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Small-cell carcinoma

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gastrointestinal tract, or bladder. It is estimated to account for 1,000 new cases a year in the U.S. Histologically similar to small-cell lung cancer, therapies for small-cell lung cancer are usually used to treat EPSCC. First-line treatment is usually with cisplatin and etoposide. In Japan, first-line treatment is shifting to irinotecan and cisplatin. When the primary site is in the skin, it is referred to as a
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This is an extremely rare type of small cell, and there has been little information in the scientific community. It appears to occur in only one or more lymph nodes, and nowhere else in the body. Treatment is similar to small cell lung cancer, but survival rates are much higher than other small-cell
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Chest radiation helps SCLC patients live longer by killing cancer cells and helping prevention of cancer recurrence. Another type of radiation, prophylactic cranial radiation, prevents central nervous system recurrence and can improve survival in patients with good performance status who have had a
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Small-cell carcinoma of the lung usually presents in the central airways and infiltrates the submucosa leading to narrowing of bronchial airways. Common symptoms include cough, dyspnea, weight loss, and debility. Over 70% of patients with small-cell carcinoma present with metastatic disease; common
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may be useful in the treatment of cisplatin-resistant cancer. About 68.1% of cisplatin-resistant cells appear to be sensitive to paclitaxel and 66.7% of paclitaxel-resistant cells to cisplatin. The mechanism for this activity is unknown. Paclitaxel-based chemotherapy showed modest activity in SCLC
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Long-term survival of more than 5 years can be achieved with proper treatment. According to the 17th World Conference on Lung Cancer (WCLC), "patients who received chest radiation and prophylactic cranial irradiation along with a mean of five chemotherapy cycles could achieve a median survival of
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Very rarely, the primary site for small-cell carcinoma is outside of the lungs and pleural space; in these cases, it is referred to as extrapulmonary small-cell carcinoma (EPSCC). Outside of the respiratory tract, small-cell carcinoma can appear in the cervix, prostate, liver, pancreas,
411:. Chest radiotherapy has been shown to improve survival in LS-SCLC. Because SCLC usually metastasizes widely very early on in the natural history of the tumor, and because nearly all cases respond dramatically to chemotherapy and/or radiotherapy, there has been little role for 446:, and the vast majority having at least some objective response. Responses in ES-SCLC are often of short duration, and the evidence surrounding the risk of treatment compared to the potential benefit of chemotherapy for people who have extensive SCLC is not clear. 382:
composed of primitive-appearing cells. As the name implies, the cells in small-cell carcinomas are smaller than normal cells, and barely have room for any cytoplasm. Some researchers identify this as a failure in the mechanism that controls the size of the cells.
778: 705:, and in particular, regimens based on platinum-containing agents. However, most people with the disease relapse and median survival remains low. The overall incidence and mortality rates of SCLC in the United States have decreased during the past few decades. 748:, which mandated increased attention to certain recalcitrant cancers (cancers having a 5-year relative survival rate of less than 50%), including small cell lung cancer. That led to the National Cancer Institute supporting small cell–specific research. 191:
Lung cancer is the leading cause of cancer-related deaths worldwide, accounting for the highest mortality rates among both men and women. When associated with the lung, SCLC is sometimes called "oat cell carcinoma" due to the flat cell shape and scanty
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Pelosi G, Sonzogni A, Galetta D, Perrone F, Braidotti P, Manzotti M, et al. (April 2011). "Combined small-cell carcinoma of the lung with quadripartite differentiation of epithelial, neuroendocrine, skeletal muscle, and myofibroblastic type".
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Guidelines recommended as of 2018 that patients who relapse > 6 months from initial therapy should be retreated with the original chemotherapy regimen. For patients who relapse in < 6 months, single-agent chemotherapy either
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rate (combined limited and extensive SCLC) is 3.5% (4.3% for women, 2.8% for men). Survival can be higher or lower based on a combination of factors including stage, age, sex and race. While all lung cancers are associated with
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for small cell lung cancer (extensive and limited) range between 3.6% and 32.2% for women, and between 2.2% and 24.5% for men. Relative 5-year survival rate for both sexes has increased from 3.6% in 1975 to 6.7% in 2014. In
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disease, relative 5-year survival rate (both sexes, all races, all ages) is 21.3%; however, women have higher 5-year survival rates, 26.9%, and men have lower survival rates, 21.3%. The prognosis is far grimmer in
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small-cell lung carcinoma where 5-year relative survival rate (both sexes, all races, all ages) is 2.8%; however, women have higher 5-year survival rates, 3.4%, and men have lower 5-year survival rates, 2.2%.
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Paz-Ares LG, Trigo Perez JM, Besse B, Moreno V, Lopez R, Sala MA, et al. (2019). "Efficacy and safety profile of lurbinectedin in second-line SCLC patients: Results from a phase II single-agent trial".
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Small cell lung carcinoma stand for 15% of lung cancers in the United States. Small cell lung cancer occurs almost exclusively in smokers – most commonly in heavy smokers and rarely in non-smokers.
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Canadian regulator rejected funding Tecentriq (Atezolizumab) for extensive stage small-cell lung cancer in 2020 "as too costly" followed by United Kingdom also citing "drug’s cost-effectiveness."
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in this disease since the 1970s. However, in cases of small, asymptomatic, node-negative SCLC's ("very limited stage"), surgical excision may improve survival when used prior to chemotherapy.
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linked to small-cell carcinoma. Approximately half of all individuals diagnosed with Lambert–Eaton myasthenic syndrome will eventually be found to have a small-cell carcinoma of the lung.
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amplifications and amplification of MYC family members are found in 30% of SCLCs. Loss of heterozygocity on chromosome arm 3p is found in more than 80% of SCLCs, including the loss of
1979: 3088:"Small cell carcinoma of the Lung and Bronchus SEER Relative Survival Rates by Time Since Diagnosis, 2004-2017 By Stage at Diagnosis, Male, All Races (includes Hispanic), All Ages" 207:(and hence staged differently). There is usually early involvement of the hilar and mediastinal lymph nodes. The mechanisms of its metastatic progression are not well understood. 3484: 1957: 2647:
Mouri A, Yamaguchi O, Miyauchi S, Shiono A, Utsugi H, Nishihara F, et al. (January 2019). "Combination therapy with carboplatin and paclitaxel for small cell lung cancer".
