Two synchronous Stage I squamous lung cancers treated with lobectomy

Patient Info: Anonymized, male, 70+ | Stage I

At 5 months after surgery, his overall condition remained good.

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Lung cancer with limited spread, treated with a combination of therapies

Patient Info: Anonymized, Female

She remained free of recurrence for 164 months, with excellent quality of life and no neurological after-effects.

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MET-mutated lung cancer: testing savolitinib before surgery — Case 1

Patient Info: Anonymized, Male, 70+

Biomarkers: MET exon 14 skipping mutation

The tumour shrank by 82%; surgery found 5% viable residual tumour and no involved lymph nodes, with postoperative stage ypT2aN0M0. He continued savolitinib without serious adverse effects.

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MET-mutated lung cancer: testing savolitinib before surgery — Case 2

Patient Info: Anonymized, Female, 60s

Biomarkers: MET exon 14 skipping mutation; PD-L1 expression 75%

Savolitinib produced approximately 72% tumour shrinkage. Surgery found 30% viable residual tumour, negative lymph nodes and ypT1bN0M0 disease; she recovered without complications and continued savolitinib.

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Lung cancer recurrence in the thyroid, initially mistaken for thyroid cancer

Patient Info: Anonymized, Male | Stage IV

Biomarkers: EGFR exon 19 deletion; TTF-1-positive; Napsin A-positive; PAX8-negative; thyroglobulin staining limited to tumour cells adjacent to normal thyroid tissue

Metastatic Site: thyroid; cervical lymph nodes

After starting osimertinib for EGFR exon 19-deleted recurrent lung adenocarcinoma, he was disease free 5 months after thyroid surgery.

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HER2-positive metastatic lung cancer treated with trastuzumab deruxtecan (Enhertu)

Patient Info: Anonymized, Female | Stage IV

Biomarkers: ERBB2/HER2 copy-number gain of at least 20 copies; TP53 C242fs; CDK12 copy-number gain; tumour mutational burden 3.2 mutations/Mb

Metastatic Site: lungs / multiple pulmonary nodules

Trastuzumab deruxtecan reduced the pulmonary nodules by more than 50% at 3 months and produced a documented response lasting 13.8 months.

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Rare lung sarcoma causing repeated collapsed lungs

Patient Info: Anonymized, Female | Stage I

Biomarkers: SS18-SSX2 fusion; CD99-positive; epithelial membrane antigen-positive; TLE1-positive; BCL-2-positive

She remained well under surveillance, with no evidence of disease on imaging at 3 years after definitive lobectomy.

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Long-term erlotinib treatment alongside worsening kidney vasculitis

Patient Info: Anonymized, Male, 70+ | Stage IV

Metastatic Site: bone

Bone metastases showed osteosclerotic change after erlotinib began, and the drug continued because he was benefiting from treatment despite worsening renal vasculitis.

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A 3D anatomical model helped guide right upper-lobe lung cancer surgery

Patient Info: Anonymized

The planned right upper-lobe resection was completed using the interactive model to identify pulmonary vessels and the bronchus during surgery.

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Non-Small Cell Lung Cancer: Susan's Survivor Story

Patient Info: Susan Taylor, Female, 70+

As of July 2021, Susan had localized non-small cell lung cancer removed by robotic left upper lobectomy with lymph node removal and had returned to normal activities within 3 weeks; no metastatic disease or systemic therapy was reported.

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Immunotherapy and surgery for adenosquamous lung cancer with brain metastases

Patient Info: Anonymized, Female, 70+

Biomarkers: PD-L1 positive; no actionable mutations on next-generation sequencing.

After chemotherapy, 19 cycles of pembrolizumab, and right middle lobectomy, she was off immunotherapy and under observation in remission.

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Lung Cancer Metastases to Both Kidneys Causing Kidney Failure

Patient Info: Anonymized, Male, 50s | Stage Metastatic/Advanced

Biomarkers: PD-L1 highly expressed

Metastatic Site: brain|bilateral kidneys|lungs

The cancer progressed in both kidneys and lungs despite treatment, causing dialysis-dependent kidney failure. He later developed severe respiratory illness and died 5 days after readmission.

