Lung Cancer Therapeutics Flashcards
Relapses SCLC
Single agent
Paclitaxel
Docetaxel
Extensive (stage IV) SCLC
EPIC
EP
Or irinotecan + carboplatin
Non-squamous NSCLC
Test for EGFR and ALK mutation
1) platinum doublet
Cisplatin & pemetrexed
Squamous NSCLC
Cisplatin and gemcitabine
Stage 3/4 NSCLC
EVVP
Chemo and radiation
Need radiosensitizer
Etoposide, vinblastine, vinorelbine, Paclitaxel with platinum
Stage 4 metastatic
ECOG 0-2 platinum doublet
EVOG 3-4 best supportive care
Limited (stage 1-3) Small cell lung cancer
Small EP
Etoposide & cisplatin (or carboplatin)
Need to hydrate if cisplatin
Carboplatin better if CHF and can’t handle hydration
NSCLC EGFR+
Use erlotinib single agent
NSCLC ALK+
1) crizotinib
2) ceritinib
Which is more aggressive? Small or non small lung cancer
Small cell lung cancer