How do you treat a fit patient with a solitary pulmonary nodule (2cm) which is biopsy-proven small cell lung carcinoma?

Clinical stage I SCLC is vey rare but does happen. In the past this was referred to as "VERY" limited disease. We would recommend surgery, either lobectomy or just a wide wedge resection but with nodal evaluation. This patient would need adjuvant chemo with 4 courses of cisplatin (or carboplatin) + ...

I agree with @Dr. First Last. In my experience, these "very" limited SCCLCa are discovered incidentally when an isolated, growing pulmonary nodule has been resected. Agree completely with respect to adjuvant chemoTx.