My 76 yr old Mum has had an upper right lobectomy for NSCLC. There were 2 nodules and the pathology was Non Mucinous adenocarcinoma grade 3, lymphovascular invasion, pleural invasion. PT2a, NO, Pl1, RO and the the second nodule was in situ with no lymphovascualr or pleural invasion.
She had a suspected PE and a CT PA was performed which noted some changes in her other lung that werent there in Feb this year.
The surgical team have discharged her from them and back to to referring lung physician. There is no further treatment planned other than surveillance scanning.
My understanding is that grade 3 is poorly differentiated, fast growing and aggressive, and this is evidenced by invasion into lymphovascular system and pleural lining; thus making metastasis or recurrence highly likely? Therefore I would have expected adjuvant chemo or radiation or possibly immunotherapy ( although I dont have details of the molecular testing).
Please could you clarify my understanding and would you expect further treatment in this situ? We have no referral to an oncologist, just a FU appt with LUNG CNS mid July.
Thanks
