I'm 57 and recently diagnosed with nsclc with negative EGFR, ROS, ALK but with PD-L1 > 80. The tumor in my lung is in the right lower lobe about 2-2.5 cm in size, and only one bone met about 3cm in my right ala.
Currently I don't feel any symptoms and it's an incidental finding of the cancer. I'm relatively healthy othewise. For the treatment plan, my doctor suggests systemic treatment such as immunotherapy, then evaluate after a few months if I can have surgery pending on there aren't any progressions at that point. Given the relatively small tumor size and met size and my health condition, would I benefit by having surgery of the lung tumor and surgery/SBRT of the bone met before any immunotherapy treatment?