Here's a webinar case discussion I did with Drs. Julie Brahmer from Johns Hopkins in Baltimore, and Greg Riely from Memorial Sloan Kettering Cancer Center in New York. They're great thoracic oncologists as wellas friends, and they were kind enough to join me for discussion of several complex cases that don't have clear answers and illustrate the reality that even when we know the evidence, there's plenty of room for judgment.
Our first case is about a 63 year-old woman who has a poorly differentiated NSCLC that is just outside of the range we'd feel feasible for radiating, and it brings up issues related to trying to integrate chemo and possible radiation, the debatable role of agents like Avastin (bevacizumab) and Alimta (pemetrexed) for cancers that are hard to classify, and then how we approach managing patients who have responded well -- observation or maintenance?
Here is the audio and video versions of the podcast, along with the associated transcript and figures.
My thanks go out again to Drs. Brahmer and Riely for their time and thoughtful comments. You'll hear more from them about a couple of additional cases in the next few weeks.
Welcome to Grace. I'm so sorry you're going through this. I can only imagine your worry about metastases and I hope that's not the case.
Liver hemangiomas are thought...
n3p, Hi and welcome to Grace. I'm sorry you have to check for new nodules. It does sound like your onc has good reason not to be alarmed that you have...
Thanks for the thoughtful response, I really appreciate that! All your points make sense. I will check back in later.
Please do check back in. It looks like I forgot to paste in links for that article. I'm going back to edit in the links.
Welcome to Grace. I'm sorry you're having trouble. It would be very extremely rare to find a pancoast tumor in person your age. They are normally found in older...
Hi Sel87, Welcome to Grace. I'm so terribly sorry that your mother is going through this. I'm going to assume that there are no brain mets found, so let me know...
Welcome to Grace. …