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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Non-small Cell Lung Cancer Be Treated?

Thank you VERY much for your time/input. I was dx w/ NSCLC Stg 3B in May, 2015. I refused, at the time, the ONLY offered tx of chemo/radiation. FIVE months later - Sept, 2015, I found sitting in my Medical Records, that I had EGFR positive mutation - thereafter, to make the story short, I started Tarceva. By Dec. 2015, tumor had overgrown the Tarceva, 20% tumor growth fm original staging and tx chged to Afatinib 30mg QD and IV Avastin 5mg/kilo every other week. Dec : CEA: 56.4 Feb : CEA 23.9!!! CT on 2/20/17: Tumors are stable *Jan 2017 - L2 Tumor - tx w/ cyberknife 1/9-1/13/17. now dx at NSCLC Stge 4 QUESTIONS: 1. how often do I need fup CT of chest/abd/pelvis w/ contrast? 2. Would I be a candidate for Radiotherapy or Microwave ablation etc *tumors range fm 3cm to 10cm - PRIMARY TUMOR: RUL - PDL 5%, EGRF Positive 3. What other treatments could be added ? 4. Because of the mets to L2 - does this make my survival beyond 5 yrs a doubtful event?
Tue, 18 Dec 2018
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Oncologist 's  Response
Hello,

So follow up scans can be done at 3 to 4 months interval. Radiotherapy will only help to relieve painful lesions. If you further progress then another drug Tagrisso can be added depending upon mutation status of T790M. 10 per cent of patients survive at 5 years or more at your stage.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Deepak Sundriyal, Oncologist
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How Can Non-small Cell Lung Cancer Be Treated?

Hello, So follow up scans can be done at 3 to 4 months interval. Radiotherapy will only help to relieve painful lesions. If you further progress then another drug Tagrisso can be added depending upon mutation status of T790M. 10 per cent of patients survive at 5 years or more at your stage. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Deepak Sundriyal, Oncologist