Primary small cell neuroendocrine carcinoma of the larynx : a review of literature and case series

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INTRODUCTION: Small cell neuroendocrine carcinoma (SCNC) of the larynx is a rare tumor entity with a 5-year overall survival (OS) of only 5 % after treatment with chemoradiotherapy.

METHODS: A systematic review of the literature was performed for "SCNC" and "SCNC in head and neck". Our hospital's own electronic patient file database was investigated for patients diagnosed with a SCNC over the last 12 years.

RESULTS: The effectiveness of chemoradiotherapy in SCNC is still unclear since randomized clinical trials are missing for the evaluation of standard of care treatment. Common therapy approaches are based on experiences with small cell lung cancer. 0.5 % of all SCNC occur in the head and neck region. In the last 12 years, we diagnosed 9 patients with SCNC, two of which were located in the larynx. Exemplarily, we report the case of a 29-year-old male with the initial diagnosis of a SCNC of the larynx with concurrent lymph node metastasis. This case is particularly interesting due to the young age at disease onset and the lack of major risk factors. Treatment was modified to nivolumab due to progressive disease after treatment with chemoradiotherapy. After an OS of 22 months, the patient deceased due to a tumor-associated major bleeding with airway obstruction.

CONCLUSION: So far there are no clinical reports evaluating the use of nivolumab in third-line-therapy of SCNC. NTRK fusion (neurotrophic tyrosine receptor kinase gene fusion) or the folate receptor expression analysis should be considered to evaluate the potential use of a tropomyosin receptor kinase inhibitor or a folate receptor targeting therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:100

Enthalten in:

Laryngo- rhino- otologie - 100(2021), 12 vom: 30. Dez., Seite 981-986

Sprache:

Deutsch

Weiterer Titel:

Kleinzelliges neuroendokrines Karzinom des Kopf-Hals-Bereichs: eine Übersichtsarbeit und Fallserie

Beteiligte Personen:

Böhm, Felix [VerfasserIn]
Schuler, Patrick J [VerfasserIn]
Döscher, Johannes [VerfasserIn]
Weissinger, Stephanie E [VerfasserIn]
Benckendorff, Julian [VerfasserIn]
Greve, Jens [VerfasserIn]
Hoffmann, Thomas K [VerfasserIn]
Theodoraki, Marie-Nicole [VerfasserIn]

Links:

Volltext

Themen:

Antineoplastic Agents
Case Reports
Journal Article
Systematic Review

Anmerkungen:

Date Completed 03.12.2021

Date Revised 14.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1055/a-1334-4444

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM319596494