180:, and whether or not the entire tumor burden within the chest can feasibly be encompassed within a single radiotherapy portal. In general, if the tumor is confined to one 4358: 2938:"Myelopreservation with the CDK4/6 inhibitor trilaciclib in patients with small-cell lung cancer receiving first-line chemotherapy: a phase Ib/randomized phase II trial" 2361: 2597: 4566: 1864: 4216: 4740: 4735: 3580: 3067:"Table 15.13: Small Cell Cancer of the Lung and Bronchus (Invasive), 5-Year Relative and Period Survival by Race, Sex, Diagnosis Year, Age and Stage at Diagnosis" 4373: 2495: 632:
in relapsed small-cell lung cancer yielded an overall response rate of 41.7%, median progression-free survival 4.2 months, and overall survival was 8.5 months.
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showed increased overall survival rate in relapsed small cell lung cancer in a trial. Lurbinectedin is As of 2019 available in the U.S. under an
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Mitchell, Richard Sheppard; Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson (2007). "Ch. 13, box on morphology of small-cell lung carcinoma".
4600: 819: 4747: 4338: 4209: 4055: 222: 143:, small cell carcinoma is more aggressive, with a shorter doubling time, higher growth fraction, and earlier development of metastases. 3448: 3197: 2575: 4411: 4368: 3624: 3573: 3263: 230: 216: 2284: 442:. Response rates are high even in extensive disease, with between 15% and 30% of subjects having a complete response to combination 3356: 2459: 3066: 4388: 4105: 2838:"Antitumor activity of lurbinectedin (PM01183) and doxorubicin in relapsed small-cell lung cancer: results from a phase I study" 2313: 4780: 4552: 4109: 3942: 1808: 1317:"A combined small cell carcinoma of the lung containing three components: small cell, spindle cell and squamous cell carcinoma" 4610: 2237:"Paclitaxel as third-line chemotherapy for small cell lung cancer failing both etoposide- and camptothecin-based chemotherapy" 366: 4202: 3730: 2820:"PharmaMar and Bionical Emas Launch Expanded Access Program for Lurbinectedin in Relapsed Small Cell Lung Cancer in the U.S." 1914: 561:
If small cell lung cancer comes back after treatment, the following combination of drugs may be used as a salvage therapy:
358: 271:(approximately 1% of prostate cancers). Symptomatic metastasis of SCCP to the brain is rare, and carries a poor prognosis. 4330: 4047: 3566: 2441: 204: 140: 621:, have activity in relapsed SCLC. Of note, temozolomide yielded a response rate of 38% for brain metastases due to SCLC. 3836: 2519: 2407: 2401: 2367: 2290: 656: 4757: 4659: 4267: 4094: 4011: 3644: 745: 709:
more than 5 years." In some cases, long-term survival of 10+ years is achieved with chemotherapy and radiation alone.
304: 1830: 237:, including extremely complex malignant tissue admixtures. C-SCLC is the only currently recognized subtype of SCLC. 4343: 4151: 4133: 4043: 3994: 3423: 537: 233:(c-SCLC). Small-cell lung carcinoma can occur in combination with a wide variety of other histological variants of 226: 196:. Small cell mesothelioma – an extremely rare subtype of lung cancer – can be mistaken for small cell lung cancer. 4802: 4466: 4353: 4128: 4051: 3888: 3714: 3677: 1953: 527: 517: 4797: 4383: 4284: 4262: 4156: 4089: 4024: 3898: 3878: 3845: 3823: 3785: 3495: 2887:
Farago AF, Drapkin BJ, Lopez-Vilarino de Ramos JA, Galmarini CM, Núñez R, Kahatt C, Paz-Ares L (January 2019).
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Mountain CF (September 1978). "Clinical biology of small cell carcinoma: relationship to surgical therapy".
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Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. (2005).
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close to that lung, the cancer is said to be LS. If cancer has spread beyond that, it is said to be ES.
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Titulaer MJ, Verschuuren JJ (2008). "Lambert-Eaton myasthenic syndrome: tumor versus nontumor forms".
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Pie chart showing incidence of small-cell lung cancer (shown in red at right), as compared to other
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Weiss JM, Csoszi T, Maglakelidze M, Hoyer RJ, Beck JT, Domine Gomez M, et al. (October 2019).
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Argiris A, Murren JR (2001). "Staging and clinical prognostic factors for small-cell lung cancer".
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Small-cell lung carcinoma (SCLC) has long been divided into two clinicopathological stages, termed
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Surveillance, Epidemiology, and End Results (SEER) Relative Survival Rates by Time Since Diagnosis
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Surveillance, Epidemiology, and End Results (SEER) Relative Survival Rates by Time Since Diagnosis
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Surveillance, Epidemiology, and End Results (SEER) Relative Survival Rates by Time Since Diagnosis
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Kim SH, Kim MJ, Kim YJ, Chang H, Kim JW, Lee JO, Lee KW, Kim JH, Bang SM, Lee JS (October 2017).
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complete response or a very good partial response to chemoradiation in LD or chemotherapy in ED.
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Calvo E, Moreno V, Flynn M, Holgado E, Olmedo ME, Lopez Criado MP, et al. (October 2017).
2514:"FDA grants accelerated approval to tarlatamab-dlle for extensive stage small cell lung cancer" 652:, reduces chemotheraphy-induced toxicity in patients being treated for small-cell lung cancer. 497:
is active in relapsed SCLC and was approved for medical use in the United States in June 2020.
172:(LS) and extensive stage (ES). The stage is generally determined by the presence or absence of 4591: 4581: 4440: 4229: 4120: 3535: 3405: 3337: 3302: 3259: 3235: 2969: 2918: 2869: 2765: 2716: 2664: 2266: 2217: 2167: 2119: 2078: 2051: 1991: 1896: 1858: 1748: 1694: 1659: 1610: 1579:
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412: 147: 92: 2496:"Concurrent Tecentriq Adds First Survival Benefit Seen in Small Cell Lung Cancer in 20 Years" 1544:
The Canadian Journal of Neurological Sciences. Le Journal Canadien des Sciences Neurologiques
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Farago AF, Yeap BY, Stanzione M, Hung YP, Heist RS, Marcoux JP, et al. (October 2019).
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patients refractory to both etoposide- and camptothecin-based chemotherapy. The newer agent
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Augert A, Eastwood E, Ibrahim AH, Wu N, Grunblatt E, Basom R, et al. (February 2019).
