Dear Doctors at Cancer Grace,
I have been following your advise at this site for last 6 months but posting for the 1st time as i am a bit worried. I know you cannot give specific advise but could you please guide. My dad is 61 healthy never smoker and was diagnosed with NSCLC Adeno in February 2013.
Dad had two brain mets when he was diagnosed and he was treated with surgery for large met + SRS for small met + 6 cycles of Carboplatinum + Alimta for primary tumor in right lung + adrenal met + low grade tumor in right lung.
CT after 3rd cycle showed 50% shrinkage of primary tumor only and CT after 6th cycle showed stable (no different from previous CT). But the MRI scan of the brain yesterday and it showed 2 new mets about and one more brain met at original site all about 1cm large.
We were planning on Alimta maintainence before the MRI scan came in and we will do that anyway probably but need to tackle the brain mets 1st. The location of current brain mets i think is superficial and can be tackled by SRS. But we are worried why they came back so fast. I am not sure if my dad has poorly differentiated or well differentiated adeno.
Should we just do SRS or follow up with WBR or intrathecal chemo for the brain. I am really worried & dont want to put dad through WBR or intrathecal chemo if not required as dad is doing great otherwise but also afraid what if the brain mets come back deep inside where they cannot do SRS.
Please help and advise your experiences and knowledge.