ADENOCARCINOMA STAGE 2b - 1289805

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nasos1977
ADENOCARCINOMA STAGE 2b - 1289805

Hello! My dad was diagnosed with lung adenocarcinoma ( a 3 cm single nodule on the left lobe) on November. A week later he had a VATS lobectomy. The doctors were very optimistic saying it was stage 1a. The biopsy, however, showed it was a poorly differentiated adenocarcinoma which invades the visceral pleura and extends to parietal pleura- no lymph nodes involved (16 resected),resection margins free ( T3N0 M0 tumor, stage 2b?). The surgreon said he did a great job and he insisted that it was stage I, with no need for adjuvant chemotherapy. However, the oncologist said that my father had to do a three cycle cabo- alimta chemo and 20 radiations to try to prevent local recurrence. My father has already had the first chemo with no side effects. I would like your opinion about radiations. What are the chances of recurrence- local or distant failure? Let me say that my father is 70 years old ex smoker with no other health problems cardiologist said that his heart function is excellent, taking into consideration his age). I'm anxiously waiting for your answer. Thank you in advance

JimC
Hi nasos,

Hi nasos,

Welcome to GRACE. I am sorry to hear of your father's diagnosis, and I hope that the surgeon is correct that it is indeed stage I. That staging dispute might be settled by obtaining a second opinion, but it's also true that the chances of recurrence are significantly greater at stage II, and the benefit of chemoradiation is much clearer than at stage I. As Dr. West states, the chance of recurrence "depends on a person’s stage: the recurrence rate is in the range of 25% for patients with stage I NSCLC, 50% for patients with stage II NSCLC, and around 75% for patients with stage III NSCLC."

JimC
Forum moderator

<p>I began visiting GRACE in July, 2008 when my wife Liz was diagnosed with lung cancer, and became a forum moderator in January, 2010. My beloved wife of 30 years passed away Nov. 4, 2011 after battling stage IV lung cancer for 3 years and 4 months</p>