sprint123 wrote:
Can anyone tell me in brief about the management of small cell CA???I am confused on the chemotherapy....Pls
I can tell you a lot since I am oncologist (well, used to be in my first life  ).
Officially, no surgery is recommended even for localized forms (i.e. with no proven mets anywhere at the time of diagnostics). Chemo with platimum-based protocols 3 courses + radio (47-52 Gr) on the total lung + total mediastimum + 3 other courses of the same chemo. If Pt has metastatic pleuritis, do drainage and inject doxo - causes pleurodesis (cavity obliteration)...
Practically, if you can remove the tumor, give 2 cycles of chemo + radical pneumonectomy with mediastinotomy and lymph node dissection... Then you give the same as above...
Can still be confusing...
Edited by Justice on 04/30/07 - 09:28 PM
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Thank u dr.justice!
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