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How do you approach patients with stage III unresectable, combined histology NSCLC/SCLC?

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Mednet Member
Mednet Member
Radiation Oncology · University of Texas MD Anderson Cancer Center

For stage III lung cancer with mixed NSCLC and small-cell lung cancer, we treat patients with concurrent chemotherapy (cisplatin/etoposide every three weeks) and definitive radiotherapy (60-66 Gy in 30 fractions, QD), followed by adjuvant immunotherapy (durvalumab). The rationales are as follows:

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Mednet Member
Mednet Member
Medical Oncology · Indiana University

This is a difficult question and I am not sure there is a "right answer". I would probably discuss with my pathologist what seems to be the more dominant histology if there is one. I would choose cisplatin with etoposide rather than carboplatin with paclitaxel as the chemotherapy backbone due to the...

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