广泛期小细胞肺癌治疗进展广泛期小细胞肺癌治疗进展同济大学附属上海市肺科医院周彩存Milestones in the treatment of SCLCCTeither surgery or RTCombination CT single agent CTPlatinum-based CTnon-platinum-based CTCT+thoracic RTCTEarly TRT late TRTCT+/-TRT+PCTCT+/-TRT alone in respondersFailed chemotherapy strategies in SCLCAlternated regimensIncreased dose size with BMT/PSCShortened intervals(CT acceleration)Increased dose intensity with CSFsLate intensificationLate cross-overMaintenanceThird generation CT S0124:伊立替康伊立替康/顺铂顺铂(IP)和和VP-16/顺铂顺铂(