Table 1.
Patient | Paraneoplastic Disease |
Gender | Age at diagnosis |
Smoking History |
Tumor and stage |
Age deceased |
Survival (months) |
Initial response to treatment |
---|---|---|---|---|---|---|---|---|
1 | PEM/SN | F | 72 | Unknown | SCLC, LD | 72 | 0 | No treatment |
2 | PEM/SN | F | 66 | 50 pack-years | n/a; no SCLC or other tumor | 76 | n/a | n/a |
3 | PEM/SN | F | 43 | Unknown | Primary unclear, ED | 45 | 21 | Complete response |
4 | LEMS | M | 76 | 75 pack-years | SCLC, LD | 84 | 99 | Complete response |
5 | none | F | 65 | Unknown | SCLC, | 66 | 10 | Complete response |
6 | none | M | 74 | Unknown | SCLC, LD | 74 | 0 | No response |
7 | none | F | 55 | Previous smoker | SCLC, LD | 56 | 8 | No response |
Patients 1-3 were diagnosed with PEM/SN, which is typically associated with anti-ELAVL antibodies; patient 2 showed no detectable tumor in 11–year follow up despite suspected SCLC; patient 3 showed neuroendocrine brain metastasis but no primary tumor at the time -origin of metastasis was unclear since she had a history of ovarian carcinoma and pulmonary metastasis; patient 4 showed anti-ELAVL4 antibodies but exhibited LEMS, which is associated with antibodies against voltage-gated calcium channels; patients 5-7 showed no paraneoplastic autoimmune neurological disease. LD: limited disease, ED: extensive disease.