Small cell lung cancer: Difference between revisions
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− | == |
+ | ==Staging== |
+ | ===TMN=== |
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− | * |
+ | *Stage 1: a single lesion ≤3 cm with no lymphadenopathy |
− | * |
+ | *Stage 2: ipsilateral lymph nodes and mediastinum |
− | * |
+ | *Stage 3: contralateral lymph nodes and metastases |
− | * |
+ | *Stage 4: distant metastases |
− | == |
+ | ===VALSG=== |
− | * |
+ | *''Limited stage:'' disease confined to ipsilateral lung, lymph nodes, and mediastinum, which can be contained within one radiotherapy window |
− | * |
+ | *''Extensive stage:'' metastasis to contralateral lung, contralateral lymph nodes, or distant sites |
− | == |
+ | ==Management== |
− | === |
+ | ===Stage 1=== |
− | * |
+ | *Potentially curative |
− | * |
+ | *Surgical resection |
− | ** |
+ | **If lymph nodes negative, adjuvant chemotherapy |
− | ** |
+ | **If lymph nodes positive, adjuvant chemoradiotherapy |
− | * |
+ | *The adjuvant chemotherapy is platinum-based |
− | === |
+ | ===Stage 2/Limited Stage=== |
− | * |
+ | *Not curative |
− | * |
+ | *Early chemoradiotherapy |
− | === |
+ | ===Stage 3 or 4/Extensive Stage=== |
− | * |
+ | *Not curative |
− | * |
+ | *Chemotherapy extends median survival from 3 months to 8 to 13 months |
− | * |
+ | *Prophylactic cranial irradiation |
[[Category:Respirology]] |
[[Category:Respirology]] |
Revision as of 11:10, 29 July 2020
Staging
TMN
- Stage 1: a single lesion ≤3 cm with no lymphadenopathy
- Stage 2: ipsilateral lymph nodes and mediastinum
- Stage 3: contralateral lymph nodes and metastases
- Stage 4: distant metastases
VALSG
- Limited stage: disease confined to ipsilateral lung, lymph nodes, and mediastinum, which can be contained within one radiotherapy window
- Extensive stage: metastasis to contralateral lung, contralateral lymph nodes, or distant sites
Management
Stage 1
- Potentially curative
- Surgical resection
- If lymph nodes negative, adjuvant chemotherapy
- If lymph nodes positive, adjuvant chemoradiotherapy
- The adjuvant chemotherapy is platinum-based
Stage 2/Limited Stage
- Not curative
- Early chemoradiotherapy
Stage 3 or 4/Extensive Stage
- Not curative
- Chemotherapy extends median survival from 3 months to 8 to 13 months
- Prophylactic cranial irradiation