“…3 These tumors considerably differ in their biological behaviors, thus, they are classified as either low-grade typical carcinoids, intermediate-grade atypical carcinoids, high-grade large cell neuroendocrine lung cancer, or small cell lung cancer. 3,4 Small cell lung cancers account for the largest group of these tumors (B15% of all lung malignancies) and are associated with an extremely poor prognosis, [5][6][7][8] whereas large cell euroendocrine cancers and carcinoids are rare. Currently, the 2004 World Health Organization classification of pulmonary neuroendocrine tumors is based on combined architectural patterns considering the two most relevant morphological parameters, that is, the mitotic index and the presence of necrosis, diagnosed by haematoxylin and eosin morphology.…”