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Brain Metastase Case Study

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Mai is a 66-year-old female diagnosed with IV NSCLC (with multiple large brain metastases) EGFR exon 19 deletion (C34.90). Mai experienced headaches, weight loss, nausea, and vomiting. A very recent CT scan revealed multiple brain metastases, which are large, and throughout the cerebral hemisphere including both of the cerebellums. Mai is being treated with radiation, decradron and high-dose steroids, but still experienced disease progression. The denial states that Mai must try to fail Tarceva, Iressa and Gilotrif, however due to the highly acute, tumor burden brain metastases, with Tagrisso as a front-lien treatment it will actively fight against exon 19 deletion and more importantly, good CNS activity. Given these results of Tagrisso,

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