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National Comprehensive Cancer Network

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NCCN Guidelines and Compendium Updated

Flash Update Sent June 27, 2012
NCCN has published updates to the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Small Cell Lung Cancer. These NCCN Guidelines® are currently available as Version 1.2013.

  • Small Cell Lung Cancer (SCLC)
    • For patients with clinical stage T1-2, N0 disease, the following footnotes were added: "Pathologic mediastinal staging is not required if the patient is not a candidate for surgical resection or if non-surgical treatment is pursued." "Select patients may be treated with chemotherapy/RT as an alternative to surgical resection."
    • "Primary Progressive Disease" was added to Relapse and now has the same treatment recommendations. Performance status was added after "Relapse or primary progressive disease". For patients with performance status (PS) 0-2, a category 1 designation was added to subsequent chemotherapy.
    • In the Principles of Chemotherapy section, temozolomide 75 mg/m2/day x 21 days was added to relapse ‹ 2-3 mo and relapse › 2-3 mo up to 6 mo.
    • Principles of Radiation Therapy extensively revised and updated (especially prophylactic brain irradiation [PCI]), including the addition of a section for brain metastases.
    • Principles of Supportive Care was revised:
      • "Conivaptan and tolvaptan" were added as treatment options for select patients with the syndrome of inappropriate antidiuretic hormone (SIADH).
      • "Metyrapone" was added as a treatment option for select patients with Cushing's syndrome in whom ketoconazole is not effective.
  • Lung Neuroendocrine Tumors (LNTs)
    • "Cisplatin/etoposide ± RT" was added as a primary treatment option for select patients with stage IIIB disease.
    • "Consider octreotide (including long-acting release [LAR])" was added as a primary treatment option for select patients with stage IIIB or IV disease.

For the complete updated version of these and all NCCN Guidelines, visit NCCN.org.