I'm a medical doctor from Vietnam.
I want to discuss to you about my patient. He is 58 years old, he is hospitalize with chronic coughs symptoms. After he was taken chest CT Scaner and biopsy show results Adenocarcinoma. Then he was taken PET/CT scan:
In right lower lobe lung cancer: Size 4cm, Max SUV: 8.
Right adreanl have Max SUV: 7,8
My patient have no EGFR muntation detacted.
I am doing test: ALK, ROS 1, DP L1.
I want to ask you than i should therapy with chemotherapy or surgery lung cancer and adreanl metastasis before chemotherapy. If my patient have PDL1 > 50%, i can therapy with immunotherapy plus surgery.