MimiP Posted August 9, 2020 Share Posted August 9, 2020 Hello, My dad (66) has just been diagnosed with NSCLC Stage IV Adenocarcinoma. He's being treated at Memorial Sloan Kettering in NYC. He has a 3cm mass in his right lung, with metastasis on his T5 spine, iliac bone, two lymph nodes in his right lung, and one lymph node above his clavicle. A brain MRI revealed a "wedge shaped, cortically based, enhancing lesion within left parietal lobe", though they aren't sure if it's an old blood clot or metastasis so we will get another scan next month. We will also see an ENT next week to investigate "asymmetrical thickening and hyper-metabolism" of his right vocal cord 😔... He is otherwise fit for his age and no other health conditions. After a biopsy of the enlarged clavicle lymph node, no genetic mutations were found. They will continue testing that tissue sample for mutations but didn't sound hopeful of finding anything because he's a former smoker. He's not a candidate for surgery due to the advanced stage, and they didn't offer to include him in any clinical trials due to the uncertainty of the MRI findings. Below are the two treatment protocols that have been offered as first line, I'm searching for insight here from anyone who's endured similar treatments themselves or via loved ones: Treatment option 1) Pembrolizumab + Pemetrexed + Carboplatin // Two Chemo + One Immunotherapy Treatment option 2) Nivolumab + Ipilimumab + Chemotherapy (not sure which chemo drug is being recommended) // Two Immunotherapy + One Chemotherapy He will receive radiation treatment on his spine and iliac bones for pain relief. Radiation therapy on the other metastasized areas was not offered. I don't understand why radiation on those areas (lung mass and lymph nodes) wasn't offered. Thank you in advance for reading and any input. Quote Link to comment Share on other sites More sharing options...
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