Metastatic Non-Small Cell Lung Cancer with Alexander Drilon, MD: Case 1
December 15, 2016
Metastatic Non-Small Cell Lung Cancer with Alexander Drilon, MD
Casee Scenario 1:
Robert P is a 72 year old retired factory worker from Detroit, Michigan.His medical history is notable for hypertension (well-controlled), hyperuricemia, and gout.
In September of 2015, he presents to his PCP with fatigue, progressive dyspnea, and a persistent, nonproductive cough of approximately 1 month’s duration. He is a former smoker and quit approximately 30 years ago.
Chest X-ray in October 2015 showed a large mass in the upper left lobe and CT scan showed a left malignant pleural effusion and enlargement of the right mediastinal and hilar lymph nodes.
MRI of the brain was negative for intracranial metastases.
The patient underwent resection of the primary mass and biopsy of the affected lymph nodes which showed large cell carcinoma.
His lung cancer was staged as 4; Biopsy of the primary lesion and lymph node metastases were sent for molecular testing and showed no actionable mutations in EGFR or ALK.