Small cell lung cancer presenting as a solitary pulmonary nodule

Small cell lung cancer (SCLC) rarely presents radiographically as a solitary pulmonary nodule (SPN). Twenty‐five patients with this feature were identified among 408 individuals with SCLC at McGill University (Montreal, Quebec) from 1979 through 1984. Of these, 15 (60%) were confirmed on pathologic...

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Veröffentlicht in:Cancer 1990-08, Vol.66 (3), p.577-582
Hauptverfasser: Quoix, Elisabeth, Fraser, Richard, Wolkove, Norman, Finkelstein, Harriet, Kreisman, Harvey
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container_end_page 582
container_issue 3
container_start_page 577
container_title Cancer
container_volume 66
creator Quoix, Elisabeth
Fraser, Richard
Wolkove, Norman
Finkelstein, Harriet
Kreisman, Harvey
description Small cell lung cancer (SCLC) rarely presents radiographically as a solitary pulmonary nodule (SPN). Twenty‐five patients with this feature were identified among 408 individuals with SCLC at McGill University (Montreal, Quebec) from 1979 through 1984. Of these, 15 (60%) were confirmed on pathologic review as SCLC (ten intermediate cell, four oat cell, one indeterminate). Pathologic review of a control group comprising 24 other limited‐disease patients who were long‐term survivors (> 20 months) confirmed 20 (84%) as SCLC (eight intermediate cell, 12 oat cell). Ten of the 15 patients with SPN were resected whereas five had chemotherapy and/or radiotherapy as primary treatment. Postoperative chemotherapy was administered to most of the resected patients. The median survival of the 15 patients with SPN was 24 months, a significantly longer survival than the other patients with SCLC. This improved prognosis in patients with SPN may be due to smaller initial tumor burden or to a fundamental biologic difference between SPN and other forms of SCLC.
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Twenty‐five patients with this feature were identified among 408 individuals with SCLC at McGill University (Montreal, Quebec) from 1979 through 1984. Of these, 15 (60%) were confirmed on pathologic review as SCLC (ten intermediate cell, four oat cell, one indeterminate). Pathologic review of a control group comprising 24 other limited‐disease patients who were long‐term survivors (&gt; 20 months) confirmed 20 (84%) as SCLC (eight intermediate cell, 12 oat cell). Ten of the 15 patients with SPN were resected whereas five had chemotherapy and/or radiotherapy as primary treatment. Postoperative chemotherapy was administered to most of the resected patients. The median survival of the 15 patients with SPN was 24 months, a significantly longer survival than the other patients with SCLC. 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Fraser, Richard ; Wolkove, Norman ; Finkelstein, Harriet ; Kreisman, Harvey</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4138-7a960ae52338167d09e0840adc7d51bd4b96795b204bf850f7d821c15391b0c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Actuarial Analysis</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Small Cell - mortality</topic><topic>Carcinoma, Small Cell - pathology</topic><topic>Carcinoma, Small Cell - radiotherapy</topic><topic>Carcinoma, Small Cell - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - radiotherapy</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Solitary Pulmonary Nodule - mortality</topic><topic>Solitary Pulmonary Nodule - pathology</topic><topic>Solitary Pulmonary Nodule - radiotherapy</topic><topic>Solitary Pulmonary Nodule - surgery</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quoix, Elisabeth</creatorcontrib><creatorcontrib>Fraser, Richard</creatorcontrib><creatorcontrib>Wolkove, Norman</creatorcontrib><creatorcontrib>Finkelstein, Harriet</creatorcontrib><creatorcontrib>Kreisman, Harvey</creatorcontrib><collection>Pascal-Francis</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>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quoix, Elisabeth</au><au>Fraser, Richard</au><au>Wolkove, Norman</au><au>Finkelstein, Harriet</au><au>Kreisman, Harvey</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Small cell lung cancer presenting as a solitary pulmonary nodule</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>1990-08-01</date><risdate>1990</risdate><volume>66</volume><issue>3</issue><spage>577</spage><epage>582</epage><pages>577-582</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>Small cell lung cancer (SCLC) rarely presents radiographically as a solitary pulmonary nodule (SPN). Twenty‐five patients with this feature were identified among 408 individuals with SCLC at McGill University (Montreal, Quebec) from 1979 through 1984. Of these, 15 (60%) were confirmed on pathologic review as SCLC (ten intermediate cell, four oat cell, one indeterminate). Pathologic review of a control group comprising 24 other limited‐disease patients who were long‐term survivors (&gt; 20 months) confirmed 20 (84%) as SCLC (eight intermediate cell, 12 oat cell). Ten of the 15 patients with SPN were resected whereas five had chemotherapy and/or radiotherapy as primary treatment. Postoperative chemotherapy was administered to most of the resected patients. The median survival of the 15 patients with SPN was 24 months, a significantly longer survival than the other patients with SCLC. 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subjects Actuarial Analysis
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Small Cell - mortality
Carcinoma, Small Cell - pathology
Carcinoma, Small Cell - radiotherapy
Carcinoma, Small Cell - surgery
Female
Humans
Lung Neoplasms - mortality
Lung Neoplasms - pathology
Lung Neoplasms - radiotherapy
Lung Neoplasms - surgery
Male
Medical sciences
Middle Aged
Pneumology
Solitary Pulmonary Nodule - mortality
Solitary Pulmonary Nodule - pathology
Solitary Pulmonary Nodule - radiotherapy
Solitary Pulmonary Nodule - surgery
Tumors of the respiratory system and mediastinum
title Small cell lung cancer presenting as a solitary pulmonary nodule
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