Table 1.
Pure SCLC | C-SCLC | |
---|---|---|
Clinical features | ||
Location | Overwhelming majority central sites | About half were peripheral, especially pleural effusion |
Stage | About 40% limited stage | About 70% limited stage |
About 5% I–II stage | About 30% I–II stage | |
Treatment | ||
Surgery | Little benefit | More benefit |
Chemotherapy | Sensitive | Lower sensitive |
Radiotherapy | Sensitive | Lower sensitive |
EGFR-TKI | Less effective | Potential effective |
Prognostic factors | Receive surgery, limited disease extent, good PS, right lung location, central site, combination with adenocarcinoma or spindle cell carcinoma, low NLR and normal CRP levels, and reduced RABEX-5 expression |
Abbreviations: SCLC, small-cell carcinoma; C-SCLC, combined small-cell lung carcinoma; EGFR-TKI, epidermal growth factor receptor-tyrosine kinase inhibitor; PS, performance status; NLR, neutrophile-lymphocyte ratio; CRP, C-reactive protein.