Stage 4 lung cancer: complete response to chemo-immunotherapy combo

Patient Info: Anonymized, Male, 40s | Stage IV

Metastatic Site: right hilar lymph nodes, mediastinal lymph nodes

Stage IVA lung squamous cell carcinoma achieved complete response at 12 months. Pembrolizumab was stopped after immune-related RS3PE and likely colitis; 8 months after glucocorticoid initiation, there was no relapse of lung cancer or RS3PE.

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Stage 3 lung cancer: complete response to chemo and immunotherapy

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

Biomarkers: Tumor markers were normal during mesorectal nodule workup; lung molecular biomarkers were not reported.

No radiologic NSCLC recurrence was detected during 16 months of follow-up after complete response to cisplatin/docetaxel chemoradiation plus 1 year of durvalumab; the suspicious mesorectal nodule proved to be a benign organized thrombus.

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Stage IV EGFR Non-Small Cell Lung Cancer: Leah's Patient Story

Patient Info: Leah Phillips, Female, 40s | Stage IV

Biomarkers: EGFR exon 19 deletion

Metastatic Site: bone (spine, pelvis); malignant right pleural…

As of July 2024, Leah remained on daily Tagrisso with stable Stage IV EGFR-mutated lung cancer, no reported progression, healing/sclerotic bone metastases, and durable response for more than 4 years.

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Stage IV EGFR-mutated lung cancer with acquired resistance to osimertinib

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

Biomarkers: EGFR L858R; acquired EGFR T790M; acquired EGFR L718Q

Metastatic Site: pleura, bone

After temporary disease control with sequential EGFR-targeted therapies, the right lung lesion enlarged again in June 2021; she was alive at the latest follow-up.

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Stage IV EGFR-mutated lung cancer treated after osimertinib resistance

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

Biomarkers: EGFR L858R, TP53 mutation; acquired EGFR T790M; acquired EGFR L718Q

Metastatic Site: lungs, bone

Dacomitinib produced brief stable disease, but the lung cancer progressed again by September 2021; she was alive at the latest follow-up.

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Stage IIIA ALK-rearranged NSCLC: pathologic complete response to neoadjuvant brigatinib

Patient Info: Anonymized, Male, Under 40 | Stage III

Biomarkers: ALK gene rearrangement; CEA 8.49 ng/mL

He remained disease-free during 13 months of follow-up after neoadjuvant brigatinib reduced Stage IIIA ALK-rearranged NSCLC and curative-intent surgery showed pathologic complete response.

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First primary lung cancer treated with SBRT in a patient with multiple cancers

Patient Info: Anonymized, male, 70+

At 43 months after the first SBRT, there was no local recurrence and the patient remained alive and walking independently.

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Second primary lung cancer treated with SBRT two years later

Patient Info: Anonymized, male, 70+

At 17 months after the second SBRT, the left-lung lesion had shrunk with no local recurrence, and the patient remained alive and walking independently.

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Near-complete response to osimertinib in Stage IV lung adenocarcinoma with rare EGFR mutations

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

Biomarkers: EGFR S768I mutation, PD-L1 TPS 2%

Metastatic Site: pleura, bone, lymph nodes

After progression on vinorelbine and carboplatin, osimertinib produced a metabolic complete response by December 2023 and a near-complete radiologic response in March 2024. He remained on osimertinib with good tolerance and stable clinical condition.

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Metastatic lung cancer causing severe vena cava obstruction

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

Biomarkers: BRCA2 functional variant

Metastatic Site: bilateral adrenal glands, bone, pleura, lungs,…

Progressive metastatic lung cancer caused rapidly enlarging adrenal disease, worsening bone, pleural, pulmonary and nodal metastases, and malignant inferior vena cava obstruction. Endovascular iliocaval reconstruction restored venous flow without immediate complications.

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Stage IV lung squamous cell cancer complicated by adrenal insufficiency during immunotherapy

Patient Info: Anonymized, male, 50s | Stage IV

Mediastinal and hilar lymph nodes improved on treatment. Immunotherapy remained paused because of adrenal insufficiency, and updated follow-up found no recurrence or additional metastasis.

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Stage IV lung squamous cell cancer with bone metastasis and immunotherapy-related adrenal insufficiency

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

Metastatic Site: rib/bone

After earlier progression with rib/bone destruction, the latest chest CT showed lung lesions similar to prior imaging. Tislelizumab remained paused because of adrenal insufficiency.

