Contemporary Incidence and Survival of Lung Neuroendocrine Neoplasms
JAMA Network Open 10.1001/jamanetworkopen.2025.35125October 02, 2025 at 11:00 AM EDT
What are the contemporary incidence trends and survival outcomes for patients with lung neuroendocrine neoplasms (NENs)?In this cohort study of 4479 patients, the incidence of lung NENs increased 2.87-fold from 2000 to 2020, primarily due to typical neuroendocrine tumors (NETs) and stage I disease. Ten-year overall survival was 40%, varying by histology and stage; for typical NETs and stage I tumors, non–cancer-related mortality exceeded lung cancer death within 2 and 3 years, respectively.These findings highlight the evolving epidemiology of lung NENs and suggest that tailoring surveillance and treatment strategies based on tumor subtype and risk of competing mortality are crucial.
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