Treatment Considerations for Unresectable Locally Advanced NSCLC
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Treatment Considerations for Unresectable Locally Advanced NSCLC
A 64-year-old man presented with shortness of breath and persistent cough of 18 months’ duration; recently, he has experienced chest pain, fatigue, and blood in his sputum. After consulting with his primary care physician, he was referred for oncology evaluation
Patient history includes
Current smoker (1/2 pack day)
Hypertension
Acute MI at age 60
Evaluation and follow up testing reveal
Non-small cell lung cancer in left lung and 2 lymph nodes (Stage IIIa)
WHO performance status: 1
Histology: adenocarcinoma
EFGR, BRAF,andALK/ROS1mutation status: wild-type
PD-L1 status: ≥25%
He underwent multidisciplinary evaluation and was not a candidate for surgery; he was treated with chemoradiotherapy:
Concurrent carboplatin-paclitaxel doublet chemotherapy and radiotherapy (60 Gy)
Achieved partial response
He had no disease progression 20 days after his last radiotherapy treatment, and began treatment with durvalumab