How would you manage a treatment-naive patient who has painful vertebral lesions from ES-SCLC?

For patients with painful SCLC vertebral metastases and no evidence of cord compression, would you recommend treating with immediate systemic therapy or delaying systemic therapy for palliative RT?

1 Answer

Mednet Member

Radiation Oncology · Michigan Healthcare Professionals, PC

Answered on

ES-SCLC is incurable. If they are in pain, treat their pain.

Chemotherapy is palliative. TRT may extend life, but the average life expectancy with ES-SCLC is limited.

Don't let patients in pain suffer when we have an effective way to treat them.

I would consider very short courses - 1-2 fx SBRT (per...

Join for free or sign in to see the full answer