Patient Record · MRN SMC-250814

SYN-030

[SYN] Charlie Triton · 56y · Female · Chinese · BMI 21.4 · ECOG 0

SVMC - Sunway Velocity · Cardiothoracic Surgery · Dr. Faisal Hashim

IIB (T2a, N1)Progression

EGFR L858RTP53

Clinical storyline

[SYN] Charlie Triton, a 56-year-old Chinese female (current, 47 pack-years, ECOG 0), presented in 2024-10 with shoulder/back pain (suspected pancoast). Workup confirmed Adenocarcinoma (Stage II, EGFR L858R). The MDT recommended curative-intent surgery. Current status: Progression.

HPE Results

Adenocarcinoma: Acinar

Clinical Stage

IIB (T2a, N1)

Pathological Stage

IIB (T2a, N1, Mx)

Adenocarcinoma Subtype

Acinar

CEA (ng/mL)

4.5

Tumor (CT/PET)

4.5 cm

PET SUV

9.51

NGS Results

1. EGFR Exon 21 Mutation (L858R)
2. TP53 R273H