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Alía Navarro V, Martínez Delfrade Í, De Frutos González B, Morón García B, Barrill Corpa AM, Sotoca Rubio P, Peñas García B, Ferrer Gómez A, Perna Monroy C, Ferreiro Monteagudo R. Localized Colonic Small-Cell Carcinoma with Pathological Complete Response after Neoadjuvant Cisplatin and Etoposide: A Case Report. Curr Oncol 2023; 30:8426-8433. [PMID: 37754528 PMCID: PMC10528221 DOI: 10.3390/curroncol30090613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 09/01/2023] [Accepted: 09/12/2023] [Indexed: 09/28/2023] Open
Abstract
Extrapulmonary small-cell carcinoma (SCC) is a rare neoplasm that shares certain features with its pulmonary counterpart and occurs predominantly in the gastrointestinal tract (GIT). It is a high-grade and poorly differentiated neuroendocrine tumor, usually diagnosed in advanced stages, with a poor prognosis and few therapeutic options in that setting. This is a case report of a 77-year-old Spanish male patient with localized SCC of the colon, who presented a pathological complete response in the surgical specimen after neoadjuvant chemotherapy with cisplatin and etoposide. To date, 5 years after surgery, the patient remains without evidence of tumor recurrence. As clinical guidelines for the management of this entity are lacking, and therefore its management has not been standardized, an attempt to summarize the current evidence in the literature was made.
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Affiliation(s)
- Víctor Alía Navarro
- Medical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain (R.F.M.)
| | - Íñigo Martínez Delfrade
- Medical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain (R.F.M.)
- Ramón y Cajal Health Research Institute (IRYCIS), 28034 Madrid, Spain
| | - Belén De Frutos González
- Medical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain (R.F.M.)
- Ramón y Cajal Health Research Institute (IRYCIS), 28034 Madrid, Spain
| | - Blanca Morón García
- Medical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain (R.F.M.)
- Ramón y Cajal Health Research Institute (IRYCIS), 28034 Madrid, Spain
| | - Ana María Barrill Corpa
- Medical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain (R.F.M.)
| | - Pilar Sotoca Rubio
- Medical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain (R.F.M.)
| | - Beatriz Peñas García
- Gastroenterology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain
| | - Ana Ferrer Gómez
- Pathology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain
| | | | - Reyes Ferreiro Monteagudo
- Medical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain (R.F.M.)
- Ramón y Cajal Health Research Institute (IRYCIS), 28034 Madrid, Spain
- Biomedical Research Network in Cancer (CIBERONC), 28029 Madrid, Spain
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Le ZHM, Khoo WSK, Kumar K. A Rare Case of Rectosigmoid Small Cell Carcinoma. Cureus 2023; 15:e41339. [PMID: 37546029 PMCID: PMC10397522 DOI: 10.7759/cureus.41339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2023] [Indexed: 08/08/2023] Open
Abstract
Colorectal small cell carcinomas are very rare neuroendocrine malignancies of the colon or rectum. They have poor prognosis due to the aggressive and highly recurrent nature of the disease. It is a malignancy that is also poorly understood with limited literature, and thus there is no consensus in management. This case report presents the clinical features and radiological images of an otherwise healthy 74-year-old gentleman with a rare and aggressive 112-mm rectosigmoid small cell carcinoma with evidence of metastatic disease. This report will also discuss the most current and pertinent diagnostic and therapeutic recommendations from the literature.
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Affiliation(s)
- Zhuang Hui Mark Le
- Department of General Surgery, Logan Hospital, Brisbane, AUS
- Department of General Surgery, Redland Hospital, Brisbane, AUS
| | | | - Kaushik Kumar
- Department of General Surgery, Queen Elizabeth II Hospital, Brisbane, AUS
- Department of General Surgery, Redland Hospital, Brisbane, AUS
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Fitzhugh A, Corr A, Denton A, Antoniou A. Small cell rectal cancer: a therapeutic challenge. BMJ Case Rep 2021; 14:e244108. [PMID: 34625439 PMCID: PMC8504169 DOI: 10.1136/bcr-2021-244108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2021] [Indexed: 11/03/2022] Open
Abstract
A generally well 71-year-old man presented to his general practitioner with altered bowel habit and haematochezia. Colonoscopy revealed a malignant-appearing rectal mass, with histological features of extrapulmonary small cell carcinoma (EPSCC) of the rectum. Imaging demonstrated limited stage disease with a threatened circumferential resection margin. He was treated with a modified platinum chemoradiotherapy regimen for small cell lung cancer with an excellent response. Unfortunately, his cardiac function precluded surgery at the time and the patient subsequently developed hepatic metastases with local disease recurrence, and died 15 months following his initial diagnosis. Rectal EPSCC is a rare diagnosis, and this case represented a challenge for the multidisciplinary team given the limited evidence base. Medical therapy reflects extrapolation of small cell lung cancer treatment and the role of surgery is less clearly defined given aggressive and refractory disease is common. Immunotherapy, however, represents an exciting development for metastatic disease.
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Affiliation(s)
- Alex Fitzhugh
- Department of Inherited Intestinal Cancer Syndromes, St Mark's Hospital and Academic Institute, Harrow, UK
| | - Alison Corr
- Department of Inherited Intestinal Cancer Syndromes, St Mark's Hospital and Academic Institute, Harrow, UK
| | - Arshi Denton
- Department of Oncology, Mount Vernon Hospital, Northwood, UK
| | - Anthony Antoniou
- Department of Surgery, St Mark's Hospital Foundation, Harrow, UK
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