Small Cell Lung Cancer small cell lung cancerNCCN Guidelines Version 2.2017 NCCN guide 2017 edition secondDiscussion discussionSurveillance
Small Cell Lung Cancer small cell lung cancer
NCCN Guidelines Version 2.2017 NCCN guide 2017 edition second
The schedule for follow-up examinations is shown in the algorithm (see Surveillance in the NCCN Guidelines for SCLC the frequency of); surveillance decreases during subsequent years because of the declining risk of recurrence. PET/CT or brain MRI (or CT) is not recommended for routine follow-up. If a new pulmonary nodule develops, it should prompt evaluation for a new primary lung cancer, because second primary tumors are a frequent occurrence in patients who are cured of SCLC. Smoking cessation should be encouraged for all patients with SCLC, because second primary tumors occur less commonly in patients who quit smoking (see the NCCN Guidelines for Smoking Cessation available at NCCN.org Former smokers should). Be encouraged to remain ab The stinent. follow-up program was in the working procedure (see the NCCN guidelines for small cell lung cancer); in the following years, the frequency of monitoring was reduced because of a decreased risk of recurrence. PET/CT or MRI (CT) is not recommended for routine follow-up. If a new lung nodule is present, it should be evaluated as a new primary lung cancer, since second primary tumors are frequently seen in patients with small cell lung cancer. All patients with small cell lung cancer should be encouraged to quit smoking, because second of the primary tumors are less common in patients who quit smoking (see the NCCN guidelines for smoking cessation, available at NCCN.org). Former smokers should be encouraged to quit smoking.