Challenging NSCLC-case!
Here is a challenging NSCLC case.
75 year old patient, good PS.
Small primary in the left lung, mediastinum looks mostly clear on PET, only a few very small nodes. MRI of the brain shows solitary <1cm lesion.
Histology come backs as adenocarcinoma in the lung, EGFR-mutated.
I just SRSed the brain lesion (EGFR-mutation was not known prior to the planning CT ).
The thoracic surgeons performed a mediastinoscopy this week to rule out any mediastinal involvement, they resected two nodes...
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums