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Zactima (Vandetanib) in SCLC: An Argument Against Maintenance Therapy

January 20, 2008 - 6:32 am

   There’s been several discussions about the potential value of maintenance therapy after the initial chemotherapy for SCLC; I’ve discussed this subject in a prior post, in which I focused on chemo (prior post here) — while the results haven’t been strong enough to lead to a change in standard practice, at least one trial […]

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Is Surgery Ever an Option for Small Cell Lung Cancer? - by Dr. Laskin

January 19, 2008 - 6:28 am

   Dr. Laskin has appreciated the warm welcome.  Not only have you not scared her off, she’s written her first post for us. 
   By the way, it’s misleading to have my name and picture and “about the author” next to these posts by our new faculty — the software upgrade will fix this.  Here’s her […]

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Oral Topotecan FDA Approved in US for Second Line SCLC

December 18, 2007 - 10:24 pm

   This bit of news slipped under the radar for the past six weeks, but oral topotecan was approved by the FDA for the treatment of SCLC that has recurred at least 45 days after the last chemotherapy had been given.  I’m a little embarrassed to say that I hadn’t noted this, but it really […]

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Amrubicin for Recurrent SCLC Continues to Look Promising

November 13, 2007 - 10:40 pm

   I wrote about the drug amrubicin in a prior post, after it demonstrated provocative activity in clinical trials out of Japan that were presented at ASCO 2007.  Additional result on amrubicin in previously treated ED-SCLC were presented at a NYC meeting last week, and it’s continued to look very encouraging in a clinical setting […]

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Is More Better in SCLC? Triplets vs. Platinum/Etoposide

November 5, 2007 - 11:12 pm

   We’ve always been tempted to see if we can add more to standard approaches to improve our outcomes. In SCLC, people have attempted to add taxol to cisplatin and etoposide as part of the PET regimen (platinum + etoposide + taxol).  Although heavily tested, it clarified that triplet therapy with standard chemo for SCLC […]

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PET Scans for Follow-up of Patients After Surgery or Chemo/Radiation

November 3, 2007 - 9:25 pm

   We know PET scans can provide additional metabolic information that can be more sensitive and specific for cancer than chest x-rays and even CT scans in the initial staging of lung cancer (see prior post on introduction to PET scans). PET scans are now nearly universally employed in the initial workup, at least of […]

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Recurrence and New Cancers after Curative Treatment of Lung Cancer

October 30, 2007 - 10:20 pm

   Among the key issues in following patients with a history of treated lung cancer is the pattern of recurrence. We need to have a sense of when the risk is highest and where people are more likely to demonstrate new evidence of disease. Fortunately, there are several studies that can help us with these […]

4 Comments

A Few Highlights of the Updated Lung Cancer Staging System

September 6, 2007 - 11:01 pm

  A substantial revision of the staging system was presented at the World Conference on Lung Cancer in Korea this week.  This project involved multiple lung cancer experts from all over the world and from a variety of specialties over the last several years, who reviewed the data on approximately 100,000 lung cancer cases, both […]

11 Comments

Treating Elderly and Poorer Performance Status Patients with Small Cell Lung Cancer

August 28, 2007 - 9:18 pm

  The fact is that lung cancer, like many others, is a disease disproportionately affecting older populations, with the median age now in the 69-70 range.
 (Click to enlarge)
But our trials in lung cancer only rarely involve patients over 70.  This leaves us with serious questions about the best way to treat older and poor performance […]

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Cisplatin vs. Carboplatin in Small Cell Lung Cancer

August 24, 2007 - 10:58 am

   I recently received a question on the Q&A Forum about the use of cisplatin vs. carboplatin in SCLC.  In contrast to the smoldering debate about cisplatin vs. carboplatin in NSCLC that I described in a recent post, there’s been very little study and not as much debate about SCLC.  What little I can say […]

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