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SCLC/LCNEC: State of the art treatment

Platinum

(either cis or carbo)

combination chemotherapy

(i.e cis/carbo-

etoposide) x 4-6 courses q 3 weeks

“standard of care”

1

st

line therapy for

both

LD and ED

Combined chemotherapy

and thoracic

radiotherapy

(preferably early

concurrent)

standard of care for LD

Possible

role of upfront

surgery

in very limited disease

Second line therapy: Topotecan o CAV or PE-rechallenge based on treatment-free

interval (refractory vs sensitive disease)

PCI

for pts with both

LD or ED

with

good response

to 1

st

line therapy

Thoracic irradiation in ED

?