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 |