My 87 yo mother had adeno ca in her right lung in 1988- RLL lobectomy, no rad/chemo and survived it!!
Also MRSA in both lungs 2008- survived!
Unfortunately she now has 2 adjacent nodules in the left upper lobe (hilar). Health fragile- she has atrial fib, coronary artery disease, moderate emphysema. Following a 3 hr EBUS bronch procedure, her lung partially collapsed, discovered many days later. It resolved on its own with 24/7 oxygen but after a month still needs oxygen part of the day and never needed before. The EBUS confirmed 2 adjacent cancerous nodules, T2N0M0 Stage IIB. Sufficient biopsy to determine celll type was not obtained. Pathologist said NSCLC but onc reports says probably NSCLC. They advised against doing a core biopsy due to risk of another pneumothorax. Brain MRI and PET show no metastasis outside lung. lung nodule SUV,10.5, 1.7 A wedge resection was considered but ruled out by refusal and poor pulmonary function (DLCO diffusion 39% predicted). SBRT was advised.
Is SBRT effective in treating other cell types besides NSCLC if it is some other type?
Would Medicare cover the SBRT costs if it is not NSCLC or without a specific cell type analysis?
Would SBRT result in less pulmonary function loss than a wedge resection?
She wants to be able to maintain a quality of life where she can leave the house with portable oxygen, which was not possible initially after the pneumothorax. I've read SBRT can cause loss of pulmonary function.
Thanks for your help. This is my first post, hope I didn't break the rules, but I am very impressed with the wealth of knowledge on this forum.