724: 4722: 4699: 4671: 4641: 4632: 4099: 3762: 1424: 760:, perhaps best known as an actor on Saved by the Bell, died one month after the diagnosis. 506: 300: 268: 152: 4544: 4194: 3850: 1407: 370:
Histopathologic image of small-cell carcinoma of the lung. CT-guided core needle biopsy.
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Extensive stage small cell lung cancer (SCLC) is classified as a rare disorder. Ten-year
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Histopathologic image of small-cell carcinoma of the lung. CT-guided core needle biopsy.
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Leslie M (November 2011). "Mysteries of the cell. How does a cell know its size?".
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Smokers defined as current or former smoker of more than 1 year of duration. See
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When SCLC is found with one or more differentiated forms of lung cancer, such as
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Pelayo Alvarez M, Westeel V, Cortés-Jofré M, Bonfill Cosp X (November 2013).
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Anaplastic (microcellular, oat cell) carcinoma from the lung (histopathology)
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In ES-SCLC, platinum-based combination chemotherapy is the standard of care.
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in a combination of two drugs, which is more effective than one drug alone.
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Combination chemotherapy consists of a wide variety of agents, including
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types, with fractions of smokers versus non-smokers shown for each type.
663:(Cosela) as a treatment to reduce the frequency of chemotherapy-induced 4430: 3893: 3700: 3672: 2988:"FDA Grants Priority Review to Trilaciclib to Treat Patients with SCLC" 2362:"FDA grants accelerated approval to lurbinectedin for metastatic small" 1229:
Pathology and Genetics of Tumours of the Lung, Pleura, Thymus and Heart
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showing a probable S2–S3 small cell carcinoma in the right side lung.
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At the time of diagnosis, 60–70% of people already have metastases.
3013:"Trilaciclib | intravenous CDK4/6 inhibitor | G1 Therapeutics, Inc" 1822: 3691: 3166:
The International Association for the Study of Lung Cancer (IASLC)
1581:"Specific organ metastases and survival in small cell lung cancer" 365: 278: 2539:
This article incorporates text from this source, which is in the
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This article incorporates text from this source, which is in the
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This article incorporates text from this source, which is in the
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1358:"A rare bladder cancer--small cell carcinoma: review and update" 766:, Danish football player, died three months after the diagnosis. 347: 331: 254:
Extrapulmonary small-cell carcinoma localized in the lymph nodes
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Histopathology of small-cell carcinoma, with typical findings.
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and the retinoblastoma pathway are inactivated in most SCLCs.
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Small-cell carcinoma of the prostate (SCCP) is a rare form of
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syndrome of inappropriate antidiuretic hormone hypersecretion
3281:"Changing face of small-cell lung cancer: real and artifact" 2460:"FDA Approves Opdivo (Nivolumab) for Small Cell Lung Cancer" 229:, the malignant tumor is then diagnosed and classified as a 1315:
Gotoh M, Yamamoto Y, Huang CL, Yokomise H (November 2004).
311:(ADH). Ectopic production of large amounts of ADH leads to 199:
Small-cell carcinoma is most often more rapidly and widely
2442:"FDA Approves Opdivo for Small Cell Lung Cancer Treatment" 1915:"Limited-stage small cell lung cancer: Initial management" 1845:
Caroline I.M. Underwood, M.D., Carolyn Glass, M.D., Ph.D.
350:. One hundred translocations have been reported in SCLCs. 3258:. World Health Organization. 2014. pp. Chapter 5.1. 155:, SCLC is very strongly associated with tobacco smoking. 1448:
Cicin I, Usta U, Karagol H, Uzunoglu S, Kocak Z (2009).
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is about 1 year, the worst of any lung cancer subtype.
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Sherman CA, Rocha Lima CM, Turrisi AT (October 2000).
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United States Department of Health and Human Services
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Small-cell lung cancer is most commonly treated with
