{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T21:36:47Z","timestamp":1757540207383,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"15","license":[{"start":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T00:00:00Z","timestamp":1656374400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 69\u2010year\u2010old Japanese man visited our hospital because of worsening shortness of breath. His chest computed tomography (CT) showed a giant left lung mass with a massive left pleural effusion. He could not be treated with chemotherapy and eventually died from a rapidly progressive tumor. He was diagnosed with combined small cell lung carcinoma (C\u2010SCLC) with spindle\u2010shaped cell tumor at autopsy. C\u2010SCLC is characterized by pathologically concurrent SCLC and adenocarcinoma or squamous cell carcinoma, or rarely, spindle\u2010shaped cell tumor. The clinical course of C\u2010SCLC with spindle\u2010shaped cell tumor has not previously been determined. Our patient's tumor increased by 2.59\u2010fold in 20\u2009days. The combination of C\u2010SCLC with spindle\u2010shaped cell tumor suggested rapid progression and a poor prognosis.<\/jats:p>","DOI":"10.1111\/1759-7714.14559","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T10:55:19Z","timestamp":1656413719000},"page":"2279-2282","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Autopsy case of a patient with rapidly progressive combined small\u2010cell lung carcinoma with spindle\u2010shaped cell tumor"],"prefix":"10.1111","volume":"13","author":[{"given":"Toshiki","family":"Morimoto","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine University of Occupational and Environmental Health  Kitakyushu City 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