Soldath Patrick, Petersen René Horsleben
Department of Cardiothoracic Surgery, Rigshospitalet, 2100 Copenhagen Ø, Denmark.
Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen N, Denmark.
Cancers (Basel). 2023 Mar 9;15(6):1695. doi: 10.3390/cancers15061695.
This review summarizes key recent developments relevant to the surgical management of lung neuroendocrine neoplasms (L-NENs), including typical and atypical carcinoids, large cell neuroendocrine carcinoma, and small cell lung carcinoma. This review includes recent insights into the classification, clinical presentation, diagnostic workup, treatment options, and follow-up. Highlighted topics include general principles of surgery in localized or locally advanced or metastatic L-NENs, lung-sparing surgery for small, peripheral typical carcinoids, adjuvant and systemic therapies for typical and atypical carcinoids, and surgery and adjuvant therapies for large cell neuroendocrine carcinoma and small cell lung carcinoma.
本综述总结了与肺神经内分泌肿瘤(L-NENs)手术管理相关的近期关键进展,包括典型类癌和非典型类癌、大细胞神经内分泌癌和小细胞肺癌。本综述涵盖了对分类、临床表现、诊断检查、治疗选择及随访的最新见解。重点主题包括局限性、局部晚期或转移性L-NENs的手术一般原则、小的外周型典型类癌的肺保留手术、典型和非典型类癌的辅助治疗及全身治疗,以及大细胞神经内分泌癌和小细胞肺癌的手术及辅助治疗。