Dear Doctors ,please help me to define the right treatment !
I was just diagnosed with NSCLC adenocarcinoma that is poorly differentiated (CK7 positive in all atypical cells, TTF1 strongly positive in all cells, P63 atypical cells weakly positive ).
The results from my PET scan show small mets in bones, so I am in stage 4 now. I’m still waiting for results for gene mutation and PD-L1 for immunotherapy .
Are targeted or immuno drugs appropriate as a first line treatment, or is the standard chemo/radiation more effective as the first line treatment? If chemo/radiation is more effective, does it make sense to start it immediately and not wait for the pathology results?
Do bone mets react to chemo treatment? I have requested zoledronic acid from my oncologist to reduce and delay the chance of bone damage. Does zoledronic acid directly affect cancer tumors in bones?
I am also waiting for my brain mri results.
Is any one here with similar situation?
I am so happy I’ve found this site and greatly admire the Doctors here, who are obviously dedicated and passionate professionals! Your advice is invaluable!
To the members of this forum who are in a similar situation, please share your stories. I have a great hope that the Doctors here could find the time to answer my questions.
I will update my profile and post as soon as I receive results from the pathology lab.
Looking forward to hearing from you.