Advanced Squamous Non-Small Cell Lung Cancer: Case 2
Video
Advanced Squamous Non-Small Cell Lung Cancer
March 2017
A 70-year-old female presents with shortness of breath and right-sided chest pain of 3 months’ duration
She has a 25-year (1-pack/day) smoking history
Chest X-ray revealed a pathologic fracture of the right 4th rib and a large right-sided pleural effusion
CT scan confirmed the presence of a 3 cm spiculated mass in the right upper lobe, moderate right pleural effusion, and multiple lytic lesions in the spine and ribs
Core needle biopsy of the lung mass was performed
Pathology showed poorly differentiated lung squamous cell carcinoma, p63+ and CK5/6+ with abundant cytokeratin
Genetic testing was negative for known driver mutations
PD-L1 testing by IHC showed expression in 20% of cells
The patient received palliative radiation therapy to the rib