Topics:
Lung Cancer • Thoracic Malignancies • Medical Oncology • NCI-CCC Tumor Board Question • University of Michigan • NCI-CCC Thoracic Tumor Board Question
How would you approach a patient with mediastinal-only recurrence of small cell lung cancer < 6 months after primary surgical resection and adjuvant platinum-etoposide for Stage I disease?
Answer from: Medical Oncologist at Academic Institution
The patient still has limited-stage, potentially curable disease assuming the PET/CT and MRI brain do not show any other sites of cancer outside of the mediastinum. Treatment should consist of chemotherapy plus early concurrent thoracic radiotherapy (TRT). This situation is analogous to mediastinal-...
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