Stage IV ROS1 Non-Small Cell Lung Cancer: Lysa's Patient Story

This lung cancer diagnosis at a glance
- Stage at diagnosis
- Stage IV
- Subtype
- Non-Small Cell Lung Cancer
- Biomarkers
- ROS1-positive / ROS1-rearranged
- Sex
- Female
- Spread to
- spine; later new sites not specified
- Treatment
- chemotherapy, targeted therapy and a clinical trial
- Outcome
- Responding Well
Treatment course, step by step
- Initial chemotherapy produced a good response
- Cancer progressed about 15 months later
- Additional tissue testing in 2013 found ROS1 positivity, allowing targeted therapy
- Chemotherapy was later added to targeted therapy to bridge to another option
- She stayed stable on the combination for about 5 more years, totaling about 10 years on the first targeted therapy
- After later progression, another biopsy and a clinical trial followed.
What happened, in summary
Lysa was 40, raising 2 children, working, and finishing college when severe mid-back pain during travel led to a Stage IV lung cancer diagnosis. At first, an ER visit treated the pain like a muscle problem, but the pain kept returning and eventually became so severe that she needed help getting through an airport. Back home, another ER evaluation showed lung cancer that had already spread to her spine. She immediately thought about whether she would live long enough to raise her children. Lysa initially responded well to chemotherapy. Biomarker testing was not successful at first because 2 needle biopsies did not provide enough tumor material. After progression about 15 months later, she switched oncologists and had another procedure to obtain tissue. In 2013, after living with lung cancer for about 18 months, she learned the cancer was ROS1-positive. That result allowed her to move to targeted therapy and stop chemotherapy for a time. Later, chemotherapy was added to the targeted therapy to help keep her stable until another drug option became available. She remained stable on that combination for about 5 more years, totaling about 10 years on her first targeted therapy. After later progression and a biopsy on her 50th birthday, she joined a clinical trial. As of November 2025, her scans were stable, she felt well on the pill, and she had lived to meet her first grandson.
Where this story comes from
This is a lay summary of an account first published by The Patient Story. Read the original in full
These are lay summaries of published cancer stories, for information only. No two cancers behave the same way, and nothing here predicts your own diagnosis or replaces advice from your oncology team.