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Not eligible for Immunotherapy. Now what?

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

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@vic83

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.

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Replies to "I too have nodules in both lungs. That means we have bilateral multifocal adenocarcinoma. I had..."

My oncologist doesn't seem to want any surgery performed because he says it will create "too much tissue loss," I'm assuming because I've had extensive radiation in the past and they're concerned also about fibrosis as a result of that. I've never gotten a clear answer. I had a pulmonary finction test about five years ago and the results showed some slight COPD (yes, I was a previous smoker), but I'm on the ellipticals at the gym for 25 minutes 3 days a week with no difficulty. We have talked about ablation, but my radiologist has said that they've seen mixed results with it. I'm meeting with my oncologist on Wednesday morning, I'm going to try and get more information.