How would you approach a patient with biopsy-proven extrapulmonary small cell carcinoma (CT chest negative), characterized only by inguinal lymphadenopathy, who is otherwise asymptomatic?

Topics: Thoracic Malignancies • Medical Oncology

If PET/CT is unrevealing for a primary source, would you treat such a patient with platinum-etoposide or monitor closely until further disease progression?

Answer from: Medical Oncologist at Academic Institution

Concurrent chemoradiation with etoposide and cisplatin and radiation to large inguinal field. Patient should have brain MR before and after therapy. It is not known whether PCI should be offered at conclusion. I would not push hard for that.

Comments

Medical Oncologist at Texas Oncology
Thank you very much!! PET positive in many other n...

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