Joshua K. Sabari, MD, reviews the patient profile of a 73-year-old patient with EGFR+ non–small cell lung cancer.
Case: A 73-Year-Old Man with EGFR+ NSCLC
Clinical Presentation:
Past Medical History:
Social History:
Initial Clinical Workup and Diagnosis:
Physical Examination
Pulmonary Function Tests
Imaging Studies:
Diagnostic Procedure:
Neoadjuvant Therapy and Surgical Resection:
Surgical Pathology Report:
Six Months Later:
Second Line Systemic Therapy:
Repeat Imaging at 8 Weeks:
This is a video synopsis/summary of a Case-Based Peer Perspectives featuring Joshua K. Sabari, MD.
This video features a discussion on the case of a 73-year-old man with a 50 pack-year smoking history who presented with a persistent nonproductive cough, dyspnea on exertion, and a 10-pound unintentional weight loss over 3 months. His medical history was significant for coronary artery disease, hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD) treated with inhalers. Imaging revealed a 4.2 x 3.1-cm speculated right upper lobe lung mass and enlarged hilar and subcarinal lymph nodes concerning for malignancy. Biopsy confirmed lung adenocarcinoma.
After neoadjuvant chemotherapy with cisplatin, pembrolizumab, and pemetrexed, plus surgical resection, he was found to have stage IIA lung cancer. Six months later he developed scattered pulmonary nodules suspicious for metastatic disease. Biopsy confirmed recurrent metastatic lung adenocarcinoma, and molecular testing identified an exon 21 L858R EGFR mutation.
He was started on osimertinib 80 mg orally daily and had an initial response. He will continue routine follow-up with his oncologist for recurrent metastatic EGFR-mutant non–small cell lung cancer.
Video synopsis is AI-generated and reviewed by Targeted Oncology™ editorial staff.
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