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Pleomorphic Lung Cancer Progressed Despite Pembrolizumab

Patient Info: Anonymized, Male, 70+ | Stage IV

Biomarkers: EGFR-negative; ALK-negative; ROS1-negative; PD-L1 TPS 80%-90%.

Metastatic Site: small intestine; pleura; abdominal subcutaneous tissue

The cancer did not respond to pembrolizumab, and he died four months after immunotherapy began.

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Primary pulmonary adenoid cystic carcinoma found with chronic lymphocytic leukaemia

Patient Info: Anonymized, Male, 50s

Biomarkers: Cytokeratin-positive; SMA-positive; p63-positive; TTF-1-negative; S100-negative; CK20-negative; CD56-negative.

Six months after adjuvant radiation, restaging CT showed treatment-related changes without local or metastatic recurrence.

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Lung Cancer Survivor Story: Dave Shares 1st Symptoms & Treatment Decisions (1/3)

Patient Info: Dave, Male, Under 40 | Stage I

As of January 2021, Dave was a long-term survivor after lobectomy for localized Stage IB neuroendocrine lung cancer with no spread found at surgery.

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NRG1-Fusion Lung Cancer With a 24-Month Response to Afatinib

Patient Info: Anonymized, Female, 50s | Stage Metastatic/Advanced

Biomarkers: NRG1 fusion; KRAS/EGFR/ALK/ROS1/ERBB2 alterations not detected

Metastatic Site: left lung

Her cancer progressed during atezolizumab, and she died in May 2019.

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Recurrent NRG1-Fusion Lung Cancer After Surgery and Immunotherapy

Patient Info: Anonymized, Male, 60s | Stage Metastatic/Advanced

Biomarkers: SDC4-NRG1 fusion

He chose no further treatment after rapid progression on afatinib and died shortly afterward in hospice.

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Cavitating Lung Infarction After Lobectomy for Squamous Cell Lung Cancer

Patient Info: Anonymized, Female, 70+

Four months after treatment for a postoperative cavitating pulmonary infarction, her symptoms and lung cavity had markedly improved, and she returned to routine postoperative follow-up.

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Surgery for an isolated splenic metastasis from lung adenocarcinoma

Patient Info: Anonymized, Female, 70+ | Stage IV

Metastatic Site: spleen

Nine months after removal of the isolated splenic metastasis, follow-up showed no local or disseminated recurrence and she remained under regular lung-cancer surveillance.

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Winged scapula after surgery for right upper-lobe lung adenocarcinoma

Patient Info: Anonymized, Male, 60s

Six months of occupational therapy restored near-full shoulder movement, although mild scapular prominence and some permanent limitation remained.

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A reversible brain syndrome after chemotherapy for stage IIB lung cancer

Patient Info: Anonymized, Female, 60s | Stage II

Her seizure-related neurological findings resolved during hospitalization, and she was discharged without neurological symptoms after chemotherapy was stopped.

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A uterine mass revealed a rare metastasis from lung adenocarcinoma

Patient Info: Anonymized, Female, 60s | Stage IV

Biomarkers: CK7-positive; TTF-1-positive; CK20-negative; PAX8-negative; GATA3-negative.

Metastatic Site: uterus within a leiomyoma

Twelve months after removal of the uterine metastasis, she remained well with normal surveillance imaging and no concern for recurrent disease.

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Early-Stage Small Cell Lung Cancer Found During Severe Skin Disease

Patient Info: Anonymized, Female, 70+ | Stage I

The lung cancer was in remission at one-year follow-up after lobectomy, and the associated severe skin disease also remained absent during later follow-up.

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Device Closure of a Persistent Air Leak After Lung Cancer Surgery

Patient Info: Anonymized, Female, 60s

Thoracoscopic exploration found no recurrent cancer, and the fistula remained successfully closed with the patient asymptomatic at 12 months.

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