Case-Based Roundtable Meeting Spotlight October 2 2021

A 77-year-old woman presented to her primary care physician with abdominal pain and fatigue.

After 8 months on enzalutamide, a patient with castration-resistant prostate cancer had a PSA level of 60.7 ng/mL. The abdominal/pelvic CT showed enlargement of known pelvic lymph nodes, and a bone scan showed progressive disease.

In a 73-year-old patient, a PET scan revealed activity in the left upper lobe mass, supraclavicular nodal areas, and liver lesions, and an MRI discovered 1 small asymptomatic brain lesion. This lead to a diagnosis of stage T3N3M1-IV extensive-stage small cell lung cancer.

75-year-old man presented with fever, a 7-lb unintentional weight loss, and occasional chest pain.

A 59-year-old man with a history of smoking, hypertension, and osteoarthritis presented with chest pain, cough, and dyspnea.

A 51-year-old man who presented with pallor and worsening fatigue on exertion was diagnosed with standard risk, stage II multiple myeloma.

A 75-year-old man presented with intermittent right hip pain. The case was discussed between of physicians and moderated by Nauman Moazzam, MD.

A 59-year-old White man presented with chest pain, cough, and dyspnea. The patient was diagnosed with poorly differentiated adenocarcinoma of the lung.