My husband, Bob, was diagnosed with SCLC Ext in August of 2016. His cancer was found in his left lung, medistanium, small tumor in right lung and a growth on his left adrenal gland. Two brain MRI negative for brain mets. He is 74 years old and has also had prostate cancer which was an aggressive type about 5 years ago. It was treated with surgery and hormone therapy. His PSI was remained very low. No cancer activity was detected in his PET scan in his abdominal area...so I think the prostate cancer is pretty inactive.
He had 4 rounds of Carbo/Etoposide and had a complete response after the 3rd round (NED) Finished with 4th round December 1, 2016. He then had 10 treatments of consolidated chest radiation. His last CT Scan (March 2016) showed growth in his left adrenal and a possible new growth on his right adrenal gland. The PET scan revealed that his left adrenal was active again for cancer and now his right adrenal has a small growth. There is one lymph node by his right clavical bone that also lit up in the PET.
His oncologist prescribed paclitaxel and he has had one round of paclitaxel. His doctor said he had been approved by the insurance company for Opdivo. He has not had any genetic testing done.
1. Should he have the Foundation One testing done to see if his tumor has any mutations or expression for PD/L1?
2. Should he try immunotherapy if the Taxol doesn't work? Is sooner better than latter with trying the immunotherapy drugs?
He has held up extremely well through chemo and radiation. He has lost very little weight and if you didn't know he had cancer he acts and looks close to the same before his diagnosis.
Thank you for your help! It is so appreciated!!