How would you manage metastatic small cell/neuroendocrine bladder cancer after response to 6 cycles of platinum/etoposide?  

If any clinical benefit (ie. CR, PR or SD) would you consider switch maintenance avelumab, surveillance until progression, or an alternate regimen?

Answer from: Medical Oncologist at Community Practice
Medical Oncologist at University of Washington School of Medicine
Excellent and thoughtful response by @Guru P. Sonp...
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