Emily_N Posted March 19, 2022 Share Posted March 19, 2022 Hi Everyone, Thank you already to everyone who has contributed to this site. I have learned a lot already regarding my Mom's diagnosis but was struggling finding specifics on what to expect with metastasis to the pleural lining. My Mom is 75 and fell down the stairs last October and fractured her spine. Due to all the tests being run for her spine, a scan showed a possible mass in her left lung. She didn't tell me this until February when she was ready to focus on this after relearning how to walk and be independent from the fall. A PET scan showed no activity anywhere else but the left lung, so a lobectomy was scheduled for early March but when the doctor went in, saw the tumor had spread to the pleural lining. There was also fluid buildup which they had to drain, so surgery was off the table and an appointment with an oncologist was scheduled. We met the oncologist last week and he said she had stage 4a adenocarcinoma with the possibility of 4b once she gets a brain MRI to verify that the cancer hasn't spread there. We are still waiting for the biomarker test results but he said already that the likely treatment would be a combination of chemo therapy and immunotherapy. No specific prognosis was given as the doctor said there are a range of outcomes but he explained how successful recent treatments have been extending both the quantity and quality of life for patients and that he thought my Mom was likely in that category given that she didn't have other co-morbidities and seemed to have a low cancer burden. I am wondering if he is seemingly being too optimistic and also wondering what to expect. I have been struggling to find information about lung cancer spreading to the pleural lining except finding the absolute worse prognosis for this type of cancer metatastisization. Additionally, I've seen on forums that sometimes there are different biomarker tests and realize I don't know which ones should be run? I guess I should also mention that I'm an only child so I'm trying to figure out a lot of this for my Mom on my own and being the person to not only keep her spirits up but also parlay information to concerned family members as she can't deal with it so any guidance or advice is generally appreciated. Tom Galli, MzShanon and catlady91 3 Quote Link to comment Share on other sites More sharing options...
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