This is a case-based activity that includes discussion of a 57 year old male presented to his physicians office with complaints of cough and back pain. His cough is non-productive and has been present for approximately one month. The back pain is exacerbated by cough and has no radicular aspects.
The patient also notes a 12 pound weight loss over the preceding six months. His past history includes moderately well controlled hypertension and glucose intolerance. He has a social history that includes a 37 pack-year smoking history. No known exposures to asbestos and he did not serve in the military.
A chest x-ray reveals a 3.5 cm mid-right lung central mass. A CT of the chest abdomen and pelvis confirms the mass along with subcarinal adenopathy measuring 2.5 cm in greatest dimension and three low attenuation lesions involving both lobes of the liver.
At the end of this course you should be able to:
- Examine what chemotherapy to use as initial therapy as well as subsequent therapy in extensive disease (ED) small cell lung cancer (SCLC).
- Explain the effectiveness of chemotherapy in both sensitive and refractory relapse disease in patients with SCLC.
- Identify the role of radiotherapy, i.e. prophylactic cranial irradiation and thoracic radiotherapy, in the treatment of ED-SCLC.
This activity was made available on 4/22/2015 and will be reviewed on an annual basis to determine continued availability. A maximum of 1 AMA PRA Category 1 Credit(s) ™ credit is available.
Medical Knowledge (ACGME, AAPA)
Health Promotion, Health Protection, Disease Prevention, and Treatment (ONS)
Note: This course is now accessible through mobile devices as well as personal computers