Abstract | OBJECTIVE: METHODS: The authors retrospectively analyzed 51 PEM patients (42 with SCLC, 9 with other tumors) who received antineoplastic treatment with (25 patients) or without (26) concomitant immunotherapy. Tumor response was assessed at the end of the antineoplastic treatment. Progression of PEM was defined as a change of at least 1 point in the Rankin scale measured at the onset and at the end of the tumor treatment. To evaluate the outcome of SCLC, 27 PEM patients with SCLC were matched one-to-one with SCLC patients without PEM for age, performance status, tumor stage, and type of antineoplastic treatment. RESULTS: Thirty-six (70%) patients were neurologically stable at the end of the tumor treatment. In a logistic regression analysis, tumor complete response was the only predictor of PEM stabilization (OR 7.07; 95% CI 1.68 to 29.76; p = 0.006). Immunotherapy did not modify the outcome of the tumor and PEM. Median survival was similar in SCLC patients with and without PEM, but the probability of survival at 30 months was higher in PEM patients with SCLC (OR 5.26; 95% CI 1.0004 to 27.6902; p = 0.03). CONCLUSIONS:
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Authors | F Keime-Guibert, F Graus, P Broët, R Reñé, J L Molinuevo, C Ascaso, J Y Delattre |
Journal | Neurology
(Neurology)
Vol. 53
Issue 8
Pg. 1719-23
(Nov 10 1999)
ISSN: 0028-3878 [Print] United States |
PMID | 10563618
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antibodies
- ELAV Proteins
- Nerve Tissue Proteins
- RNA-Binding Proteins
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Topics |
- Adult
- Aged
- Antibodies
(analysis)
- Carcinoma, Small Cell
(complications, therapy)
- Disease Progression
- ELAV Proteins
- Encephalomyelitis
(complications, immunology, therapy)
- Female
- Humans
- Immunotherapy
- Lung Neoplasms
(complications, therapy)
- Male
- Middle Aged
- Nerve Tissue Proteins
- Paraneoplastic Syndromes
(complications, immunology, therapy)
- RNA-Binding Proteins
(immunology)
- Retrospective Studies
- Survival Analysis
- Treatment Outcome
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