Stage 3B Bronchogenic carcinoma with local spread to R4 lymph nodes TTF1 positive

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Hi everyone 

we have a definitive clinical diagnosis now for my dad - it is primary bronchogenic carcinoma in the right lung with some local spread to the R4 lymph node in the mediastinum. The R4 lymph node is positive for adenocarcinoma TTF1 positive. 

we have an appointment with the oncologist on 2nd Jan. there has been talks of combined chemo and radiotherapy and also on my dads notes was Durvalumab (imfinzi) immunotherapy. 

has anyone here had a similar diagnosis and or treatment? 

merry Christmas everyone Christmas tree

  • Hi  I am sorry to hear about your dad’s diagnosis. It’s all so very scary isn’t it. The good news is the oncologist has mentioned some good treatment options, and it sounds like immunotherapy is on the back burner if needed. Not everyone is given immunotherapy as an option because it doesn’t work for all cancers, so it is good it has already been mentioned. 


    The chemo/radiotherapy is often given first and it is thought that the radiotherapy gives the chemo a kick start. Like all cancer treatments there will be side effects, but these will be managed by your dad’s medical team. Everyone reacts differently to treatment, some people sail through with minimal side effects, but they will explain all of the worst case scenarios to him before he starts. The thing to remember is, it does not mean he will get all of those side effects, they just have to warn you of the possibility. 

    Wishing you and your dad all the very best, I hope his treatment goes well. 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

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  • I think i might have mentioned to you before that my mum is very similar. NSCLC tumor in the right lung, centre of the chest and in a lymph node. She has had 2 full rounds of chemo (vinorobin and carboplatin and so far 12 of 32 radiotherapy sessions - she’s doing remarkably well with it all) the only blip was her hemoglobin got very low and needed a blood transfusion but that was fine. 

    Update today that the tumors are shrinking far quicker than expected. The dr seems very pleased and said treatment plan will change. She was due to start Durvalumab at the end of Jan/feb. Not sure if this will change too… but will find out more on 27th.

    im quite a negative person so naturally have expected the worst through all this. So today’s update was amazing and totally unexpected! :-)

    My mum started her chemo 1 week after the first oncology meeting, so fingers crossed it’s all very quick for your dad too.