KRAS G12C NSCLC with one brain metastasis — what next?
My mom has Stage IIIB adenosquamous NSCLC in the right lung, with N2 mediastinal lymph nodes.
Her mutations are KRAS G12C and TP53, with PD-L1 30%.
She completed 3 cycles of carboplatin + gemcitabine. The main lung tumor decreased by around 5-10 %, but the lymph nodes didn't improve much.
Now she has one brain metastasis around 1 cm and is currently completing 5 sessions of brain radiation.
What I'm confused about is what usually comes next.
Has anyone had a similar situation? Did you have lung surgery after treating a single brain metastasis? Did you use sotorasib (Lumakras) or another targeted/systemic treatment?
Would really appreciate hearing from anyone who has been through something similar.
Thank you.