If small cell lung cancer recurs, the prognosis is very poor regardless of stage or treatment. The expected average survival is two to three months, so a patient should be considered for either palliative therapy or participation in clinical trials .
• Palliative therapy could include chemotherapy agents that have not yet been used or radiation therapy for bone
  metastases or when otherwise appropriate.
• Other palliative treatments include measures for pain relief and orthopedic aids.