Skip to main content
Log in

Clinical features and prognostic factors of small cell lung cancer: A retrospective study in 148 patients

  • Published:
Journal of Huazhong University of Science and Technology [Medical Sciences] Aims and scope Submit manuscript

Abstract

To better understand the outcomes of small cell lung cancer (SCLC), we examined the clinical features and prognostic factors of SCLC in this study. A total of 148 patients who were diagnosed as having SCLC between January 2009 and December 2013 in Cancer Center of Union Hospital, Wuhan, China, were enrolled and their clinical features and prognostic factors were retrospectively analyzed. Log-rank test and Cox regression model were employed for analysis of prognostic factors. The 1- and 2-year overall survival (OS) rates were 59.7% and 25.7%, respectively, for limited disease (LD) patients whose median survival time (MST) was 16 months. The 1- and 2-year OS rates were 29.5% and 5.3%, respectively, for extensive disease (ED) patients whose MST was 10 months. The univariate analysis and multivariate analysis revealed that age, tumor stage, serum CEA and Ki-67 antigen were significantly correlated to the outcomes of SCLC, and they were significant prognostic factors for SCLC.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin, 2011,61(2):69–90

    Article  PubMed  Google Scholar 

  2. Sorensen M, Felip E, ESMO Guigelines Working Group. Small-cell lung cancer: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol, 2009,20(Suppl4):71–72

    Article  PubMed  Google Scholar 

  3. Kurup A, Hanna NH. Treatment of small cell lung cancer. Crit Rev Oncol Hematol, 2004,52(2):117–126

    Article  PubMed  Google Scholar 

  4. Peng H. Study on the epidemiology characteristics and prognosis of hospitalized lung cancer patients (Chinese). Shanghai: Fudan University, 2010.

    Google Scholar 

  5. Puglisi M, Dolly S, Faria A, et al. Treatment options for small cell lung cancer–do we have morechoice? Br J Cancer, 2010,102(4):629–638

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Eisenhauer EA, Therasse P, Bogaerts J, et al. New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1). Eur J Cancer, 2009,45(2):228–247

    Article  CAS  PubMed  Google Scholar 

  7. Parsons HM, Harlan LC, Stevens JL, et al. Treatment of small cell lung cancer in academic and community settings: factors associated with receiving standard therapy and survival. Cancer J, 2014,20(2):97–104

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Liu T, Liu H, Li Y. Early lung cancer in the elderly: sublobar resection provides equivalent long-term survival in comparison with lobectomy. Contemp Oncol (Pozn), 2014,18(2):111–115

    Google Scholar 

  9. Sinha N, Niazi M, Diaz-Fuentes G, et al. An innocent appearing subcutaneous nodule diagnoses a small cell lung cancer in a never-smoker female. Case Rep Oncol Med, 2014,2014:268404

    PubMed  PubMed Central  Google Scholar 

  10. Karpathiou G, Giatromanolaki A, Koukourakis MI, et al. Histological changes after radiation therapy in patients with lung cancer: a prospective study. Anticancer Res, 2014,34(6):3119–3124

    PubMed  Google Scholar 

  11. Papadopoulos A, Guida F, Leffondré K, et al. Heavy smoking and lung cancer: are women at higher risk? Result of the ICARE study. Br J Cancer, 2014,110(5):1385–1391

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Li J, Dai CH, Chen P, et al. Survival and prognostic factors in small cell lung cancer. Med Oncol, 2010,27(1):73–81

    Article  CAS  PubMed  Google Scholar 

  13. Xu YJ, Zheng H, Gao W, et al. Is neoadjuvant chemotherapy mandatory for limited-disease small-cell lung cancer? Interact Cardiovasc Thorac Surg, 2014,19(6):887–893

  14. Takei H, Kondo H, Miyaoka E, et al. Surgery for small cell lung cancer: a retrospective analysis of 243 patients from Japanese lung cancer registry in 2004. J Thorac Oncol, 2014,9(8):1140–1145

    Article  PubMed  Google Scholar 

  15. Goldstein SD, Yang SC. Role of surgery in small cell lung cancer. Surg Oncol Clin N Am, 2011,20(4):769–777

    Article  PubMed  Google Scholar 

  16. Satouchi M, Kotani Y, Shibata T, et al. Phase III study comparing amrubicin plus cisplatin with irinotecan plus cisplatin in the treatment of extensive-disease small-cell lung cancer: JCOG 0509. J Clin Oncol, 2014,32(12):1262–1268

