Clinical responses of large cell neuroendocrine carcinoma of the lung to cisplatin-based chemotherapy

Shigeo Yamazaki, Ikuo Sekine, Yoshihiro Matsuno, Hidefumi Takei, Noboru Yamamoto, Hideo Kunitoh, Yuichiro Ohe, Tomohide Tamura, Tetsuro Kodama, Hisao Asamura, Ryosuke Tsuchiya, Nagahiro Saijo

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

Background: The efficacy of chemotherapy in patients with large cell neuroendocrine carcinoma of the lung (LCNEC) remains unclear. Methods: Patients with LCNEC who received cisplatin-based chemotherapy were identified by reviewing 567 autopsied and 2790 surgically resected lung cancer patients. The clinical characteristics and objective responses to chemotherapy in these patients were analyzed. Results: Overall, 20 cases of LCNEC were identified, including stage IIIA (n = 3), stage IIIB (n = 6), stage IV (n = 6) and postoperative recurrence (n = 5) cases. Six patients had received prior chemotherapy, and 14 were chemo-naive patients. The patients had received a combination of cisplatin and etoposide (n = 9), cisplatin, vindesine and mitomycin (n = 6), cisplatin and vindesine (n = 4), or cisplatin alone (n = 1). One patient showed complete response and nine showed partial response, yielding an objective response rate of 50%. The response rate did not differ between patients with the initial diagnosis of SCLC and those with the initial diagnosis of NSCLC, however, the response rate in chemo-naive patients (64%) was significantly different from that in previously treated patients (17%). Conclusions: Our results suggest that the response rate of LCNEC to cisplatin-based chemotherapy was comparable to that of SCLC.

Original languageEnglish
Pages (from-to)217-223
Number of pages7
JournalLung Cancer
Volume49
Issue number2
DOIs
Publication statusPublished - 2005 Aug 1
Externally publishedYes

Keywords

  • Chemotherapy
  • Cisplatin
  • Lung cancer
  • Neuroendocrine carcinoma

ASJC Scopus subject areas

  • Oncology
  • Pulmonary and Respiratory Medicine
  • Cancer Research

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