Hi, Dr. West,
We heard so much about your expertise in BAC lung cancer. We would like to ask you some questions. Please help! To save your time, I make her story short.
In July 2011, my wife had stage IB lung cancer. She was 46 years old then. She is eastern Asian, non smoker. She had her right upper lobe removed. The single tumor was 3.2 cm. Pathology report stated that her cancer was adenocarcinoma mixed subtype (papillary, bronchioloalveolar, and acinar), well differentiated, visceral pleural invasion present. All lymph nodes are negative. Nowhere else had cancer. She finished 4 rounds of cisplatin/alimta chemotherapy in November 2011.
She had follow up CT or PET Scans every year since 2012. In February 2015, CT discovered that she had a new 7mm nodule at right lower lobe. Then the nodule was measured at 6mm in April 2015 PET Scan and July 2015 CT, 9mm in January 2016 PET Scan, 6mm in February 2016 CT and 10mm in June 2016 CT. Two new smaller nodules (both 3mm) at right lower lobe were discovered in June 2016 CT, too. We had a biopsy in July and pathology confirmed that the big nodule is the same cancer as in year 2011.
Her doctor recommends Tarceva as next therapy.
Given the history above, I have the following questions:
Does my wife’s adenocarcinoma have BAC features?
Is her lung cancer considered slow growing?
Is Tarceva the best therapy she should have now?
Do you think you can help her and she needs to schedule appointment to see you?