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Dr. Tara EinullaevaMedical oncologist
All case studies

Case study

Stage IV lung cancer: the tumor shrank by over 70% after a change in treatment

Patient
Man, 69
Diagnosis
Lung cancer that had spread to the ribs (stage IV)
Outcome
Tumor shrank by over 70%; pain gone completely

Background

The patient was on chemotherapy for lung cancer, but after three cycles the disease kept progressing.

Within two months the tumor had doubled in size, and the cancer had spread to his ribs, destroying bone.

His condition was deteriorating, his pain was getting worse, and his blood tests were markedly abnormal.

Treatment

At that point he came to me for help.

Given how fast the disease was progressing and how unwell he was, the decision was made to change his treatment.

He was started on combination chemo-immunotherapy at reduced chemotherapy doses, along with medication to protect his bones.

In total, he completed four cycles.

Results

His pain eased considerably after the very first cycle, and he felt better with each cycle that followed.

A follow-up PET/CT after four cycles showed a marked improvement:

  • The tumor had shrunk by more than 70%.
  • The pain had gone away completely.
  • He felt much better overall.

PET/CT before and after the change in treatment

Before the change in treatment

After four cycles — tumor over 70% smaller

PET/CT (fused image)

PET, whole-body view

The bottom line

Although his lung cancer was progressing and his condition was getting worse on the original chemotherapy, a change in regimen shrank the tumor dramatically and relieved his pain completely.

A case from my practice, published with the patient's consent. Results as of February 2022. Treatment outcomes vary, and a similar result can't be guaranteed for other patients.

Let's talk your situation through

Every case is different. In an online consultation, I'll go through your records and explain which treatment options may be on the table.

Dr. Tara Einullaeva, medical oncologist

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