Patient Record · MRN SMC-234306

SYN-026

[SYN] Xray Kepler · 71y · Female · Malay · BMI 26.2 · ECOG 0

SMCAS - Sunway Medical Centre AS · Cardiothoracic Surgery · Dr. Faisal Hashim

IIIA (T4, N0)Stable

EGFR L858R

Clinical storyline

[SYN] Xray Kepler, a 71-year-old Malay female (never, ECOG 0), presented in 2025-09 with hemoptysis (blood-streaked sputum). Workup confirmed Adenocarcinoma (Stage III, EGFR L858R). The MDT recommended curative-intent surgery. Current status: Stable.

HPE Results

Adenocarcinoma: Acinar

Clinical Stage

IIIA (T4, N0)

Pathological Stage

IIIA (T4, N0, Mx)

Adenocarcinoma Subtype

Acinar

CEA (ng/mL)

28.1

Tumor (CT/PET)

6.3 cm

PET SUV

12.57

NGS Results

EGFR Exon 21 Mutation (L858R)