Surgical treatment of small cell lung cancer

Abstract
From 1970 till 1989, 30 patients underwent surgical resection for smallcell lung cancer (SCLC). The 5-year survival in stage I patients was 31%,in stage II 17% and in stage III the projected 5-year survival was 9%.Among N2 patients there were only 25% survivors after 1 year and none after2 years. The first group of 15 patients (1970-1979) received no adjuvantchemotherapy in contrast to the second group of 15 patients (1980-1989).The overall 5-year survival for the first group was 13% and the estimated5-year survival for the second group was 27%. In stage I SCLC, the 5-yearsurvival was 12% and 60%, respectively. These results confirm that surgerymay lead to long-term survival in stage I and possibly stage II SCLC, withbetter prognosis in stage I when adjuvant chemotherapy is added.

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