© 2003 by Oxford University Press
© 2003 Oxford University Press
EDITORIAL |
An Advance in Small-Cell Lung Cancer TreatmentMore or Less
Affiliations of authors: J. Laskin, British Columbia Cancer Research Centre, Vancouver, British Columbia, Canada; A. Sandler, D. H. Johnson, Vanderbilt-Ingram Cancer Center, Nashville, TN.
Correspondence to: David H. Johnson, MD, Division of Hematology and Oncology, Vanderbilt-Ingram Comprehensive Cancer Center, 2220 Pierce Ave., Nashville, TN 372326307 (e-mail: david.h.johnson@vanderbilt.edu).
| The first 10% of the full text of this article appears below. |
Although small-cell lung cancer (SCLC) once constituted 20%25% of all newly diagnosed lung cancers in North America, in recent years the incidence has decreased to less than 15% (1,2). Nonetheless, deaths resulting from SCLC remain substantial and represent a major public health concern both in the United States and abroad. Fortunately, SCLC is a moderately chemo-sensitive neoplasm and, over the past three decades, considerable progress has been made in the management of this disease (3,4). In fact, even though cure remains elusive for most patients, median survival now approaches 2 years for patients with limited-stage disease and averages 910 months for patients with extensive-stage disease (5). In North America, SCLC is most commonly treated with a two-drug chemotherapy regimen consisting of cisplatin (or carboplatin) and etoposide (PE). Patients with limited-stage disease also
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