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Image by Mikael Häggström, MD. Source for findings:
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Philadelphia: Saunders. 970:National Organization for Rare Disorders 723: 667:for patients receiving certain types of 357: 3357:"A new focus on small cell lung cancer" 3200:for percentages in numbers. Reference: 3094:. U.S. National Cancer Institute. 2016. 1189:10.1146/annurev-cancerbio-030419-033413 1008:. U.S. National Cancer Institute. 2016. 990:. U.S. National Cancer Institute. 2016. 807: 774: 3279:Ettinger DS, Aisner J (October 2006). 2630:"Treatment for Small Cell Lung Cancer" 1856: 1491:"Small-cell carcinoma of the prostate" 712:A 2023 article stated that the median 4394:Basaloid squamous cell lung carcinoma 1869:Last author update: 20 September 2022 123:that most commonly arises within the 7: 1785:from the original on 30 January 2015 928: 926: 744:In 2013, the US Congress passed the 299:, small-cell carcinomas can produce 263:Small-cell carcinoma of the prostate 4748:List of people with prostate cancer 4056:Papillary serous cystadenocarcinoma 2693:Qin A, Kalemkerian GP (June 2018). 2556:(Press release). Amgen. 16 May 2024 2038:10.3978/j.issn.2218-6751.2015.04.02 1408:Extrapulmonary Small Cell Carcinoma 1252:from the original on 23 August 2009 1037:10.3978/j.issn.2072-1439.2013.07.43 1019:Chan BA, Coward JI (October 2013). 241:Extrapulmonary small-cell carcinoma 3625:Combined small-cell lung carcinoma 3106:"Small Cell Lung Cancer Treatment" 2582:. 20 February 2020. Archived from 2026:Translational Lung Cancer Research 1946:"Small Cell Lung Cancer Treatment" 334:is mutated in 70 to 90% of SCLCs. 231:combined small cell lung carcinoma 217:Combined small-cell lung carcinoma 211:Combined small-cell lung carcinoma 25: 2798:10.1200/JCO.2019.37.15_suppl.8506 2482:U.S. Food and Drug Administration 2402:"Drug Trials Snapshots: Zepzelca" 1362:Orphanet Journal of Rare Diseases 317:Lambert–Eaton myasthenic syndrome 63:of a small-cell carcinoma of the 3123:Davenport L (20 December 2016). 2534: 2422: 2382: 1833:from the original on 2011-02-23. 1811:from the original on 2016-05-29. 1170:Tammela T, Sage J (March 2020). 789: 777: 746:Recalcitrant Cancer Research Act 613:Several newer agents, including 3943:Syringocystadenoma papilliferum 3459:] (in Danish). 9 July 2023. 3142:Ketteler J (October 16, 2009). 1176:Annual Review of Cancer Biology 3731:Familial adenomatous polyposis 3355:Richards S (7 February 2019). 2285:"Zepzelca: FDA-Approved Drugs" 2154:10.1002/14651858.CD001990.pub3 2020:Singer L, Yom SS (June 2015). 159:Types of small-cell carcinomas 1: 4752: 4412:Combined small-cell carcinoma 4374:Salivary gland–like carcinoma 4331:Non-small-cell lung carcinoma 4106:Paget's disease of the breast 4048:Pancreatic serous cystadenoma 2096:Shepherd FA (February 2010). 1893:10.1126/science.334.6059.1047 1847:"Lung - Small cell carcinoma" 1679:The Annals of Pharmacotherapy 205:non-small-cell lung carcinoma 4781:Extramammary Paget's disease 4110:Extramammary Paget's disease 3837:Multiple endocrine neoplasia 3334:10.1016/0304-3835(94)03608-l 3285:Journal of Clinical Oncology 2786:Journal of Clinical Oncology 2752:10.1158/2159-8290.CD-19-0582 2699:Journal of Oncology Practice 2661:10.1016/j.resinv.2018.09.004 2520:Food and Drug Administration 2408:Food and Drug Administration 2368:Food and Drug Administration 2291:Food and Drug Administration 2115:10.1097/JTO.0b013e3181c8cbf5 2102:Journal of Thoracic Oncology 820:Dorland's Medical Dictionary 509:for small cell lung cancer: 4834:Infectious causes of cancer 4758:Transitional-cell carcinoma 4660:Germ cell neoplasia in situ 4348:Mucinous cystadenocarcinoma 4268:Nasopharyngeal angiofibroma 4095:Pancreatic ductal carcinoma 4012:Mucinous cystadenocarcinoma 3645:Transitional cell carcinoma 2253:10.1097/MD.0000000000008176 1356:Ismaili N (November 2011). 1334:10.1016/j.ejcts.2004.08.002 1025:Journal of Thoracic Disease 505:The FDA has approved three 305:adrenocorticotropic hormone 4860: 4611:Sertoli–Leydig cell tumour 4152:Medullary breast carcinoma 4134:Invasive lobular carcinoma 4044:Ovarian serous cystadenoma 3995:Signet ring cell carcinoma 2792:(supl, abstr 8506): 8506. 2600:. Reuters. 6 January 2020. 