← Return to Not eligible for Immunotherapy. Now what?

Discussion

Not eligible for Immunotherapy. Now what?

Lung Cancer | Last Active: May 22 5:00pm | Replies (58)

Comment receiving replies
@dougmck

Thanks for the clarification. I'm also diagnosed with multifocal LC. For some reason I have multiple nodules in both lungs and we're treating them with SBRT as one becomes more solid. So far I've had four instances since 2018. My radiologist is telling me we can't continue to keep radiating, and my oncologist is not wanting to do any surgery like wedge resections. So we're looking at Keytruda, although there isn't any real data yet on whether or not it's effective for nodules. He's also warned me about the risk of pneumonitis due to all the radiation I've had.

Jump to this post


Replies to "Thanks for the clarification. I'm also diagnosed with multifocal LC. For some reason I have multiple..."

I too have nodules in both lungs. That means we have bilateral multifocal adenocarcinoma. I had wedge resections RUL and LUL and then SBRT on RUL. I have smaller nodules in other lobes which are being watched.
They told me before the SBRT that radiation makes Swiss cheese out of the lung...I tell my doctors to think strategically because there is always another nodule. Why do they say surgery is not an option for you? How are your pulmonary function tests? As far as I know treatment options are surgery, radiation, immunotherapy, targeted therapy, chemotherapy and Ablation. Of course, treatment options depend on many factors including location. I am looking at ablation as a possibility in the future. With my pulmonary fibrosis now a factor, I know it is going to be complicated going forward. I really need multiple specialists to think it out.