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Japanese Journal of Clinical Oncology Advance Access originally published online on June 16, 2006
Japanese Journal of Clinical Oncology 2006 36(7):457-461; doi:10.1093/jjco/hyl044
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© 2006 Foundation for Promotion of Cancer Research

Case Report

Relapse of Stage I Small Cell Lung Cancer Ten or More Years after the Start of Treatment

Kaoru Matsui1, Toshiyuki Sawa1,2, Hidekazu Suzuki1, Katsuhiro Nakagawa3, Norio Okamoto1, Takuhito Tada4, Teruaki Nagano5 and Noriyuki Masuda6

1 Department of Thoracic Malignancy, 3 Department of Thoracic Surgery, and 5 Department of Pathology, Medical Center for Respiratory and Allergic Diseases of Osaka Prefecture, Osaka, Japan, 2 Division of Respiratory Medicine, Gifu Municipal Hospital, Gifu, Japan, 4 Department of Radiology, Osaka City Medical School, Osaka, Japan and 6 Department of Respiratory Medicine, Kitasato University School of Medicine, Kanagawa, Japan

For reprints and all correspondence: Kaoru Matsui, Department of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, 3-7-1 Habikino, Habikino-City, Osaka 583-8588, Japan. E-mail: kmatsui{at}hbk.pref.osaka.jp

Received January 20, 2006; accepted April 7, 2006

Most patients with small cell lung cancer (SCLC) usually show relapse within 1 or 2 years. Relapses after a 5-year disease-free survival are extremely rare. This report describes two patients with stage I SCLC in whom the disease recurred 10 or more years after the start of initial therapy. Because the recurrence of SCLC was noted in the mediastinal lymph nodes of the same side, we concluded that the patients had a late relapse of SCLC rather than a metachronous lung cancer.

Key Words: 10-year disease-free survival • late relapse • second malignancy • small cell lung cancer


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