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How would you approach a patient with limited stage SCLC who progressed immediately after completing chemoradiation with brain metastasis?
Answer from: Radiation Oncologist at Community Practice
For 1-10 brain metastases from SCLC, consider the NRG CC009 clinical trial randomizing between SRS and hippocampal-avoidance WBRT!
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Answer from: Medical Oncologist at Academic Institution
I would recommend radiation to the brain if there is no extracranial progression. I would not start second-line systemic therapy for brain-only progression.
Comments
Medical Oncologist at University of Arkansas for Medical Sciences
In addition to radiation, would you consider maint...
In addition to radiation, would you consider maint...
Medical Oncologist at University of Nebraska Medical Center
No. I would not. Single agent ICI has not been use...
No. I would not. Single agent ICI has not been use...
Medical Oncologist at Wentworth Douglass Hospital
If it is more than 6 months after completion, woul...
If it is more than 6 months after completion, woul...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Agree with Dr. @Ganti. Intracranial activity of si...
Agree with Dr. @Ganti. Intracranial activity of si...