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How soon after surgery do you start chemotherapy for extensive stage SCLC following resection of a brain metastasis?

How do you balance risk of chemo after surgery with risk of progression of disease while waiting for healing after surgery before starting chemo?
1 Answer
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Medical Oncology · Adena Cancer Center
Answered on

I believe chemotherapy is the backbone of therapy for small cell lung cancer. If a patient has asymptomatic brain metastases, I start with chemotherapy (or chemoimmunotherapy) alone and follow with repeat brain imaging. I will treat with RT after initial 4 cycles of chemotherapy if brain disease is ...

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