2206:10.1016/j.ctrv.2007.07.013 1507:10.1177/014107689709000615 538:bi-specific T-cell engager 214: 4803:Hirsuties coronae glandis 4467:Solitary pulmonary nodule 4354:Large-cell lung carcinoma 4129:Lobular carcinoma in situ 4052:Serous cystadenocarcinoma 3889:Clear-cell adenocarcinoma 3678:Bartholin gland carcinoma 3589:Glandular and epithelial 3392:10.1126/scisignal.aau2922 3110:National Cancer Institute 2649:Respiratory Investigation 1954:National Cancer Institute 1950:National Cancer Institute 1827:atlasgeneticsoncology.org 1779:atlasgeneticsoncology.org 1557:10.1017/S0317167100002250 1467:10.1080/02841860802495370 1286:10.1007/s00428-010-1011-8 1097:"Small Cell Mesothelioma" 59: 50: 18:Small cell lung carcinoma 4798:Erythroplasia of Queyrat 4384:Papillary adenocarcinoma 4285:Laryngeal papillomatosis 4263:Nasopharyngeal carcinoma 4157:Medullary thyroid cancer 4090:Mammary ductal carcinoma 4025:Mucoepidermoid carcinoma 3879:Adenoid cystic carcinoma 3846:Adrenocortical carcinoma 3786:Hepatocellular carcinoma 3298:10.1200/jco.2006.07.3841 3256:World Cancer Report 2014 2564:– via PR Newswire. 2350:– via PR Newswire. 2194:Cancer Treatment Reviews 1691:10.1177/1060028013502457 966:"Small Cell Lung Cancer" 935:"Small Cell Lung Cancer" 887:Case Reports in Oncology 601:second-line therapy, or 405:combination chemotherapy 342:is mutated in 2 to 10%. 321:paraneoplastic condition 141:non-small cell carcinoma 44:Small-cell lung cancer, 27:Type of malignant cancer 4379:Adenosquamous carcinoma 4339:Squamous-cell carcinoma 3635:Squamous-cell carcinoma 2634:Canadian Cancer Society 1745:10.1196/annals.1405.030 1646:10.15252/emmm.202013122 1634:EMBO Molecular Medicine 1425:"Merkel-cell carcinima" 1144:Robbins Basic Pathology 1101:The Mesothelioma Center 640:expanded access program 223:squamous cell carcinoma 4685:Endodermal sinus tumor 4516:solitary fibrous tumor 4018:Pseudomyxoma peritonei 3842:Adrenocortical adenoma 3782:Hepatocellular adenoma 3222:10.1136/tc.2007.022582 3017:www.g1therapeutics.com 1375:10.1186/1750-1172-6-75 1031:(Suppl 5): S565–S578. 815:"small-cell carcinoma" 733: 375: 363: 295:Due to its high grade 288: 164:Small-cell lung cancer 137:gastrointestinal tract 4364:Sarcomatoid carcinoma 4251:Esthesioneuroblastoma 4180:Acinic cell carcinoma 3904:Papillary hidradenoma 3428:Entertainment Tonight 3198:image page in Commons 2955:10.1093/annonc/mdz278 2905:10.2217/fon-2018-0597 2855:10.1093/annonc/mdx357 2586:on February 22, 2020. 727: 681:5-year survival rates 369: 361: 309:anti-diuretic hormone 297:neuroendocrine nature 282: 248:Merkel-cell carcinoma 4753:Small-cell carcinoma 4404:Small-cell carcinoma 4389:Giant-cell carcinoma 4008:Mucinous cystadenoma 3867:Neuroendocrine tumor 3804:Renal cell carcinoma 3640:Basal-cell carcinoma 3620:Small-cell carcinoma 2712:10.1200/JOP.18.00278 2502:. 25 September 2018. 2071:Seminars in Oncology 568:(Cytoxan, Procytox), 484:Cisplatin-resistance 116:is a type of highly 114:Small-cell carcinoma 71:, minimal amount of 36:Small-cell carcinoma 4680:Embryonal carcinoma 4655:Spermatocytic tumor 4616:Sertoli cell tumour 4482:Bronchial leiomyoma 4144:Medullary carcinoma 3630:Verrucous carcinoma 1887:(6059): 1047–1048. 1737:2008NYASA1132..129T 1597:10.3892/ol.2012.792 67:showing cells with 4793:Bowenoid papulosis 4621:Leydig cell tumour 4534:Mediastinal tumors 4359:Rhabdoid carcinoma 3977:Cystadenocarcinoma 3809:Endometrioid tumor 3772:Cholangiocarcinoma 3660:Complex epithelial 3650:Inverted papilloma 3522:External resources 2942:Annals of Oncology 2842:Annals of Oncology 1851:Pathology Outlines 850:10.4081/rt.2011.e6 734: 557:In case of relapse 376: 364: 289: 275:Signs and symptoms 77:stippled chromatin 46:oat-cell carcinoma 4811: 4810: 4717: 4716: 4713: 4712: 4582:urogenital system 4542: 4541: 4494: 4493: 4490: 4489: 4441:Immature teratoma 4230:respiratory tract 4192: 4191: 4188: 4187: 4165: 4164: 4121:Lobular carcinoma 4065: 4064: 3912: 3911: 3686: 3685: 3556: 3555: 3512:11010461000119101 3449:"Asbjørn Sennels" 3386:(567): eaau2922. 3380:Science Signaling 3291:(28): 4526–4527. 2948:(10): 1613–1621. 2848:(10): 2559–2566. 2746:(10): 1372–1387. 2448:. 17 August 2018. 1685:(10): 1359–1363. 1242:978-92-832-2418-1 1153:978-1-4160-2973-1 1125:978-0-7216-0187-8 899:10.1159/000324717 771:Additional images 548:Radiation therapy 148:relative survival 111: 110: 30:Medical condition 16:(Redirected from 4851: 4638: 4597: 4569: 4562: 4555: 4546: 4327: 4300: 4280:Laryngeal cancer 4219: 4212: 4205: 4196: 4112: 4082:Ductal carcinoma 4078: 4058: 4014: 4000:Krukenberg tumor 3960: 3814:Renal oncocytoma 3726:Linitis plastica 3715:Gastrointestinal 3711: 3697: 3604: 3583: 3576: 3569: 3560: 3468: 3461: 3460: 3445: 3439: 3438: 3436: 3435: 3420: 3414: 3413: 3403: 3371: 3365: 3364: 3352: 3346: 3345: 3317: 3311: 3310: 3300: 3276: 3270: 3269: 3252: 3246: 3243: 3233: 3194: 3188: 3187: 3186:. 12 April 2023. 3176: 3170: 3169: 3158: 3152: 3151: 3139: 3133: 3132: 3120: 3114: 3113: 3102: 3096: 3095: 3084: 3075: 3074: 3063: 3052: 3051: 3049: 3048: 3033: 3027: 3026: 3024: 3023: 3009: 3003: 3002: 3000: 2999: 2994:. 