Sequential Staging Systems for Small-Cell Lung Cancer

Gary Richardson, MD
Arch Intern Med. 1994;154(6):699. doi:10.1001/archinte.1994.00420060139015.
Text Size: A A A
Published online

I thank Chauvin and colleagues for bringing their article entitled "Pretreatment Staging Evaluation in Small-Cell Lung Carcinoma"1 to our attention. It is gratifying to see that a sequential staging system is effective in another population of patients with small-cell lung cancer. In their letter, Chauvin et al2 addressed a number of similarities and differences between their study and the one published by us in the February issue of the Archives.3 I would like to address these issues herein.

The basic difference between the two retrospective studies is that our criteria of diagnosis of extensive disease involved identification of an actual organ site with metastatic disease either by means of imaging studies or by biopsy procedure. We used patient history and physical examination to identify two sites of disease, namely, the central nervous system and soft-tissue disease, to preferentially select the initial investigations to perform. Patients who were


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.