Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature review

Sinonasal small-cell neuroendocrine carcinoma (SCNEC) is an uncommon malignant epithelial neuroendocrine tumor in the sinonasal cavity that often presents in isolation and rarely occurs in synchronous fashion with small-cell lung carcinoma (SCLC). Here, we present a case of a 65-year-old man diagnos...

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Main Authors: Rencui Quan, Ling Han, Shihai Wu, Xianming Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1457907/full
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author Rencui Quan
Rencui Quan
Ling Han
Shihai Wu
Xianming Li
author_facet Rencui Quan
Rencui Quan
Ling Han
Shihai Wu
Xianming Li
author_sort Rencui Quan
collection DOAJ
description Sinonasal small-cell neuroendocrine carcinoma (SCNEC) is an uncommon malignant epithelial neuroendocrine tumor in the sinonasal cavity that often presents in isolation and rarely occurs in synchronous fashion with small-cell lung carcinoma (SCLC). Here, we present a case of a 65-year-old man diagnosed with SCNEC concurrently combined with SCLC. He received first-line platinum-doublet chemotherapy combined with durvalumab, followed by radiotherapy to thoracic as well as head and neck regions. The follow-up computed tomography and magnetic resonance imaging showed a complete response according to Response Evaluation Criteria in Solid Tumors criteria until 9 June 2024. This case highlights the need for accurate diagnostic characterization of primary lesions and the need to formalize treatment paradigms using chemotherapy, radiation therapy, immunotherapy with immune checkpoint inhibitors, and targeted prophylactic cranial irradiation.
format Article
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institution Kabale University
issn 1664-3224
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-342a0bbb355341bba3b2fd1308d7d87e2025-01-29T06:46:11ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011610.3389/fimmu.2025.14579071457907Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature reviewRencui Quan0Rencui Quan1Ling Han2Shihai Wu3Xianming Li4Jinan University, Guangzhou, ChinaDepartment of Radiation Oncology, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, ChinaDepartment of ENT, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, ChinaDepartment of Radiation Oncology, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, ChinaDepartment of Radiation Oncology, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, ChinaSinonasal small-cell neuroendocrine carcinoma (SCNEC) is an uncommon malignant epithelial neuroendocrine tumor in the sinonasal cavity that often presents in isolation and rarely occurs in synchronous fashion with small-cell lung carcinoma (SCLC). Here, we present a case of a 65-year-old man diagnosed with SCNEC concurrently combined with SCLC. He received first-line platinum-doublet chemotherapy combined with durvalumab, followed by radiotherapy to thoracic as well as head and neck regions. The follow-up computed tomography and magnetic resonance imaging showed a complete response according to Response Evaluation Criteria in Solid Tumors criteria until 9 June 2024. This case highlights the need for accurate diagnostic characterization of primary lesions and the need to formalize treatment paradigms using chemotherapy, radiation therapy, immunotherapy with immune checkpoint inhibitors, and targeted prophylactic cranial irradiation.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1457907/fullsinonasal small cell neuroendocrine carcinomasmall cell lung carcinoma (SCLC)immune checkpoint inhibitorsPD-L1maintenance treatment
spellingShingle Rencui Quan
Rencui Quan
Ling Han
Shihai Wu
Xianming Li
Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature review
Frontiers in Immunology
sinonasal small cell neuroendocrine carcinoma
small cell lung carcinoma (SCLC)
immune checkpoint inhibitors
PD-L1
maintenance treatment
title Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature review
title_full Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature review
title_fullStr Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature review
title_full_unstemmed Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature review
title_short Sinonasal small-cell carcinoma combined concurrently with small-cell lung carcinoma: case report and literature review
title_sort sinonasal small cell carcinoma combined concurrently with small cell lung carcinoma case report and literature review
topic sinonasal small cell neuroendocrine carcinoma
small cell lung carcinoma (SCLC)
immune checkpoint inhibitors
PD-L1
maintenance treatment
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1457907/full
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AT rencuiquan sinonasalsmallcellcarcinomacombinedconcurrentlywithsmallcelllungcarcinomacasereportandliteraturereview
AT linghan sinonasalsmallcellcarcinomacombinedconcurrentlywithsmallcelllungcarcinomacasereportandliteraturereview
AT shihaiwu sinonasalsmallcellcarcinomacombinedconcurrentlywithsmallcelllungcarcinomacasereportandliteraturereview
AT xianmingli sinonasalsmallcellcarcinomacombinedconcurrentlywithsmallcelllungcarcinomacasereportandliteraturereview