17 August 2020 2984: 2978: 2977: 2967: 2957: 2933: 2927: 2926: 2916: 2884: 2878: 2877: 2867: 2857: 2833: 2827: 2826: 2816: 2810: 2809: 2780: 2774: 2773: 2763: 2740:Cancer Discovery 2731: 2725: 2724: 2714: 2690: 2681: 2680: 2644: 2638: 2637: 2626: 2620: 2619: 2608: 2602: 2601: 2594: 2588: 2587: 2572: 2566: 2565: 2563: 2561: 2550: 2544: 2538: 2537: 2533: 2531: 2529: 2510: 2504: 2503: 2492: 2486: 2485: 2474: 2468: 2467: 2456: 2450: 2449: 2438: 2432: 2426: 2425: 2421: 2419: 2417: 2398: 2392: 2386: 2385: 2381: 2379: 2377: 2358: 2352: 2351: 2349: 2347: 2336: 2330: 2329: 2327: 2325: 2310: 2304: 2303: 2301: 2299: 2281: 2275: 2274: 2264: 2232: 2226: 2225: 2191: 2182: 2176: 2175: 2165: 2148:(11): CD001990. 2137: 2128: 2127: 2117: 2093: 2087: 2086: 2066: 2060: 2059: 2049: 2017: 2011: 2010: 2008: 2007: 1998:. Archived from 1975: 1969: 1968: 1966: 1965: 1942: 1933: 1932: 1930: 1929: 1919:www.uptodate.com 1911: 1905: 1904: 1876: 1870: 1868: 1862: 1854: 1841: 1835: 1834: 1819: 1813: 1812: 1801: 1795: 1794: 1792: 1790: 1771: 1765: 1764: 1720: 1711: 1710: 1674: 1668: 1667: 1657: 1625: 1619: 1618: 1608: 1585:Oncology Letters 1576: 1570: 1569: 1559: 1535: 1529: 1528: 1518: 1486: 1480: 1479: 1469: 1445: 1439: 1438: 1436: 1435: 1421: 1415: 1404: 1398: 1397: 1387: 1377: 1353: 1347: 1346: 1336: 1327:(5): 1047–1049. 1312: 1306: 1305: 1268: 1262: 1261: 1259: 1257: 1251: 1234: 1223: 1212: 1211: 1201: 1191: 1167: 1158: 1157: 1139: 1130: 1129: 1111: 1105: 1104: 1092: 1086: 1085: 1065: 1059: 1058: 1048: 1016: 1010: 1009: 998: 992: 991: 980: 974: 973: 962: 956: 955: 954: 953: 930: 921: 920: 910: 878: 872: 871: 861: 829: 823: 812: 793: 781: 714:overall survival 665:myelosuppression 650:CKD4/6 inhibitor 574:(Adriamycin) and 566:Cyclophosphamide 432:cyclophosphamide 319:is a well-known 301:ectopic hormones 107: 106: 69:nuclear moulding 55: 33: 21: 4859: 4858: 4854: 4853: 4852: 4850: 4849: 4848: 4814: 4813: 4812: 4807: 4788:Bowen's disease 4762: 4709: 4700:Choriocarcinoma 4666: 4627: 4603:gonadal stromal 4602: 4586: 4573: 4543: 4538: 4520: 4486: 4477:Peripheral lung 4450: 4416: 4398: 4316: 4289: 4232: 4223: 4193: 4184: 4161: 4138: 4115: 4104: 4100:Comedocarcinoma 4073: 4071: 4061: 4042: 4029: 4006: 3981: 3955: 3953: 3947: 3918: 3908: 3855: 3818: 3790: 3763:Somatostatinoma 3706:adenocarcinomas 3704: 3682: 3668:Warthin's tumor 3654: 3593: 3587: 3557: 3552: 3551: 3517: 3516: 3479: 3465: 3464: 3447: 3446: 3442: 3433: 3431: 3430:. February 2021 3422: 3421: 3417: 3373: 3372: 3368: 3354: 3353: 3349: 3319: 3318: 3314: 3278: 3277: 3273: 3266: 3254: 3253: 3249: 3210:Tobacco Control 3203: 3195: 3191: 3178: 3177: 3173: 3160: 3159: 3155: 3141: 3140: 3136: 3122: 3121: 3117: 3104: 3103: 3099: 3086: 3085: 3078: 3065: 3064: 3055: 3046: 3044: 3035: 3034: 3030: 3021: 3019: 3011: 3010: 3006: 2997: 2995: 2986: 2985: 2981: 2935: 2934: 2930: 2893:Future Oncology 2886: 2885: 2881: 2835: 2834: 2830: 2818: 2817: 2813: 2782: 2781: 2777: 2733: 2732: 2728: 2692: 2691: 2684: 2646: 2645: 2641: 2628: 2627: 2623: 2610: 2609: 2605: 2596: 2595: 2591: 2574: 2573: 2569: 2559: 2557: 2552: 2551: 2547: 2535: 2527: 2525: 2512: 2511: 2507: 2494: 2493: 2489: 2476: 2475: 2471: 2458: 2457: 2453: 2440: 2439: 2435: 2423: 2415: 2413: 2400: 2399: 2395: 2383: 2375: 2373: 2360: 2359: 2355: 2345: 2343: 2338: 2337: 2333: 2323: 2321: 2312: 2311: 2307: 2297: 2295: 2283: 2282: 2278: 2234: 2233: 2229: 2189: 2184: 2183: 2179: 2139: 2138: 2131: 2095: 2094: 2090: 2068: 2067: 2063: 2019: 2018: 2014: 2005: 2003: 1977: 1976: 1972: 1963: 1961: 1944: 1943: 1936: 1927: 1925: 1913: 1912: 1908: 1878: 1877: 1873: 1855: 1844: 1842: 1838: 1821: 1820: 1816: 1803: 1802: 1798: 1788: 1786: 1773: 1772: 1768: 1722: 1721: 1714: 1676: 1675: 1671: 1627: 1626: 1622: 1578: 1577: 1573: 1537: 1536: 1532: 1488: 1487: 1483: 1454:Acta Oncologica 1447: 1446: 1442: 1433: 1431: 1423: 1422: 1418: 1405: 1401: 1355: 1354: 1350: 1314: 1313: 1309: 1274:Virchows Archiv 1270: 1269: 1265: 1255: 1253: 1249: 1243: 1232: 1225: 1224: 1215: 1169: 1168: 1161: 1154: 1141: 1140: 1133: 1126: 1113: 1112: 1108: 1094: 1093: 1089: 1067: 1066: 1062: 1018: 1017: 1013: 1000: 999: 995: 982: 981: 977: 964: 963: 959: 951: 949: 932: 931: 924: 880: 879: 875: 831: 830: 826: 813: 809: 804: 797: 794: 785: 782: 773: 764:Asbjørn Sennels 754: 742: 722: 691:extensive-stage 677: 611: 559: 550: 528:PD-L1 inhibitor 526:(Tecentriq), a 507:immunotherapies 503: 486: 452: 421: 397: 392: 356: 329: 277: 269:prostate cancer 265: 256: 243: 219: 213: 166: 161: 153:tobacco smoking 101: 45: 31: 28: 23: 22: 15: 12: 11: 5: 4857: 4855: 4847: 4846: 4841: 4836: 4831: 4826: 4816: 4815: 4809: 4808: 4806: 4805: 4800: 4795: 4790: 4785: 4784: 4783: 4772: 4770: 4764: 4763: 4761: 4760: 4755: 4750: 4745: 4744: 4743: 4733: 4731:Adenocarcinoma 4727: 4725: 4719: 4718: 4715: 4714: 4711: 4710: 4708: 4707: 4702: 4697: 4692: 4690:Gonadoblastoma 4687: 4682: 4676: 4674: 4668: 4667: 4665: 4664: 4663: 4662: 4657: 4646: 4644: 4635: 4629: 4628: 4626: 4625: 4624: 4623: 4618: 4607: 4605: 4594: 4588: 