16
Basic
Limited
Enhanced
Carboplatin +
pacalitaxel for 6
cycles
Limited setting
recommendations
Refer to higher-
level cancer center
for systemic
chemotherapy,
symptomatic
therapy, and pain
control
Adjuvant/Systemic Therapy for Stage IV Who
Have Received Surgery and No Chemotherapy
Carboplatin +
paclitaxel for 6
cycles OR refer to
higher-level cancer
center
Figure 3. Adjuvant/Systemic Therapy Recommendations by
Resource Level (cont'd)
Combination
platinum adjuvant
therapy
a
for
patients with
stages II or III and
PS 0–2 unless
patients have
contraindications
Single-agent
carboplatin for
PS >2 and/or
contraindications
to combination
therapy
a
Clinicians should offer carboplatin + paclitaxel (or single-agent carboplatin) every three weeks for
six cycles.
Treatment
