Hello everyone. I've been reading through all the wonderful information here for a few weeks while my father was being investigated for lung cancer. He's a 65 year old life long non smoker with no other comorbidities. He's in excellent shape. He's had a persistent cough for a few months now and no other symptoms. He was just diagnosed with adenocarcinoma with a mass in the right upper/middle lobe with extension into hilum with mediastinal lymph nodes and left supraclavicular node involvement. MRI of brain showed 4 metastatic nodules ranging from 2.3 to 7mm with no edema and he is asymptomatic. A sclerotic lesion on the sacram also had lit up on the PET scan. I'm hoping he has the EGFR or ALK mutation. We are waiting for results.
I am just wondering what would be the next steps in a situation like this?
Would this be considered olgio metastatic?
If he does have the EGFR mutation, is it better to start Tarceva alone or undergo brain radiation first or do both concomitantly? Do you use EGFR and ALK inhhibitors together if you have both mutations?
Is thoracic radiation a possibility?
This is considered stage IV, but I want the doctors to aim for curative intent or remission - is that a reasonable/ realistic expectation?
We are very shocked at the diagnosis to say the least. This is a nightmare. I appreciate all the information here. I figure at least being empowered with information can only help. All the statistics that I've been reading about so far seem very dismal. :(
Would love any input.