4587: 4585: 4584: 4574: 4572: 4571: 4564: 4557: 4549: 4540: 4539: 4537: 4536: 4530: 4528: 4522: 4521: 4519: 4518: 4510: 4504: 4502: 4496: 4495: 4492: 4491: 4488: 4487: 4485: 4484: 4479: 4474: 4469: 4464: 4462:Pancoast tumor 4458: 4456: 4452: 4451: 4449: 4448: 4443: 4438: 4433: 4427: 4425: 4418: 4417: 4415: 4414: 4408: 4406: 4400: 4399: 4397: 4396: 4391: 4386: 4381: 4376: 4371: 4366: 4361: 4356: 4351: 4344:Adenocarcinoma 4341: 4335: 4333: 4324: 4318: 4317: 4315: 4314: 4312:Tracheal tumor 4308: 4306: 4297: 4291: 4290: 4288: 4287: 4282: 4277: 4271: 4270: 4265: 4260: 4254: 4253: 4248: 4242: 4240: 4234: 4233: 4228:involving the 4224: 4222: 4221: 4214: 4207: 4199: 4190: 4189: 4186: 4185: 4183: 4182: 4176: 4174: 4167: 4166: 4163: 4162: 4160: 4159: 4154: 4148: 4146: 4140: 4139: 4137: 4136: 4131: 4125: 4123: 4117: 4116: 4114: 4113: 4102: 4097: 4092: 4086: 4084: 4075: 4067: 4066: 4063: 4062: 4060: 4059: 4039: 4037: 4031: 4030: 4028: 4027: 4022: 4021: 4020: 4004: 4003: 4002: 3991: 3989: 3983: 3982: 3980: 3979: 3969: 3967: 3957: 3949: 3948: 3946: 3945: 3940: 3939: 3938: 3933: 3922: 3920: 3919:skin appendage 3914: 3913: 3910: 3909: 3907: 3906: 3901: 3896: 3891: 3886: 3881: 3876: 3875: 3874: 3863: 3861: 3860:Other/multiple 3857: 3856: 3854: 3853: 3848: 3839: 3834: 3828: 3826: 3820: 3819: 3817: 3816: 3811: 3806: 3800: 3798: 3792: 3791: 3789: 3788: 3779: 3777:Klatskin tumor 3774: 3768: 3767: 3766: 3765: 3760: 3755: 3750: 3745: 3734: 3733: 3728: 3719: 3717: 3708: 3694: 3688: 3687: 3684: 3683: 3681: 3680: 3675: 3670: 3664: 3662: 3656: 3655: 3653: 3652: 3647: 3642: 3637: 3632: 3627: 3622: 3616: 3614: 3601: 3595: 3594: 3588: 3586: 3585: 3578: 3571: 3563: 3554: 3553: 3550: 3549: 3538: 3526: 3525: 3523: 3519: 3518: 3515: 3514: 3503: 3492: 3480: 3475: 3474: 3472: 3471:Classification 3463: 3462: 3457:Extra Magazine 3440: 3415: 3366: 3347: 3322:Cancer Letters 3312: 3271: 3265:978-9283204299 3264: 3247: 3245: 3244: 3216:(3): 198–204. 3189: 3184:Cancer Network 3171: 3153: 3134: 3115: 3097: 3076: 3053: 3028: 3004: 2992:Cancer Network 2979: 2928: 2899:(3): 231–239. 2879: 2828: 2811: 2775: 2726: 2705:(6): 369–370. 2682: 2639: 2621: 2603: 2589: 2567: 2545: 2505: 2487: 2469: 2451: 2433: 2412:. 15 June 2020 2393: 2372:. 15 June 2020 2353: 2331: 2320:. 15 June 2020 2305: 2276: 2227: 2200:(8): 688–703. 2177: 2129: 2108:(2): 147–149. 2088: 2077:(3): 272–279. 2061: 2032:(3): 211–214. 2012: 1970: 1934: 1906: 1871: 1836: 1814: 1796: 1766: 1731:(1): 129–134. 1712: 1669: 1620: 1591:(4): 617–620. 1571: 1550:(4): 375–377. 1530: 1501:(6): 340–341. 1481: 1460:(3): 354–360. 1440: 1416: 1399: 1348: 1307: 1280:(4): 497–503. 1263: 1241: 1213: 1159: 1152: 1131: 1124: 1106: 1087: 1076:(5): 437–447. 1070:Cancer Journal 1060: 1011: 993: 975: 957: 922: 873: 824: 806: 805: 803: 800: 799: 798: 795: 788: 786: 783: 776: 772: 769: 768: 767: 761: 758:Dustin Diamond 753: 750: 741: 738: 721: 718: 676: 673: 610: 607: 594: 593: 587: 581: 575: 569: 558: 555: 549: 546: 542: 541: 531: 521: 518:PD-1 inhibitor 502: 499: 485: 482: 481: 480: 470: 451: 448: 420: 417: 396: 393: 391: 388: 355: 352: 328: 325: 283:Frontal chest 276: 273: 264: 261: 255: 252: 242: 239: 227:adenocarcinoma 215:Main article: 212: 209: 165: 162: 160: 157: 139:. Compared to 109: 108: 95: 89: 88: 57: 56: 48: 47: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4856: 4845: 4844:Rare diseases 4842: 4840: 4837: 4835: 4832: 4830: 4829:Cytopathology 4827: 4825: 4822: 4821: 4819: 4804: 4801: 4799: 4796: 4794: 4791: 4789: 4786: 4782: 4779: 4778: 4777: 4774: 4773: 4771: 4769: 4765: 4759: 4756: 4754: 4751: 4749: 4746: 4742: 4739: 4738: 4737: 4734: 4732: 4729: 4728: 4726: 4724: 4720: 4706: 4703: 4701: 4698: 4696: 4693: 4691: 4688: 4686: 4683: 4681: 4678: 4677: 4675: 4673: 4669: 4661: 4658: 4656: 4653: 4652: 4651: 4648: 4647: 4645: 4643: 4639: 4636: 4634: 4630: 4622: 4619: 4617: 4614: 4613: 4612: 4609: 4608: 4606: 4604: 4598: 4595: 4593: 4589: 4583: 4579: 4576: 4575: 4570: 4565: 4563: 4558: 4556: 4551: 4550: 4547: 4535: 4532: 4531: 4529: 4527: 4523: 4517: 4514: 4511: 4509: 4506: 4505: 4503: 4501: 4497: 4483: 4480: 4478: 4475: 4473: 4470: 4468: 4465: 4463: 4460: 4459: 4457: 4453: 4447: 4444: 4442: 4439: 4437: 4434: 4432: 4429: 4428: 4426: 4424: 4419: 4413: 4410: 4409: 4407: 4405: 4401: 4395: 4392: 4390: 4387: 4385: 4382: 4380: 4377: 4375: 4372: 4370: 4367: 4365: 4362: 4360: 4357: 4355: 4352: 4349: 4345: 4342: 4340: 4337: 4336: 4334: 4332: 4328: 4325: 4323: 4319: 4313: 4310: 4309: 4307: 4305: 4301: 4298: 4296: 4292: 4286: 4283: 4281: 4278: 4276: 4273: 4272: 4269: 4266: 4264: 4261: 4259: 4256: 4255: 4252: 4249: 4247: 4244: 4243: 4241: 4239: 4235: 4231: 4227: 4220: 4215: 4213: 4208: 4206: 4201: 4200: 4197: 4181: 4178: 4177: 4175: 4172: 4168: 4158: 4155: 4153: 4150: 4149: 4147: 4145: 4141: 4135: 4132: 4130: 4127: 4126: 