Overall Management of Individualized Treatment for a Patient with Advanced NSCLC
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 19, Issue 2
Abstract
Objective: This article analyzes the overall management of a patient with advanced non-small cell lung cancer who has been managed for a total of 4 years and provides a reference for clinical case management. Methods: A Patient with advanced non-small cell lung cancer received multiline treatment including targeted therapy, immunotherapy, anti-vascular therapy, chemotherapy, and radiotherapy. The treatment of the patient during hospitalization was analyzed retrospectively. Results: Through targeted therapy, immunotherapy, chemotherapy and radiotherapy, the patient’s life span was extended to 4 years. Conclusion: For advanced lung cancer patients, a comprehensive, Individualized and precise diagnosis and treatment can significantly improve the prognosis of NSCLC.The patient was a 64 years old woman, who had no smoking history and no family history of tumor. The blood CEA 304ng/ ml was found in the January 2014 physical examination. PETCT showed right upper lung occupying and multiple lymph node metastases in the right supraclavicular, mediastinal and abdominal pelvis, with multiple small nodules in the upper and the lower lobe of the right lung. Right lung tumor biopsy found low differentiated adenocarcinoma. Molecular Profile was EGFR L858R mutation. According to the imaging and pathological data of this patient, the right lung adenocarcinoma was diagnosed as stage IV, with double lung and abdominal pelvic metastasis.
Authors and Affiliations
Shaozhong He, Qun Wang, Yongsheng Wang, Yao Sun
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