Patient: The patient was diagnosed with small cell carcinoma of the lung in November, and after two courses of cabazitaxel, the tumor did not shrink, the doctor said the patient was not sensitive to platinum, and changed to vincristine 2.0mg, pyridoxine 100mg, cyclophosphamide 1.0g, chemotherapy for four courses, from the second course onwards, the right leg felt nerve pain on both sides inside and outside from time to time, the left side of the face from the upper teeth coincidentally to the eye frame with the bridge of the nose as the middle. The pain in the leg spread to the knee, and then I had a whole body bone scan, and the report shows that the right frontal area is abnormally concentrated, and the right middle femur has a mildly abnormal increase in the local distribution of radioactivity. What is the correct treatment now? Should I still use traditional Chinese medicine or chemotherapy? Yue Dongsheng, Department of Lung Oncology, Tianjin Cancer Hospital: At present, the standard treatment for small cell lung cancer is chemotherapy + radiotherapy. The chemotherapy regimen is the CE regimen initially used, and if it is ineffective or even progresses, it can be considered to be replaced with TP regimen. Also, prophylactic cranial irradiation, i.e. radiotherapy, should be given after 2-3 cycles of chemotherapy. This is because small cell lung cancer is prone to brain metastases. If ECT is considered to have bone metastasis, drugs to control bone metastasis, such as Bonin or Zettai, should be used. Chinese medicine has no definite efficacy in the treatment of lung cancer.