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小细胞肺癌合并腺癌:1例罕见病例及文献复习

Combined small-cell lung cancer with adenocarcinoma: a rare case and literatures review.

作者信息

Wu Xiao, Fang Ke, Huang Wenya, Chen Gang, Wang Dingkun

机构信息

Department of Integrated Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

J Cancer Res Clin Oncol. 2025 Aug 13;151(8):230. doi: 10.1007/s00432-025-06283-x.

DOI:10.1007/s00432-025-06283-x
PMID:40802096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12350876/
Abstract

Combined small-cell lung carcinoma (C-SCLC) is an uncommon lung cancer variant characterized by the presence of multiple pathological types within a single case or tumor, typically associated with poor outcomes. The high rate of misdiagnosis and low rate of accurate diagnosis for C-SCLC stem from limitations in sample collection, which primarily involves bronchoscopy and aspiration biopsy instead of surgical resection or autopsy. Moreover, standard chemotherapy for patients with C-SCLC has not yet been established. Cases of combined small-cell lung cancer with adenocarcinoma are extremely rare. Herein, we report a case of the detailed whole-process treatment of combined small-cell lung cancer with adenocarcinoma and review the literature.

摘要

混合性小细胞肺癌(C-SCLC)是一种罕见的肺癌变体,其特征是在单个病例或肿瘤中存在多种病理类型,通常预后较差。C-SCLC的高误诊率和低准确诊断率源于样本采集的局限性,样本采集主要涉及支气管镜检查和穿刺活检,而非手术切除或尸检。此外,C-SCLC患者的标准化化疗方案尚未确立。小细胞肺癌合并腺癌的病例极为罕见。在此,我们报告一例小细胞肺癌合并腺癌的详细全程治疗病例并进行文献复习。

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本文引用的文献

1
2021 WHO Classification of Lung Cancer: Molecular Biology Research and Radiologic-Pathologic Correlation.《2021年世界卫生组织肺癌分类:分子生物学研究与放射病理相关性》
Radiographics. 2024 Mar;44(3):e230136. doi: 10.1148/rg.230136.
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Molecular subtype expression and genomic profiling differ between surgically resected pure and combined small cell lung carcinoma.手术切除的单纯型和混合型小细胞肺癌的分子亚型表达和基因组特征存在差异。
Hum Pathol. 2023 Nov;141:118-129. doi: 10.1016/j.humpath.2023.08.003. Epub 2023 Aug 14.
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Cancer statistics, 2023.
癌症统计数据,2023 年。
CA Cancer J Clin. 2023 Jan;73(1):17-48. doi: 10.3322/caac.21763.
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Autopsy case of a patient with rapidly progressive combined small-cell lung carcinoma with spindle-shaped cell tumor.伴有梭形细胞肿瘤的快速进展性小细胞肺癌患者的尸检病例。
Thorac Cancer. 2022 Aug;13(15):2279-2282. doi: 10.1111/1759-7714.14559. Epub 2022 Jun 28.
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Whole-Process Treatment of Combined Small Cell Lung Cancer Initially Diagnosed as "Lung Squamous Cell Carcinoma": A Case Report and Review of the Literature.小细胞肺癌初始误诊为“肺鳞癌”的全程化治疗:1 例病例报告并文献复习。
Front Immunol. 2022 Mar 2;13:831698. doi: 10.3389/fimmu.2022.831698. eCollection 2022.
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Cancer statistics, 2022.癌症统计数据,2022 年。
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Comparison of atezolizumab, durvalumab, pembrolizumab, and nivolumab as first-line treatment in patients with extensive-stage small cell lung cancer: A systematic review and network meta-analysis.阿替利珠单抗、度伐利尤单抗、帕博利珠单抗和纳武利尤单抗作为广泛期小细胞肺癌一线治疗药物的比较:系统评价和网络荟萃分析。
Medicine (Baltimore). 2021 Apr 16;100(15):e25180. doi: 10.1097/MD.0000000000025180.
8
Combined small-cell lung carcinoma revealed to be an intratumoural metastasis by genetic analysis.基因分析显示,小细胞肺癌合并症为肿瘤内转移。
Ann Oncol. 2021 May;32(5):679-681. doi: 10.1016/j.annonc.2021.01.075. Epub 2021 Feb 9.
9
Pembrolizumab with or without radiotherapy for metastatic non-small-cell lung cancer: a pooled analysis of two randomised trials.帕博利珠单抗联合或不联合放疗治疗转移性非小细胞肺癌:两项随机试验的汇总分析。
Lancet Respir Med. 2021 May;9(5):467-475. doi: 10.1016/S2213-2600(20)30391-X. Epub 2020 Oct 20.
10
Phase II Trial of Ipilimumab with Stereotactic Radiation Therapy for Metastatic Disease: Outcomes, Toxicities, and Low-Dose Radiation-Related Abscopal Responses.立体定向放疗联合依匹单抗治疗转移性疾病的 II 期临床试验:结果、毒性和低剂量放射相关的远隔效应。
Cancer Immunol Res. 2019 Dec;7(12):1903-1909. doi: 10.1158/2326-6066.CIR-18-0793. Epub 2019 Oct 28.