Do you do recommend further mediastinal staging for patients with SCLC or inoperable NSCLC with N1 disease on PET?  

I would usually request an EBUS. PET is really outstanding for staging of all lung cancer, but sensitivities in the 90+%, but it will occasionally miss the small nodes of the mediastinum. In SCLC, with a N1 node "with high SUV" the pretest probability of having an N2 node is quite high, so it would ...