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Case Study of a Patient with NSCLC − with Voting

5. 10. 2020

Presented by: MUDr. Leona Koubková, Pneumology Clinic, 2nd Faculty of Medicine, Charles University and Motol University Hospital in Prague

Personal History:

St. p. thyroidectomy 2015 for bifocal papillary microcarcinoma in both lobes of the thyroid gland, treated with radioiodine.
COPD since 9/2016 on therapy.
Ex-smoker since 2012.

FA: Euthyrox 88 μg 1-0-0, Berodual as needed, Ultibro 1-0-0, Miflonid μg 400 1-0-1, Clexane 1.0 ml. s.c. every 24 hrs.

Allergies: Denies.

Diagnosis:

Central bronchogenic carcinoma of the right upper bronchus invading the mediastinum, mediastinal lymphadenopathy, histologically poorly differentiated adenocarcinoma, T4N2M0 stage IIIB; dg. established on 28. 4. 2017.
EGFR mutation negative, ALK IHC negative.

Previous Treatment:

St. p. 5th cycle of chemotherapy vinorelbine + cisplatin from 18. 5. to 24. 8. 2017.

St. p. RT to tumor and mediastinum area from 24. 7. to 1. 9. 2017, 60 Gy (30× 2 Gy).

St. p. subacute thrombosis v. poplitea on the right 9/17, LMWH.

CT 11/17 PR.

PET/CT 4/18 post-radiation pneumonitis.

PET/CT 7/18 SD.

PET/CT 11/18 progression of TU in the right lung.

BRSK 12/2018 – obstruction of the right upper bronchus by a tumor and extramural pressure, middle cannot be differentiated, histological finding similar to 4/2017, corresponds to adenocarcinoma.

ALK negative, PD-L1 negative, ROS1 from a small amount of material provisionally negative.

St. p. 22nd cycle of 2nd line chemotherapy with pemetrexed from 21. 12. 2018 to 15. 4. 2019.

PET/CT 3/19 PR.

PET/CT 6/19, 10/19, 2/20 SD.

PET/CT 5/20 progression – new lesions in the skeleton (2 in the right humerus, in the left hip bone, suspected in the os sacrum), stationary TU in the right lung.

Subjective:

Feels relatively well, exertional dyspnea unchanged, newly slight pain in the area of the left hip joint and right shoulder, good appetite, stable weight.

Objective Findings:

PS 1.
Walking, good nutrition, eupnoea, peripheral lymph nodes not palpable, vesicular breathing, regular calm heart action, no edema in lower limbs.

Laboratory Tests:

Within normal limits.

#45

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Clinical oncology Pneumology and ftiseology
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