4124: 4122: 4118: 4111: 4107: 4103: 4101: 4098: 4096: 4093: 4091: 4088: 4087: 4085: 4083: 4079: 4076: 4074:and medullary 4068: 4057: 4053: 4049: 4045: 4041: 4040: 4038: 4036: 4032: 4026: 4023: 4019: 4016: 4015: 4013: 4009: 4005: 4001: 3998: 3997: 3996: 3993: 3992: 3990: 3988: 3984: 3978: 3974: 3971: 3970: 3968: 3965: 3961: 3958: 3950: 3944: 3941: 3937: 3934: 3932: 3929: 3928: 3927: 3924: 3923: 3921: 3915: 3905: 3902: 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Retrieved 3427: 3418: 3383: 3379: 3369: 3360: 3350: 3325: 3321: 3315: 3288: 3284: 3274: 3255: 3250: 3213: 3209: 3192: 3183: 3174: 3165: 3156: 3147: 3137: 3128: 3118: 3109: 3100: 3091: 3070: 3045:. Retrieved 3041: 3031: 3020:. Retrieved 3016: 3007: 2996:. Retrieved 2991: 2982: 2945: 2941: 2931: 2896: 2892: 2882: 2845: 2841: 2831: 2822: 2814: 2789: 2785: 2778: 2743: 2739: 2729: 2702: 2698: 2655:(1): 34–39. 2652: 2648: 2642: 2633: 2624: 2615: 2606: 2592: 2584:the original 2579: 2570: 2558:. Retrieved 2548: 2526:. Retrieved 2517: 2508: 2499: 2490: 2481: 2472: 2463: 2454: 2445: 2436: 2414:. Retrieved 2405: 2396: 2374:. Retrieved 2365: 2356: 2344:. Retrieved 2334: 2324:24 September 2322:. Retrieved 2317: 2308: 2296:. Retrieved 2288: 2279: 2244: 2240: 2230: 2197: 2193: 2180: 2145: 2105: 2101: 2091: 2074: 2070: 2064: 2029: 2025: 2015: 2004:. Retrieved 2000:the original 1987: 1983: 1973: 1962:. Retrieved 1960:. 1980-01-01 1949: 1926:. 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May 2020. 838:Rare Tumors 730:lung cancer 661:trilaciclib 646:Trilaciclib 578:Vincristine 572:Doxorubicin 473:Carboplatin 440:carboplatin 436:vincristine 307:(ACTH) and 235:lung cancer 186:lymph nodes 85:Field stain 41:Other names 4818:Categories 3956:and serous 3899:Cylindroma 3884:Oncocytoma 3796:Urogenital 3753:Gastrinoma 3743:Insulinoma 3599:Epithelium 3434:2021-02-06 3361:Fred Hutch 3328:(1): 1–5. 3047:2021-02-16 3022:2020-12-28 2998:2020-12-04 2616:cancer.org 2464:cancer.org 2446:Cure Today 2006:2021-08-01 1964:2019-06-02 1928:2019-06-02 1434:2021-08-01 1368:(75): 75. 952:2023-10-02 939:StatPearls 802:References 603:paclitaxel 590:Irinotecan 584:Paclitaxel 534:Tarlatamab 490:paclitaxel 201:metastatic 174:metastases 61:Micrograph 4824:Carcinoma 4776:Carcinoma 4633:Germ cell 4601:Sex cord– 4592:Testicles 4513:Malignant 4423:carcinoma 4369:Carcinoid 3954:mucinous, 3936:Syringoma 3872:Carcinoid 3824:Endocrine 3612:carcinoma 3608:Papilloma 3542:eMedicine 3507:SNOMED CT 2806:190884224 2214:2123/4068 1413:eMedicine 1095:Selby K. 675:Prognosis 659:approved 599:topotecan 580:(Oncovin) 514:Nivolumab 488:The drug 477:etoposide 467:etoposide 463:Cisplatin 428:cisplatin 390:Treatment 354:Diagnosis 315:(SIADH). 194:cytoplasm 118:malignant 93:Specialty 73:cytoplasm 4723:Prostate 4705:Embryoma 4695:Teratoma 4650:Seminoma 4446:Melanoma 4436:Lymphoma 4295:Lower RT 4238:Upper RT 4072:lobular, 3987:Mucinous 3738:pancreas 3701:Adenomas 3547:med/1336 3410:30723171 3307:17008688 3240:18390646 3129:Medscape 2974:31504118 2923:30362375 2874:28961837 2770:31416802 2721:29894661 2677:54471245 2669:30528688 2318:DailyMed 2271:29049199 2241:Medicine 2222:17881133 2172:24282143 2163:11364206 2124:20101141 2056:26207205 1996:11098505 1984:Oncology 1952:. 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395:LS-SCLC 4578:Tumors 4500:Pleura 4275:Larynx 4226:Cancer 4171:Acinar 4035:Serous 3964:Cystic 3758:VIPoma 3723:tract: 3692:Glands 3591:cancer 3536:000122 3408:  3398:  3340:  3305:  3262:  3238:  3228:  2972:  2962:  2921:  2911:  2872:  2862:  2804:  2768:  2758:  2719:  2675:  2667:  2560:18 May 2528:17 May 2269:  2259:  2220:  2170:  2160:  2122:  2083:211638 2081:  2054:  2044:  1994:  1899:  1759:  1751:  1705:  1697:  1662:  1652:  1613:  1603:  1564:  1523:  1513:  1474:  1392:  1382:  1341:  1300:  1292:  1239:  1206:  1196:  1150:  1122:  1080:  1053:  1043:  945:  915:  905:  866:  856:  540:(2024) 530:(2018) 520:(2018) 178:thorax 135:, and 129:cervix 121:cancer 100:  4768:Penis 4741:HGPIN 3485:ICD-O 3455:[ 2802:S2CID 2673:S2CID 2522:(FDA) 2518:U.S. 2410:(FDA) 2406:U.S. 2370:(FDA) 2366:U.S. 2293:(FDA) 2289:U.S. 2190:(PDF) 1757:S2CID 1703:S2CID 1298:S2CID 1250:(PDF) 1233:(PDF) 285:X-ray 203:than 4421:Non- 4322:Lung 4173:cell 3496:MeSH 3406:PMID 3338:PMID 3303:PMID 3260:ISBN 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Index

Small cell lung carcinoma

Micrograph
lung
nuclear moulding
cytoplasm
stippled chromatin
FNA specimen
Field stain
Specialty
Oncology
Edit this on Wikidata
malignant
cancer
lung
cervix
prostate
gastrointestinal tract
non-small cell carcinoma
relative survival
tobacco smoking
limited stage
metastases
thorax
lung
lymph nodes
cytoplasm
metastatic
non-small-cell lung carcinoma
Combined small-cell lung carcinoma

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