HomeAnswersMedical oncologylung cancerHow to manage lung cancer?

What is the treatment followed for lung cancer?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 19, 2018
Reviewed AtSeptember 28, 2022

Patient's Query

Hi doctor,

My mother has lung cancer. It is in the fourth stage. Currently, the doctor has advised her to take targetted therapy. She is taking Gefitinib tablets every day. Is there anything serious? Please help me.

Hi,

Welcome to icliniq.com.

Please say about the histopathology report. Please explain the condition briefly. Please state whether there was a mutation done before starting Gefitinib. All these things are essential for deciding the response to Gefitinib. In general, on taking Gefitinib, the average survival is 13 to 14 months. But some patients have long-term survival for three to four years. Some patients do well for five to six years.

Usually, Gefitinib is well tolerated. The most common side effects are skin rash and acne. Rarely, it can cause hepatitis or pneumonitis which is manageable with drug discontinuation for a few weeks. I recommend doing a PET (positron emission tomography) scan every three months. Have a look over the drug response. Please send your report so that I can guide you further.

Patient's Query

Thank you doctor,

I have attached the reports.

Hi,

Welcome back to icliniq.com.

It gives me a clear picture.

Patient's Query

Thank you doctor,

I am attaching some pictures.

Hi,

Welcome back to icliniq.com.

I have gone through the attachment (attachment removed to protect patient identity). I am puzzled regarding the thyroid mass and multiple lymph nodes. The PET (positron emission tomography) scan suggest lung cancer in the fourth stage as there is a pleural based nodule. She is a good candidate for having Gefitinib based on genome testing. Please explain about the condition of tuberculosis and the medication taken for tuberculosis.

Patient's Query

Thank you doctor,

I will explain it briefly. Before two years, she had a node below the throat. The doctor operated it, and a small portion was sent for biopsy. The result came as tuberculosis. She is taking treatment for one and a half years. After a few days, she had a left lung-chest pain. They took a biopsy in the lung with the guidance of CT immediately. The result came as cancer in the lung. They also found a node in the thyroid. A biopsy was taken. The thyroid report came negative for malignancy. So the doctor concentrated in treating lungs. Then we took EFGR.

Regarding the histopathology report, immunohistochemistry shows positivity for Vimentin. The tumor cells are strongly positive for TTF1, CK7 and negative for WT1, CK20, and thyroglobulin.

Hi,

Welcome back to icliniq.com.

The histopathology report shows TTF-1 (thyroid transcription factor), CK7 (cytokeratin7) positive and thyroglobulin negative. It is lung cancer. Now, the dose of Gefitinib has to be increased as ATT can reduce the effectiveness of Gefitinib. It is important.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Pawar Satyajit Jalinder
Dr. Pawar Satyajit Jalinder

Medical oncology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Medical oncology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy