyzed. Results The lung (89.2%) was the most common location, followed by the esophagus (1.8%), urinary bladder (1.6%), uterine cervix (1.5%), colorectum (1.4%), skin (1.0%), stomach (0.9%), head and neck (0.7%), prostate (0.3%), and small intestine (0.1%). Limited disease (LD) SCLC patients underwent surgery and chemotherapy had significantly higher survival rates than those who received chemotherapy alone, those who underwent combined radiotherapy and chemotherapy, and those who were administered supportive treatment. Actuarial 1‐, 2‐, and 3‐year survival rate was 28.9%, 9.4%, and 4.8% for total SCLC cases, 41.3%, 17.5%, and 9.6% for LD‐SCLC patients, and 21.9%, 4.2%, and 1.8% for extensive disease (ED)‐SCLC patients (P &lt; 0.001). The survival rates for lung and stomach SCC patients with LD were significantly better than for patients with ED; cervical SCC stages I and IIa patients had better survival rates than patients with stage IIb and above (P = 0.034). Conclusion The lung was the most common location of SCCs, with 9.3% of cases being extra‐pulmonary in origin. The need for combined surgery and chemotherapy in LD‐SCLC patients deserves further evaluation. J. Surg. Oncol. 2010;102:497–502. © 2010 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.21629</identifier><identifier>PMID: 20872953</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Aged, 80 and over ; Carcinoma, Small Cell - mortality ; Carcinoma, Small Cell - pathology ; Carcinoma, Small Cell - therapy ; extra-pulmonary small-cell carcinoma ; Female ; Gastrointestinal Neoplasms - mortality ; Gastrointestinal Neoplasms - pathology ; Gastrointestinal Neoplasms - therapy ; Humans ; Lung Neoplasms - mortality ; Lung Neoplasms - pathology ; Lung Neoplasms - therapy ; Male ; Middle Aged ; Neoplasm Staging ; Retrospective Studies ; Small Cell Lung Carcinoma - mortality ; Small Cell Lung Carcinoma - pathology ; Small Cell Lung Carcinoma - therapy ; small-cell lung carcinoma ; Survival Rate ; Taiwan ; Treatment Outcome</subject><ispartof>Journal of surgical oncology, 2010-10, Vol.102 (5), p.497-502</ispartof><rights>Copyright © 2010 Wiley‐Liss, Inc.</rights><rights>J. Surg. Oncol. 2010;102:497-502. © 2010 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4289-9c4c0d2f12abec04df1ea839d1a1661b3a504616c4110eed6484be4b1336f0423</citedby><cites>FETCH-LOGICAL-c4289-9c4c0d2f12abec04df1ea839d1a1661b3a504616c4110eed6484be4b1336f0423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.21629$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.21629$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20872953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Anna Fen-Yau</creatorcontrib><creatorcontrib>Hsu, Han-Shui</creatorcontrib><creatorcontrib>Hsu, Chih-Yi</creatorcontrib><creatorcontrib>Li, Alice Chia-Heng</creatorcontrib><creatorcontrib>Li, Win-Yin</creatorcontrib><creatorcontrib>Liang, Wen-Yih</creatorcontrib><creatorcontrib>Chen, Jeou-Yuan</creatorcontrib><title>A 20-year retrospective study of small-cell carcinomas in Taiwan</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background and Objectives Small‐cell carcinomas (SCC) develop most commonly in the lung (small‐cell lung carcinoma, SCLC) and only small percentages are present at extra‐pulmonary sites. This study aimed to examine the distribution, treatment, and survival of SCCs. Methods The records for 922 SCC cases of various origins between January 1989 and December 2008 were retrieved and analyzed. Results The lung (89.2%) was the most common location, followed by the esophagus (1.8%), urinary bladder (1.6%), uterine cervix (1.5%), colorectum (1.4%), skin (1.0%), stomach (0.9%), head and neck (0.7%), prostate (0.3%), and small intestine (0.1%). Limited disease (LD) SCLC patients underwent surgery and chemotherapy had significantly higher survival rates than those who received chemotherapy alone, those who underwent combined radiotherapy and chemotherapy, and those who were administered supportive treatment. Actuarial 1‐, 2‐, and 3‐year survival rate was 28.9%, 9.4%, and 4.8% for total SCLC cases, 41.3%, 17.5%, and 9.6% for LD‐SCLC patients, and 21.9%, 4.2%, and 1.8% for extensive disease (ED)‐SCLC patients (P &lt; 0.001). The survival rates for lung and stomach SCC patients with LD were significantly better than for patients with ED; cervical SCC stages I and IIa patients had better survival rates than patients with stage IIb and above (P = 0.034). Conclusion The lung was the most common location of SCCs, with 9.3% of cases being extra‐pulmonary in origin. The need for combined surgery and chemotherapy in LD‐SCLC patients deserves further evaluation. J. Surg. Oncol. 2010;102:497–502. © 2010 Wiley‐Liss, Inc.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Small Cell - mortality</subject><subject>Carcinoma, Small Cell - pathology</subject><subject>Carcinoma, Small Cell - therapy</subject><subject>extra-pulmonary small-cell carcinoma</subject><subject>Female</subject><subject>Gastrointestinal Neoplasms - mortality</subject><subject>Gastrointestinal Neoplasms - pathology</subject><subject>Gastrointestinal Neoplasms - therapy</subject><subject>Humans</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Retrospective Studies</subject><subject>Small Cell Lung Carcinoma - mortality</subject><subject>Small Cell Lung Carcinoma - pathology</subject><subject>Small Cell Lung Carcinoma - therapy</subject><subject>small-cell lung carcinoma</subject><subject>Survival Rate</subject><subject>Taiwan</subject><subject>Treatment Outcome</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0EoqUw8AdQNsSQcv6IE29UFQRQBQNFlVgsx7lIKUlT7JTSf0-gLRvTDfe8j-5eQs4pDCkAu577ZsioZOqA9CkoGSpQySHpdzsWilhBj5x4PwcApaQ4Jj0GScxUxPvkZhQwCDdoXOCwdY1fom3LTwx8u8o3QVMEvjZVFVqsqsAaZ8tFUxsflItgasq1WZySo8JUHs92c0Be726n4_tw8pw-jEeT0AqWqFBZYSFnBWUmQwsiLyiahKucGiolzbiJQEgqraAUEHMpEpGhyCjnsgDB-IBcbr1L13ys0Le6Lv3PVWaBzcrrOIoEUNnxA3K1JW33jndY6KUra-M2moL-6Ut3fenfvjr2YmddZTXmf-S-oA643gLrssLN_yb9-PK8V4bbROlb_PpLGPeuZczjSM-eUj2Lnng6fks18G9auIIj</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Li, Anna Fen-Yau</creator><creator>Hsu, Han-Shui</creator><creator>Hsu, Chih-Yi</creator><creator>Li, Alice Chia-Heng</creator><creator>Li, Win-Yin</creator><creator>Liang, Wen-Yih</creator><creator>Chen, Jeou-Yuan</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>A 20-year retrospective study of small-cell carcinomas in Taiwan</title><author>Li, Anna Fen-Yau ; Hsu, Han-Shui ; Hsu, Chih-Yi ; Li, Alice Chia-Heng ; Li, Win-Yin ; Liang, Wen-Yih ; Chen, Jeou-Yuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4289-9c4c0d2f12abec04df1ea839d1a1661b3a504616c4110eed6484be4b1336f0423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Small Cell - mortality</topic><topic>Carcinoma, Small Cell - pathology</topic><topic>Carcinoma, Small Cell - therapy</topic><topic>extra-pulmonary small-cell carcinoma</topic><topic>Female</topic><topic>Gastrointestinal Neoplasms - mortality</topic><topic>Gastrointestinal Neoplasms - pathology</topic><topic>Gastrointestinal Neoplasms - therapy</topic><topic>Humans</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Retrospective Studies</topic><topic>Small Cell Lung Carcinoma - mortality</topic><topic>Small Cell Lung Carcinoma - pathology</topic><topic>Small Cell Lung Carcinoma - therapy</topic><topic>small-cell lung carcinoma</topic><topic>Survival Rate</topic><topic>Taiwan</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Anna Fen-Yau</creatorcontrib><creatorcontrib>Hsu, Han-Shui</creatorcontrib><creatorcontrib>Hsu, Chih-Yi</creatorcontrib><creatorcontrib>Li, Alice Chia-Heng</creatorcontrib><creatorcontrib>Li, Win-Yin</creatorcontrib><creatorcontrib>Liang, Wen-Yih</creatorcontrib><creatorcontrib>Chen, Jeou-Yuan</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Anna Fen-Yau</au><au>Hsu, Han-Shui</au><au>Hsu, Chih-Yi</au><au>Li, Alice Chia-Heng</au><au>Li, Win-Yin</au><au>Liang, Wen-Yih</au><au>Chen, Jeou-Yuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A 20-year retrospective study of small-cell carcinomas in Taiwan</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>102</volume><issue>5</issue><spage>497</spage><epage>502</epage><pages>497-502</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background and Objectives Small‐cell carcinomas (SCC) develop most commonly in the lung (small‐cell lung carcinoma, SCLC) and only small percentages are present at extra‐pulmonary sites. This study aimed to examine the distribution, treatment, and survival of SCCs. Methods The records for 922 SCC cases of various origins between January 1989 and December 2008 were retrieved and analyzed. Results The lung (89.2%) was the most common location, followed by the esophagus (1.8%), urinary bladder (1.6%), uterine cervix (1.5%), colorectum (1.4%), skin (1.0%), stomach (0.9%), head and neck (0.7%), prostate (0.3%), and small intestine (0.1%). Limited disease (LD) SCLC patients underwent surgery and chemotherapy had significantly higher survival rates than those who received chemotherapy alone, those who underwent combined radiotherapy and chemotherapy, and those who were administered supportive treatment. Actuarial 1‐, 2‐, and 3‐year survival rate was 28.9%, 9.4%, and 4.8% for total SCLC cases, 41.3%, 17.5%, and 9.6% for LD‐SCLC patients, and 21.9%, 4.2%, and 1.8% for extensive disease (ED)‐SCLC patients (P &lt; 0.001). The survival rates for lung and stomach SCC patients with LD were significantly better than for patients with ED; cervical SCC stages I and IIa patients had better survival rates than patients with stage IIb and above (P = 0.034). Conclusion The lung was the most common location of SCCs, with 9.3% of cases being extra‐pulmonary in origin. The need for combined surgery and chemotherapy in LD‐SCLC patients deserves further evaluation. J. Surg. Oncol. 2010;102:497–502. © 2010 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20872953</pmid><doi>10.1002/jso.21629</doi><tpages>6</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Carcinoma, Small Cell - mortality
Carcinoma, Small Cell - pathology
Carcinoma, Small Cell - therapy
extra-pulmonary small-cell carcinoma
Female
Gastrointestinal Neoplasms - mortality
Gastrointestinal Neoplasms - pathology
Gastrointestinal Neoplasms - therapy
Humans
Lung Neoplasms - mortality
Lung Neoplasms - pathology
Lung Neoplasms - therapy
Male
Middle Aged
Neoplasm Staging
Retrospective Studies
Small Cell Lung Carcinoma - mortality
Small Cell Lung Carcinoma - pathology
Small Cell Lung Carcinoma - therapy
small-cell lung carcinoma
Survival Rate
Taiwan
Treatment Outcome
title A 20-year retrospective study of small-cell carcinomas in Taiwan
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