Abstract
Lung cancer is a major cause of mortality and morbidity in the community. There are 40 000 new cases per annum in the UK and the disease accounts for 16% of all cancer deaths. Approximately 25% of all lung cancer cases are of the small cell pathological subtype. It is now recognized that small cell lung cancer (SCLC) is a systemic disease and that at the time of presentation most patients have dissemination, whether metastases are clinically apparent or not. The tumour is relatively chemosensitive but, despite a 60–70% complete clinical response rate to combination chemotherapy, only 15–20% of patients with seemingly limited disease are alive 2 years after diagnosis. Patients with extensive disease at presentation rarely live longer than 12 months. Overall, 2–3% of patients are alive at 5 years and can be considered cured of their disease. In essence, therefore, the treatment intent for patients, even with apparently limited disease, is the palliation of symptoms.
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© 1998 Springer-Verlag London Limited
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McLean, C.M., Leonard, R.C.F. (1998). Non-Curative Chemotherapy for Small Cell Lung Cancer. In: Slevin, M.L., Tate, T. (eds) Cancer: How Worthwhile is Non-Curative Treatment?. Focus on Cancer. Springer, London. https://doi.org/10.1007/978-1-4471-1509-0_15
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DOI: https://doi.org/10.1007/978-1-4471-1509-0_15
Publisher Name: Springer, London
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