Hi Everybody,
First of all, thank you all for this great forum, I have been reading a lot in the last few days and learned so much from you all. My dad, who is 58 has just been diagnosed with NSCLC. We were devastated at first but now is the time to be strong and learn as much as possible about our options. I live in the Chicago area but my dad lives overseas. What his doctor told me (over an e-mail) is that he is diagnosed with locally advanced adeno cancer, there is a big 5.7X6.4 c.m. tumor on his right lung and it has not metastasized. The doctor thinks it is resectable but they started neo-adjuvant chemo. I will write down whatever I was able to traslate from his report. What stage do you think he is? I am not sure if there is lymph involvement or any sign of metastasis. Any help in understanding his status and probable course is highly appreciated. Thank you so much for your help.
TEST RESULTS, DIAGNOSIS AND TREATMENT
Age: 58 Male SMOKING HISTORY: 37 years, 1.5 packs/day
THORAX CT:
57.5 X 64 mm. tumor on the right main bronchus and on the anterior of the upper lobe bronchus. Upper lobe bronchus has narrowed down almost completely due to the tumor. Right main bronchial back wall and upper lob bronchial wall has thickened. There is thickening on the right upper lob, around the bronchovascular structures.
A spicular mass of 32 mm. on the apical portion of the right upper lobe. Linear extensions from this mass to the pleura. (01/17/06)
45 mm. mass on the right hilus, wrapped around the upper lob bronchus, invading the the surface of the right main bronchus and the main pulmonary artery.
Enlarged right hilar and subcarinal lymph nodes. A 3X1.5 c.m. mass with irregular sides in the right apex. (01/23/07)
PET CT:
Pathologically increased 18F FDG uptake on the nodular lesion in the right lung upper lobe apical region (SUV Max. 25). Occasional moderate uptake in the fibrotic structures on the right upper lobe (SUV Max. 3.4). Patologically increased 18F FDG uptake on the mass legion in the right hillar region, on the anterior of right main bronchus and upper lobe bronchus that extends to the paratracheal and subcarinal region. Low increased 18F FDG uptake in the vertebral column and pelvic bone structures. (01/29/07)
BONE CINTIGRAPHY: Increased focal activity in the joints of both hands, no obvious pathologic proof of metastasis.
PATHOLOGY:
Bronchial lavage samples negative in malignancy (01/23/07)
Bronchial bronchial brushing samples negative in malignancy (01/23/07)
Non-small cell poorly differentiated malignant epithelial tumor, transthoracic fine needle aspiration biopsy. Cytological findings are inline with poorly differentiated adeno Ca. (01/30/07)
TREATMENT: Chemoteraphy Cisplastion 35mg/m2/day and Gemstabin 1000mg/m2/day, 21 day cycles with chemo on day 1 and 8.
