Regression of small-cell lung carcinoma in patients with paraneoplastic neuronal antibodies Journal Article


Authors: Darnell, R. B.; DeAngelis, L. M.
Article Title: Regression of small-cell lung carcinoma in patients with paraneoplastic neuronal antibodies
Abstract: We describe three patients with known or suspected small-cell lung cancer (SCLC), paraneoplastic neurological syndromes, and antineuronal antibodies who had unusually benign clinical courses. One patient survived 8 years free of disease and was positive for the anti-Hu antibody. A second patient survived 6 years after spontaneous tumour regression and had an atypical antineuronal antibody. A third patient with both the anti-Hu and atypical antineuronal antibody had spontaneous regression of a lung mass. All three patients had a subacute sensory neuropathy. Since paraneoplastic antineuronal antibodies also bind to tumour cells, these cases suggest that some (paraneoplastic) neurological syndromes without identifiable tumour may result from immune-mediated eradication of tumour cells. © 1993.
Keywords: adult; aged; case report; cisplatin; follow up; sensory neuropathy; etoposide; lung neoplasms; cyclophosphamide; vincristine; immune response; lung carcinoma; antibodies; antibody detection; paraneoplastic syndrome; neurons, afferent; small cell carcinoma; carcinoma, small cell; middle age; nervous system diseases; paraneoplastic syndromes; neoplasm regression, spontaneous; human; male; female; priority journal; article; support, u.s. gov't, p.h.s.
Journal Title: Lancet
Volume: 341
Issue: 8836
ISSN: 0140-6736
Publisher: Elsevier Science, Inc.  
Date Published: 1993-01-02
Start Page: 21
End Page: 22
Language: English
DOI: 10.1016/0140-6736(93)92485-c
PUBMED: 8093269
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
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  1. Robert B Darnell
    14 Darnell