Was diagnosed yesterday with Limital Small cell Lung cancer Stage 1B.The nodule is confined to the upper part of the lower left lobe.There is no spread as far as they know.It was recommended to do chemo.My question is why dont they surgically remove this portion of the lung first instead of trying the chemo first?I am very scared to say say the least.Dr says I was lucky it hasnt spread but am still confused in alot of ways.He is saying it was a good diagnosis.It was found on an accidental chest xray
Firstly, I would like to let you know that limital small cell cancer is a different entity from non small cell lung carcinoma. This cancer, in contrast to NSLC, progresses very fast. But the good part is that it is sensitive to both chemotherapy and radiotherapy. This cancer spreads microscopically even in limited stage of disease so surgery has no role in the management of this cancer. Getting it done would not confer a survival advantage.
So the right treatment in this case would be : Radiotherapy- 50-55Gy to the primary disease with concurrent chemotherapy with cisplatin/carboplatin + Etoposide.
Hope that this information helps and hope that you will get better soon.
Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.