Survival Benefit of Adjuvant Chemotherapy in Pulmonary Carcinoid Tumors

Cancers (Basel). 2022 Sep 28;14(19):4730. doi: 10.3390/cancers14194730.

Abstract

Pulmonary carcinoid tumors are a rare subtype of neuroendocrine cell tumor found in approximately 1-2% of lung cancers. Management is primarily through surgical resection, with limited benefit of adjuvant therapy in the clinical setting. Genomic profiling is in the nascent stages to molecularly classify these tumors, but there are promising insights for future targeted therapy. A total of 80 abstracts were analyzed for further review with 11 included in our final analysis. Only 4 of the 11 reviewed in depth provided statistical analysis. We evaluated PFS, OS, 1- and 5-year survival as mentioned in the studies. Nodal and KI67 status were also analyzed. Based on the current literature, there is no definitive evidence that adjuvant chemotherapy after resection confers a survival benefit in typical or atypical carcinoids.

Keywords: adjuvant chemotherapy; atypical carcinoid; neuroendocrine tumor; pulmonary carcinoid; survival benefit.

Publication types

  • Review

Grants and funding

This research received no external funding.