CHEST 2023 On Demand Pass-Team up on Tumor Board

Video Transcription

Video Summary

In this video, a tumor board discussion is held for three different cases. In the first case, a 57-year-old male with a 3cm right upper lobe endobronchial mass and positive lymph nodes is discussed. The question is raised on the best next step, with options such as restaging with a biopsy or chemotherapy followed by re-imaging and resection. The panel ultimately chooses neoadjuvant therapy followed by resection based on trial data showing improved event-free survival and pathological response. In the second case, a 74-year-old female with a remote smoking history is found to have a 2cm irregular right upper lobe lesion with a right hilar node. It is suspected to be a primary lung tumor rather than metastasis from squamous cell carcinoma of the cervix. The panel recommends surgical resection based on the radiographic features and previous cancer history. In the third case, a 58-year-old female with stage 3B invasive squamous cell carcinoma of the cervix develops a new lung lesion during follow-up. The panel discusses the next best step, considering options such as chemoradiation, stereotactic body radiation therapy, surgical resection, or palliative care. The panel ultimately suggests surgical resection if the patient is deemed fit for surgery, given her history of heavy smoking and the higher likelihood of a second primary lung tumor. The importance of comparing pathology from prior cancers is emphasized in making treatment decisions. The need for thorough staging and molecular testing is discussed for optimal treatment planning. In summary, the panel stresses the importance of individualized treatment decisions based on patient characteristics, tumor characteristics, and trial data.

Meta Tag

Category Lung Cancer

Session ID 1049

Speaker Maxwell Diddams

Speaker Erin Gillaspie

Speaker David Chi Leung Lam

Speaker Carolyn Presley

Speaker M. Patricia Rivera

Speaker Gerard Silvestri

Speaker Christina Speirs

Track Lung Cancer

Keywords

tumor board discussion

neoadjuvant therapy

surgical resection

chemotherapy

radiographic features

pathological response

metastasis

stage 3B

molecular testing

individualized treatment decisions