Salvage Surgery for Small-Cell Lung Cancer-A Literature Review

Cancers (Basel). 2023 Apr 11;15(8):2241. doi: 10.3390/cancers15082241.

Abstract

(1) Background: Salvation surgery for small-cell lung cancer (SCLC) is exceptionally performed, and only a few cases are published. (2) Methods: There are 6 publications that present 17 cases of salvation surgery for SCLC-the salvation surgery was performed in the context of modern clearly established protocols for SCLC and after including SCLC in the TNM (tumor, node, metastasis) staging in 2010. (3) Results: After a median follow-up of 29 months, the estimated overall survival (OS) was 86 months. The median estimated 2-year survival was 92%, and the median estimated 5-year survival was 66%. (4) Conclusion: Salvage surgery for SCLC is a relatively new and extremely uncommon concept and represents an alternative to second-line chemotherapy. It is valuable because it may offer a reasonable treatment for selected patients, good local control, and a favorable survival outcome.

Keywords: definitive chemoradiotherapy; definitive surgery; locally advanced lung cancer; lung cancer; lung resection; resection after chemoradiation; salvage resection; salvage surgery; salvation surgery; small-cell lung cancer (SCLC).

Publication types

  • Review

Grants and funding

This research received no external funding.