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How would you approach a patient with simultaneously diagnosed stage IVA SCC of the head and neck and limited stage small cell lung cancer (neither is symptomatic)?
Would you recommend chemo alone first? Would you treat with definite chemo-RT to the lung then the head/neck or vice versa?
How would this change if the SCLC was Extensive Stage?
Answer from: Radiation Oncologist at Community Practice
The treatment option with ES-SCLC may be slightly more clear since the patient has incurable disease and will succumb to their lung disease. I would start chemotherapy and keep an eye on the H&N cancer and offer palliation as needed including a QUAD shot (depending on the size of the primary and...
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