two degrees of SCLC, limited and extensive.
for limited, the treatment is usually chemo + radiation.
for extensive, the treatment is usually chemo only.
sounds like you might be extensive. ask your Dr.
first line chemo is often a platinum drug (cisplatin or carboplatin) with either etoposide or irinotecan.
cisplatin seems to be more agressive but the side effects tend to be more severe than with carboplatin.
jury is out on etoposide vs. irinotecan. japanese study suggest a couple months extra survivability with the irinotecan but i've seen some posts where the irinotecan didn't seem to work.
personally, i requested cispatin+irinotecan for my ESCLC.
worked great for about 8 or 9 months. good reduction in tumors. some gone. pleural effusion also cleared up without having to drain.
here are some websites to search for information:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi
http://www.jco.org/
http://medlineplus.gov/
http://www.medscape.com/
http://www.cancer.gov/search/clinical_trials/
good luck,
wray