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Small cell lung cancer

最后审阅: 20 Aug 2025
最后更新: 29 Apr 2025

小结

Definição

Anamnesis y examen

Principales factores de diagnóstico

  • cough
  • dyspnea
  • hemoptysis
  • chest pain
  • weight loss
Todos los datos

Otros factores de diagnóstico

  • age 65 to 74 years
  • male sex
  • fatigue
  • pulmonary exam abnormalities
  • hoarseness
  • confusion
  • personality changes
  • nausea and vomiting
  • headache
  • dysphagia
  • bone pain and/or fractures
  • seizures
  • cervical or supraclavicular adenopathy
  • facial swelling
  • dilated neck or chest/abdominal wall veins
  • finger clubbing
  • hypertrophic osteoarthropathy
Todos los datos

Factores de riesgo

  • cigarette smoking
  • environmental tobacco exposure
  • radon gas exposure
  • asbestos exposure
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • chest x-ray
  • CT chest, liver, and adrenal glands
Todos los datos

Pruebas diagnósticas que deben considerarse

  • bronchoscopy
  • biopsy
  • thoracentesis
  • thoracoscopy
  • MRI or CT of brain
  • mediastinoscopy
  • fluorodeoxyglucose positron emission tomography (FDG PET/CT)
  • bone scan
  • bone marrow aspirate and biopsy
  • CBC
  • LFTs
  • serum sodium
  • renal function
  • lung function tests
Todos los datos

Algoritmo de tratamiento

Agudo

at initial presentation: limited disease

at initial presentation: extensive disease

En curso

relapse within 6 months

relapse after 6 months

Colaboradores

Autores

Bingnan Zhang, MD, MBA

Assistant Professor

Department of Thoracic/Head and Neck Medical Oncology

Division of Cancer Medicine

The University of Texas MD Anderson Cancer Center

Houston

TX

Divulgaciones

BZ declares that she has no competing interests.

Agradecimientos

Dr Bingnan Zhang would like to gratefully acknowledge Dr Leena Gandhi, Dr Alvin R. Cabrera, Dr Christopher R. Kelsey, Dr Lawrence B. Marks, Dr Rebecca Suk Heist, and Dr Catherine B. Meador, previous contributors to this topic.

Divulgaciones

LG, ARC, CRK, and LBM declare that they have no competing interests. RSH has received honoraria for consulting from Novartis, Abbvie, Daichii Sankyo, and EMD Serono. RSH's institution (not RSH) has received research funding from Agios, Abbvie, Exelixis, Daichii Sankyo, Novartis, Lilly, Mirati, Corvus, Incyte, and Genentech Roche.

Revisores por pares

Alan Neville, MD

Professor

Assistant Dean

Undergraduate Program

McMaster University

Hamilton

Ontario

Canada

Divulgaciones

AN declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: small cell lung cancer [internet publication].Texto completo

Dingemans AC, Früh M, Ardizzoni A, et al. Small-cell lung cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2021 Jul;32(7):839-53.Texto completo  Resumen

National Institute for Health and Care Excellence. Lung cancer: diagnosis and management. Mar 2024 [internet publication].Texto completo

Simone CB 2nd, Bogart JA, Cabrera AR, et al. Radiation therapy for small cell lung cancer: an ASTRO clinical practice guideline. Pract Radiat Oncol. 2020 May - Jun;10(3):158-73.Texto completo  Resumen

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Diferenciales

    • Non-small cell lung cancer
    • Pneumonia/bronchitis
    • Carcinoid tumor
    Más Diferenciales
  • Guías de práctica clínica

    • NCCN clinical practice guidelines in oncology: small cell lung cancer
    • Lung cancer: diagnosis and management
    Más Guías de práctica clínica
  • Folletos para el paciente

    Lung cancer: questions to ask your doctor

    Bronchoscopy

    Más Folletos para el paciente
  • Videos

    Pleural aspiration animated demonstration

    Más vídeos
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