Evidence map›Paper›PMID 40400949›Full record

ArticleJournal of thoracic disease2025

Comparison of clinicopathologic features and prognosis between surgically resected pulmonary large-cell neuroendocrine carcinoma and small-cell lung cancer.

Yuke Mao, Hao Chang, Lu Wang, Jinlong Teng, Tianjun Li, Luca Ampollini, Yoshinobu Ichiki, Robert A Ramirez, Hong Liu, Baohui Han and 2 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yuke Mao *Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Hao Chang *Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Lu Wang *Department of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Jinlong TengDepartment of Intensive Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.
Tianjun LiDepartment of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Luca AmpolliniThoracic Surgery, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy.
Yoshinobu IchikiDepartment of General Thoracic Surgery, Saitama Medical Center, Hidaka, Japan.
Robert A RamirezDivision of Hematology and Oncology, Department of Internal Medicine, Vanderbilt University Medical Center, Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.
Hong LiuDepartment of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Baohui HanDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Jing WangDepartment of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yanan WangDepartment of Medical Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pulmonary large-cell neuroendocrine carcinoma (LCNEC) and small-cell lung cancer (SCLC) are classified as types of high-grade neuroendocrine carcinoma (HGNEC). The aim of this study was to determine the similarities and differences in clinical features and prognosis between LCNEC and SCLC. Methods: We retrospectively compared the clinical features and prognosis of LCNEC and SCLC, along with well as their two subtypes, including pure LCNEC (P-LCNEC) and combined LCNEC (C-LCNEC) and SCLC combined with LCNEC and SCLC combined with non-LCNEC, respectively. Disease-free survival (DFS) and overall survival (OS) were calculated using the Kaplan-Meier method. Results: We included 341 patients with LCNEC and 580 patients with SCLC who underwent surgical treatment. Significant differences in smoking history, primary site, tumor location, pathological (p) N stage, pTNM stage, and visceral pleural invasion (VPI) were observed between LCNEC and SCLC groups (all P values <0.05). The subgroups of LCNEC (P-LCNEC and C-LCNEC) and SCLC (SCLC/LCNEC and SCLC/non-LCNEC) displayed differences in smoking history, primary site, tumor location, pT stage, pN stage, pTNM stage, VPI, adjuvant chemotherapy, and postoperative adjuvant radiotherapy. LCNEC and its subtypes P-LCNEC and C-LCNEC were associated with superior DFS and OS than were SCLC and its subtypes SCLC/LCNEC and SCLC/non-LCNEC (DFS: P=0.008, P=0.001, P=0.049; OS: P=0.005, P=0.005, P=0.006). Compared to patients who did not receive adjuvant chemotherapy, those with stage I SCLC or LCNEC who underwent adjuvant chemotherapy demonstrated a significantly improved DFS (P=0.005 and P=0.048) and OS (P=0.004 and P=0.03). Conclusions: LCNEC and SCLC, as well as their subtypes, have distinct clinical features and survival outcomes. SCLC exhibited more malignant biological behavior and was associated with a worse prognosis compared to LCNEC. Postoperative chemotherapy is recommended for patients with stage I HGNEC.

Indexed as

large-cell neuroendocrine carcinoma (LCNEC)Pulmonary high-grade neuroendocrine carcinoma (pulmonary HGNEC)pure and combined subtypessmall-cell lung cancer (SCLC)

Identifiers

PMID40400949
PMCPMC12090107

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.