Do you offer immunotherapy for extensive stage small cell lung cancer who also has a paraneoplastic neurological syndrome?

Do you offer IO for ESCLC who also has a paraneoplastic neurological syndrome?

• Yes, only if the paraneoplastic neurological syndrome is mild/not debilitating.
• Yes, treatment of the underlying disease should improve the paraneoplastic disorder.
• No, I would be concerned about exacerbating the paraneoplastic neurological syndrome.
• Other