SMALL CELL CARCINOMAS: CAUSES, DIAGNOSIS AND TREATMENT, ss.193-198, 2009 (SCI-Expanded)
Lung cancer is the most common cause of cancer-related death and small cell lung cancer (SCLC) comprises about 15-20 % of all lung cancer cases. Majority of patients present with metastatic disease at diagnosis. Therapy regimens of SCLC include systemic chemotherapy, irradiation of primary tumor and/or metastases, adjuvant and prophylactic cranial radiotherapy, as well as medication of pain or other symptoms. Treatment is primarily dependent on the stage of SCLC and presence of metastases. Chemotherapy still is the cornerstone in treatment. The standard chemotherapy is the combination of etoposide and cisplatin. Despite initial sensitivity to therapy, >80% of the patients die from recurrent disease within 2 years.