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Case report
Extensive-disease small cell lung cancer, multiple relapses, five lines of therapy and more than 10-year survival
  1. Pawan Kumar Singh1,
  2. Deepa Kumari Shrestha1,
  3. Navneet Singh1 and
  4. Nalini Gupta2
  1. 1Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Department of Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Pawan Kumar Singh;{at}


Small cell lung cancer (SCLC) accounts for nearly 18% of lung cancer cases. Most of the patients of SCLC are not surgical candidates, due to advanced stage at presentation hence only viable options are chemotherapy and radiotherapy. Long-term survival in SCLC is extremely rare due to relapses and comorbidities. Ten-year survival has never been reported in cases with extensive disease at presentation and history of relapses. Here we are describing a case of extensive disease SCLC who has survived multiple relapses and has received five lines of systemic therapy apart from radiation and palliative care. This case emphasises on the need of active and strict disease surveillance at each follow-up.

  • lung cancer (oncology)
  • radiotherapy
  • palliative care
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  • Contributors NS, PKS and DKS worked towards managing and following up the patient. NS had the inception of idea of writing the case. DKS and PKS wrote the manuscript. NS did the editing and fine-tuning. NG helped in diagnosis at each stage and in providing images for the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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