Procedure for Lung Cancer: 9 Real Stories

Small-cell lung cancer: envafolimab response complicated by immune-related diabetes, pneumonitis, and later submandibular progression

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

Biomarkers: ProGRP and NSE were elevated at diagnosis. Tumor molecular biomarkers were not reported; diabetes antibodies were negative.

Metastatic Site: left submandibular region / adjacent lymph nodes

After initial partial response on envafolimab, carboplatin, etoposide, and thoracic radiotherapy, he developed immune-related diabetes, pneumonitis, and progressive left submandibular metastatic disease requiring iodine-125 seeds and later anlotinib.

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Recurrent lung cancer with malignant airway compression: Dumon Y-stent improved breathing

Patient Info: Anonymized, Female

Dumon Y-shaped airway stenting restored airway patency, improved left-lung perfusion from 13% to 59%, and reduced dyspnea from MMRC grade 3 to grade 1.

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Extensive-stage small-cell lung cancer with malignant superior vena cava syndrome

Patient Info: Anonymized, Male, 60s

After superior vena cava stenting, facial and upper-extremity edema improved, he was discharged on hospital day 7, and he lived at home without recurrent SVCS symptoms until death from worsening lung cancer about 2 months later.

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Stage IVA EGFR-mutated lung adenocarcinoma with malignant pleural effusion: stable disease on ivonescimab plus pemetrexed

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

Biomarkers: EGFR exon 19 deletion persisted. Later pleural fluid had PD-L1 TPS 40% / CPS 41, low TMB

Metastatic Site: pleura / malignant pleural effusion

As of August 2025, Stage IVA EGFR-mutated lung adenocarcinoma with malignant pleural effusion was stable on ivonescimab plus pemetrexed after prior progression on gefitinib, almonertinib, and ivonescimab monotherapy.

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Stage IVB ROS1-rearranged lung adenocarcinoma with bilateral ocular metastases: durable response to entrectinib

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

Biomarkers: EZR-ROS1 fusion with mutation frequency 42.99%; TTF-1-positive in lung and left-eye tumor tissue

Metastatic Site: bilateral uveal/ocular metastases; bronchial lymph…

After about 3 years on entrectinib, systemic disease remained well controlled with partial remission, both eyes had best corrected visual acuity of 20/20, and no treatment-related discomfort or adverse events were reported.

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Stage IV lung adenocarcinoma with gelatinous malignant pleural effusion managed with PleurX catheter and hyaluronidase

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

Biomarkers: TTF-1-positive; Napsin A-positive; non-small-cell carcinoma consistent with adenocarcinoma; next-generation sequencing pending

Metastatic Site: pleura / malignant pleural effusion

Her Stage IV lung adenocarcinoma symptoms improved through pleural drainage with PleurX catheter and intrapleural hyaluronidase while oncology planned definitive chemoradiation and possible biomarker-guided therapy.

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Stage IVA EGFR L858R lung adenocarcinoma with malignant effusions and thrombosis

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

Biomarkers: EGFR exon 21 L858R mutation; TTF-1 weak positive; Napsin A positive; p40 negative; Ki-67 about 10%

Metastatic Site: malignant pleural effusion; malignant pericardial…

As of May 2025, abdominal pain had resolved, splenic infarction had not progressed, thromboembolic events were regressing, no new thrombus formation was seen, and outpatient follow-up continued while he remained on cancer and anticoagulation management.

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Small-cell lung cancer: complete response complicated by radiation bronchial injury and adrenal recurrence

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

Metastatic Site: left adrenal gland

As of May 2025, the initial lung and mediastinal disease had achieved complete response, but the patient developed severe radiation-related bronchial injury and later left adrenal metastasis requiring renewed systemic chemotherapy.

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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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