Nuances in Treating Squamous Cell Lung Cancer: Case 1 Nuances in Treating Squamous Cell Lung Cancer
April 2013
A 72-year-old female presented to her primary care physician with symptoms of shortness of breath and increased cough. The patient has a 40-year (1 pack/day) smoking history. Chest X-Ray revealed a right upper lobe opacity. CT of the chest and abdomen showed a 3 cm. right upper lobe mass, pleural thickening, and a left adrenal gland nodule. She underwent core needle biopsy, the left adrenal mass showed squamous cell carcinoma that was p40+ and p63+. PET/CT indicated stage IV squamous cell lung cancer. The patient began chemotherapy with carboplatin/nab -paclitaxel. CT after 2 cycles of therapy indicated that her tumor burden decreased significantly. At that point the patient reported improvement of her symptoms. After 6 cycles the patient had stable disease.
October 2015
Routine follow up imaging showed a new left upper lobe mass of 2 cm. The lung lesion was biopsied and confirmed to be of squamous cell histology. Based on multidisciplinary assessment, the new lung lesion was treated with stereotactic radiosurgery.
June 2016
The patient reported symptoms of coughing and shortness of breath. CT showed increased diameter in both lung masses. The adrenal mass remained stable. The patient was subsequently started on nivolumab. Newsletter Stay up to date on practice-changing data in community practice.
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