    Article  CAS  PubMed  Google Scholar 

  17. Zatloukal P, Cardenal F, Szczesna A, et al. A multicenter international randomized phase III study comparing cisplatin in combination with irinotecan or etoposide in previously untreated small-cell lung cancer patients with extensive disease. Ann Oncol, 2010,21(9):1810–1816

    Article  CAS  PubMed  Google Scholar 

  18. Hansen O, Sørensen P, Hansen KH. The occurrence of hyponatremia in SCLC and the influence on prognosis: A retrospective study of 453 patients treated in a single institution in a 10-year period. Lung Cancer, 2010,68(1):111–114

    Article  PubMed  Google Scholar 

  19. Tiseo M, Buti S, Boni L, et al. Prognostic role of hyponatremia in 564 small cell lung cancer patients treated with topotecan. Lung Cancer, 2014,86(1):91–95

    Article  PubMed  Google Scholar 

  20. Jeremic B, Shibamoto Y, Nikolic N, et al. Role of radiation therapy in the combined-modality treatment of patients with extensive disease small-cell lung cancer: a randomized study. J Clin Oncol, 1999,17(7):2092–2099

    CAS  PubMed  Google Scholar 

  21. Lu H, Fang L, Wang X, et al. A meta-analysis of randomized controlled trials comparing early and late concurrent thoracic radiotherapy with etoposide and cisplatin/ carboplatin chemotherapy for limited-disease small-cell lung cancer. Mol Clin Oncol, 2014,2(5):805–810

    PubMed  PubMed Central  Google Scholar 

  22. Xiao XG, Wang SJ, Hu LY, et al. Relationship between the SER treatment period and prognosis of patients with small cell lung cancer. Asian Pac J Cancer Prev, 2014,15(15):6415–6419

    Article  PubMed  Google Scholar 

  23. Igawa S, Gohda K, Fukui T, et al. Circulating tumor cells as a prognostic factor in patients with small cell lung cancer. Oncol Lett, 2014,7(5):1469–1473

    CAS  PubMed  PubMed Central  Google Scholar 

  24. Li Y, Shen Y, Miao Y, et al. Co-expression of uPAR and CXCR4 promotes tumor growth and metastasis in small cell lung cancer. Int J Clin Exp Pathol, 2014,7(7):3771–3780

    PubMed  PubMed Central  Google Scholar 

  25. Kang MH, Go SI, Song HN, et al. The prognostic impact of the neutrophil-to-lymphocyte ratio in patients with small-cell lung cancer. Br J Cancer, 2014,111(3):452–460

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Wang X, Lin L, Ren X, et al. High expression of oncoprotein DEK predicts poor prognosis of small cell lung cancer. Int J Clin Exp Pathol, 2014,7(8):5016–5023

    PubMed  PubMed Central  Google Scholar 

  27. Park MR, Park YH, Choi JW, et al. Progression-free survival: an important prognostic marker for long-term survival of small cell lung cancer. Tuberc Respir Dis (Seoul), 2014,76(5):218–225

    Article  Google Scholar 

  28. Wang X, Jiang R, Li K. Prognostic significance of pretreatment laboratory parameters in combined small-cell lung cancer. Cell Biochem Biophys, 2014,69(3):633–640

    Article  CAS  PubMed  Google Scholar 

  29. Warth A, Cortis J, Soltermann A, et al. Tumour cell proliferation (Ki-67) in non-small cell lung cancer: a critical reappraisal of its prognostic role. Br J Cancer, 2014,111(6):1222–1229

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Araz O, Demirci E, Ucar EY, et al. Roles of Ki-67, p53, transforming growth factor-ß and lysyl oxidase in the metastasis of lung cancer. Respirology, 2014,19(7):1034–1039

    Article  PubMed  Google Scholar 

  31. Pelosi G, Rindi G, Travis WD, et al. Ki-67 antigen in lung neuroendocrine tumors: unraveling a role in clinical practice. J Thorac Oncol, 2014,9(3):273–284

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiao-rong Dong  (董晓荣).

Additional information

These authors contributed equally to this work.

This study was supported by the National Natural Science Foundation of China (No. 81172595 and No. 81573090).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cai, Q., Luo, Hl., Gao, Xc. et al. Clinical features and prognostic factors of small cell lung cancer: A retrospective study in 148 patients. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 36, 916–922 (2016). https://doi.org/10.1007/s11596-016-1684-6

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11596-016-1684-6

Keywords

Navigation