Lung cancer

Question 1

SCLC

How to define stage?

Answer 1

Limited stage

Extensive stage

Question 2

SCLC

What the definition of limited stage?

Answer 2

Tumor limited to the ipsilateral hemithorax and regional lymph nodes (although subclinical metastases are usually present)

Question 3

SCLC

What the definition of extensive stage?

Answer 3

Involvement of contralateral lymph nodes, malignant pericardial/pleural effusion, or distant metastases (as in this patient with liver and contralateral lung lesions)

Question 4

SCLC

Limited stage treatment?

Answer 4

Curative intent and usually receive concurrent platin-based chemotherapy and thoracic radiation; 5-year survival is ~20%.

Question 5

SCLC

Extensive stage treatment?

Answer 5

6 cycles of monotherapy (platin based) (eg. etoposide plus cisplatin)

Question 6

SCLC

Who recieve prophylaxic thoracic/cranial radiation therapy?

Answer 6

Those who responded to chemotherapy