小细胞肺癌术后长期生存病例1例报告及文献回顾

Small-cell lung carcinoma with long-term survival:a case report and review of the literature

目的旨在提高对小细胞肺癌异质性的认知,达到个体化诊治的目的,改善小细胞肺癌患者的生存预后。方法本研究报道由上海交通大学医学院附属仁济医院肿瘤科收治的1例小细胞肺癌长生存病例,分析其临床病理特点、诊疗过程,并结合文献复习,讨论小细胞肺癌的综合治疗策略、异质性及预后。结果经过综合治疗,本例患者生存时间超13年。结论小细胞肺癌长期生存病例罕见,应提高对小细胞肺癌异质性的认知,改善小细胞肺癌患者的生存预后。

We report a rare case of small-cell lung carcinoma with long-term survival treated in the Department of Oncology,Renji Hospital,Shanghai Jiao Tong University School of Medicine.The pathological-clinical features and diagnosis-treatment progress were analyzed,and the comprehensive treatment strategies,tumor heterogeneity and prognosis of this tumor type were discussed by comparing with other previous studies.The 62-year-old patient was diagnosed with small-cell lung carcinoma and received surgery,radiotherapy and multi-line treatment,and had survived for 13 years after the surgery.The heterogeneity of small cell lung carcinoma should be carefully evaluated to improve the prognosis of the patients.