What happened, in summary

This Noxte entry captured the mixed emotions of a scan that brought both relief and fear. The patient had a CT on 22 August and reviewed the result with oncology on 26 August. Some findings were encouraging: a paratracheal lymph node was stable, small right supraclavicular nodes were stable, and the right upper-lobe lung mass had decreased in size to about 5.6 cm by 7.3 cm with less contact with the pleura. He understood this as AZD9291 stopping growth and even shrinking the main tumor somewhat. The difficult part was a new lytic lesion, about 3 cm, in the left sacroiliac/iliac region. The CT report suggested it could be metastasis. He had some upper-gluteal or lower-back pain but had partly masked it with ibuprofen and codeine. His team ordered MRI studies of the sacroiliac area and cervical, dorsal, and lumbar spine to define the lesion and look for other possible sites. If disease appeared localized to 1 or 2 points, he was open to considering radiotherapy. If it were more generalized, he was thinking about immunotherapy only as a later option. As of 28 August 2016, he was still waiting for clearer answers.