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Stage III lung squamous cell cancer treated with immunotherapy, surgery and chemotherapy

Patient Info: Anonymized, male, 50s | Stage III

After surgery and systemic treatment, updated follow-up found no recurrence or metastasis. Tislelizumab remained stopped after recurrent adrenal insufficiency.

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Guillain-Barré syndrome after surgery for Stage II lung adenocarcinoma

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

No lung-cancer recurrence was seen at follow-up after complete resection. His postoperative Guillain-Barré syndrome resolved within 3 months after immunoglobulin treatment and rehabilitation.

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RET-rearranged metastatic lung cancer responding to selpercatinib after pralsetinib

Patient Info: Anonymized, female, 50s | Stage IV

Biomarkers: KIF5B-RET fusion; PD-L1 negative

Metastatic Site: brain

More than 5 years after her 2018 diagnosis, selpercatinib was ongoing after 8 months with continued brain response and stable lung disease.

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Stage IV Non-Small Cell Lung Cancer: Lenny's Survivor Story

Patient Info: Lenny, Male, 50s | Stage IV

Biomarkers: PD-L1 expression positive

Metastatic Site: right femur; brain/cerebellum

As of July 2024, Lenny described himself as NED/no evidence of disease after surgery, CyberKnife radiation, chemotherapy, and Keytruda-based immunotherapy.

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Stage IIIA EGFR-mutated lung squamous cell carcinoma: pathologic complete response to aumolertinib

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

Biomarkers: EGFR exon 19 deletion; p40-positive lung squamous cell carcinoma

At the 1 April 2024 cutoff, she had no recurrence after 20 months of treatment following neoadjuvant aumolertinib, pathologic complete response at surgery, and ongoing adjuvant aumolertinib.

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Stage 3 EGFR-mutant lung cancer: osimertinib response to surgery

Patient Info: Anonymized, Female, 50s | Stage III

Biomarkers: EGFR exon 19 deletion; PD-L1 tumor proportion score <=1%

No recurrence or metastasis was reported after neoadjuvant osimertinib, R0 left upper lobectomy with mediastinal lymphadenectomy, and ongoing adjuvant osimertinib for Stage IIIA EGFR exon 19 deletion lung adenocarcinoma.

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RET-fusion lung adenocarcinoma responding to pralsetinib and bevacizumab

Patient Info: Anonymized, Male, 50s | Stage IV

Biomarkers: KIF13A-RET fusion

Metastatic Site: pleura

He had 27 months of disease-free survival on pralsetinib before pleural and nodal recurrence. After bevacizumab was added, imaging showed reduction of the pleural lesion and mediastinal nodes and circulating tumor DNA became undetectable in December 2023.

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Five-year survival with extensive-stage small cell lung cancer on atezolizumab

Patient Info: Anonymized, Male, 50s | Stage IV

Metastatic Site: bilateral lungs, cervical lymph nodes

Five years after diagnosis with extensive-stage small cell lung cancer, he was alive and well on maintenance atezolizumab with no further documented progression after the 2020–2021 rechallenge, reaching 60 months overall survival and about 44 months progression-free survival.

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Stage IIIA NSCLC: recurrence-free after surgery, adjuvant chemotherapy, and one atezolizumab dose

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

Biomarkers: PD-L1 expression 20% by 22C3 assay

She remained free of lung-cancer recurrence for more than 1 year after surgery and adjuvant cisplatin/vinorelbine; atezolizumab was stopped after 1 dose because of severe immune-related toxicities that improved with steroid and immunoglobulin treatment.

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Small cell lung cancer discovered after recurrent pneumothorax

Patient Info: Anonymized, male, 60s

Follow-up chest CT showed only postsurgical changes with no evidence of tumor, and he was doing well under oncology follow-up.

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Treatment-related lung injury during therapy for Stage IV squamous lung cancer

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

A 63-year-old man with Stage IV squamous lung cancer developed interstitial lung disease soon after starting chemotherapy and immunotherapy, with respiratory findings improving after steroid treatment.

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Radiation pneumonitis during chemoradiotherapy for Stage III squamous lung cancer

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

An 88-year-old man with Stage III squamous lung cancer developed radiation pneumonitis during chemoradiotherapy, with symptoms and imaging improving after steroid treatment.

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