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Oncology Pharmacy Consults
Advances in Managing NSCLC: What Pharmacists Need to Know

Patient Case Description

Mrs L is a 57-year-old female former smoker who presented to her primary care physician 2 months ago with chest pain, cough, and shortness of breath. She has a 30 pack-year smoking history, having smoked 1.5 packs per day for 20 years. She quit smoking approximately 3 years ago when her grandson was born. Because of her symptoms and her smoking history, a computed tomography (CT) scan of the chest, abdomen, and pelvis was performed which showed multiple, bilateral pulmonary lesions, several bony lesions in the ribs and thoracic vertebrae, as well as multiple enlarged mediastinal lymph nodes. Mrs. L's past medical history is significant only for mild hypertension, which is well controlled with hydrochlorothiazide alone. Mrs L was scheduled for a biopsy to identify the histology of her disease. The initial pathology results revealed a squamous cell non-small–cell lung cancer (NSCLC). The mutation status of her tumor is still pending.

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