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Lung Cancer pp 171–191Cite as

In vitro models for testing of cytostatic agents in small cell lung cancer

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Part of the book series: Cancer Treatment and Research ((CTAR,volume 72))

Abstract

Small cell lung cancer (SCLC) is one of the solid tumors most responsive to chemotherapy. Despite the apparent initial sensitivity of SCLC, acquired drug resistance is the major problem; only a small proportion of patients will remain in remission beyond two years [1]. The overall treatment results have not changed markedly in the last decade, despite the application of numerous combination regimens, late intensification regimens, high-dose chemotherapy with autologous bone-marrow rescue, and various types of adjuvant radiotherapy. Resistance in SCLC may be associated with the concomitant occurrence of a less chemosensitive histological tumor type, such as adenocarcinoma or squamous cell carcinoma, but only in a minority of cases. The large majority (over 85%) of SCLC patients who after treatment die with disease still have SCLC histology at autopsy [2]. Although drug resistance in SCLC may have a pharmacological basis or be due to changes in cell kinetics during therapy, the resistance appears to be due primarily to cellular factors.

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Buhl Jensen, P., Sehested, M. (1994). In vitro models for testing of cytostatic agents in small cell lung cancer. In: Hansen, H.H. (eds) Lung Cancer. Cancer Treatment and Research, vol 72. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2630-8_9

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