Dear Dr West,
I was dx stage IV NSCLA adeno on 1/28/2013. A primary tumor 3.8x3.9cm between mid-lower lobe of right lung, a1.0cm lym node near by, numerous nodules along the base of the lung, and massive pleural effusion of 2L+. No distant met by CT/PET.
Mutation: KRAS+/RET+, and rests are -. Chemo sensitivity test: generally responsive to platinum based chemo, with combo with Gimzar being the most sensitive. PL-L1 test was not successful due to biopsy failure.
Started 15x radiation on primary tumor and shrunk the tumor to 1.1x1.8cm (Feb).
Started Alimta/Carbo in March, and complete 3 rounds right now. A CT after 2 round showed the primary tumor is "no long detectable", lym node sized reduced, nodules along the based of the lung responded favorably, and pleural fluid still exists.
The pain in the front chest totally gone, but still felt on the right chest of lower rib site.
I would like to ask my onc to do a intrapleural chemo injection a treat nodules and pleural fluid. I would appreciate your opinion.
Thank you in advance,