66 yr. old female. Dx: extensive small lung ca, 74lbs, enteral feedings started recently. Was diagnosed in May 2014 with limited small cell lung Ca, d/t lack of insurance tx did not begin, now it is extensive, paraneoplastic syndrome from time of dx. Plan is to get her stronger and begin chemo. What do you think chance of any quality of life at this point, tx vs hospice?
Thanks for your question on Chat Doctor. Small cell lung carcinoma is very notorious in spread as well as behavior.  It secrets hormones and cause paraneoplastic syn Chat Doctor.  So we need to treat it as soon as diagnosed otherwise it will be rapidly spreading. The same happened to her case. In my opinion you should give her palliative chemotherapy trial after nutritional stability. Life expectancy will be very low. Less than 8-9 months. So nutritional support is must with multivitamins, proteins and hepatitis. Palliative chemotherapy should be given if tolerated well.