METASTATIC CANCER OF THE LUNG WITH COMORBIDITY:RHEUMATOID ARTHRITIS

Abstract

Today, the treatment of oncology patients is multidisciplinary, involving collaboration among specialists from different clinics to ensure the most innovative therapies are applied – including for patients with comorbidities. We describe the case of a 61-year-old man presenting with cough with expectoration, pain in the right shoulder region, dyspnea, loss of appetite, and fatigue. Chest CT revealed a tumor mass measuring 113 × 96 × 85 mm, located apically in the right pulmonary parenchyma with rib involvement. Distant metastases were also identified in the brain (one lesion), axillary lymph nodes, and subcutaneous tissue. The presence of rheumatoid arthritis further complicated the therapeutic approach. Partial response was achieved following combined therapy.