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Are there any targeted therapies for Multifocal Lung Cancer?

Posted by akfishinmom1 @akfishinmom1, Sep 28, 2021

Is there any targeted treatment for Multi-Focal lung cancer? Is it always considered stage 4? I can’t seem to find much information on it.

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dougmck | @dougmck | Oct 18 4:43pm
In reply to @trudyhs "After the last surgery in March 2024 and based on the genetic markers of my pathology..." + (show)
@trudyhs

After the last surgery in March 2024 and based on the genetic markers of my pathology my oncologist offered chemotherapy followed by a year of immunotherapy. I declined. In Canada the clinical trials of immunotherapy include chemo first so in order to have immunotherapy covered by our national health plan I would have to have chemo first. I've done chemo 5 years ago as a preventative and none of it made sense to me. It felt like taking a bazooka to a fist fight. I opted to wait and concentrate on my naturopathic therapies to see if we could keep things stable. If things start to heat up then I'll certainly consider having systemic drug therapy. My 6 month follow up CT scan indicated stability so I'm comfortable with my decision so far.

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That's great that your CT has been stable, I hope it continues!

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vic83 | @vic83 | Oct 18 6:24pm
In reply to @dougmck "I see. I'm pretty sure that wedge resection will also be on the horizon for me..." + (show)
@dougmck

I see. I'm pretty sure that wedge resection will also be on the horizon for me in the future as well. I guess the idea of lung surgery after the amount of radiation I've had scares me as they've told me the radiation has left portions of my lung fibrotic. I had a large tumor in 2008 radiated as well as these current nodules.

You mentioned the possibility of ablation. I've done some reading about it, but it seems like it's rarely used for lung nodules, despite some fairly decent success rates. Both oncologists as well as my radiologist don't seem to show much interest in it for some reason, or know much about it. I'm wondering why it isn't a more widely used treatment.

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Yes, the word "fibrotic" is the issue. That is scarred lung tissue...caused by many things including radiation.
My first VAT was not difficult, I was driving my car within a week. I had the typical nerve issue for about 6 months but it all went away. My second VAT was more difficult since a rib was cracked. Same nerve issue which took longer to clear up,,,it has been over a year so I guess it is permament but fortunately not a big deal, just a little numbness. I do have a stiff chest and some soreness when taking deep breaths.
Regarding treatment options, I think it depends on the institution.

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