Small cell lung cancer: Recent changes in clinical presentation and prognosis

• Published in: The clinical respiratory journal Vol. 14; no. 3; pp. 222 - 227
• Main Authors: Caballero Vázquez, Alberto, Garcia Flores, Paula, Romero Ortiz, Ana, García del Moral, Raimundo, Alcázar‐Navarrete, Bernardino
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.03.2020
• Subjects: advanced disease; Lung cancer; Medical prognosis; positron‐emission tomography; small cell lung cancer; Tomography; positron-emission tomography; advanced disease; small cell lung cancer
• ISSN: 1752-6981; 1752-699X
• DOI: 10.1111/crj.13119

Background Small cell lung cancer (SCLC) is a leading cause of death all over the world. Diagnostic and therapeutic arsenals have improved in recent years, but we are unsure as to whether these advances have been transferred to clinical practice. The aim of this study was to evaluate differences in SCLC diagnostic processes and short‐term survival rates between two recent cohorts. Methods A prospective, observational study was conducted with patients diagnosed with SCLC (either at extensive or limited stages) in the 2011‐2016 period. Patients were divided into two cohorts (2011‐2013 and 2014‐2016) and followed up for 1 year after diagnosis. Results Around 713 patients with lung cancer were selected, 134 of whom had SCLC (74 patients in the 2011‐2013 cohort and 60 in the 2014‐2016 cohort). We observed a chronological increase in the use of endobronchial ultrasound transbronchial needle aspiration (EBUS‐TBNA) and positron emission tomography‐computed tomography (PET‐CT) between the cohorts. Overall, short‐term survival was similar between the two groups and improved survival was associated with age and limited stage. Conclusions Changes in diagnostic process in SCLC have been observed towards a more precise stadification. Although short‐term survival has not changed for SCLC, it is unclear that the real benefit of PET‐CT and EBUS‐TBNA is far from correct disease staging.