Patient Record · MRN SMC-181588

Patient #044

Tan Wei Jie · 55y · Male · Chinese · BMI 27.3 · ECOG 1

SVMC - Sunway Velocity · Cardiothoracic Surgery · Dr. Rajesh Kumar

IB (T2a, N0)Watchful Wait

EGFR L858RTP53

Clinical storyline

Tan Wei Jie, a 55-year-old Chinese male (never, ECOG 1), presented in 2024-01 with persistent dry cough > 6 weeks. Workup confirmed Adenosquamous Carcinoma (Stage I, EGFR L858R). The MDT recommended curative-intent surgery. Current status: Watchful Wait.

HPE Results

Adenosquamous carcinoma, predominant moderately differentiated squamous cell carcinoma, no LVI, no STATS, stage IB (T2a, N0, Mx)

Clinical Stage

IB (T2a, N0)

Pathological Stage

IB (T2a, N0, Mx)

Adenocarcinoma Subtype

Adenosquamous carcinoma

CEA (ng/mL)

4.5

Tumor (CT/PET)

3.5 cm

PET SUV

10.14

NGS Results

1. EGFR Exon 21 Mutation (L858R)
2. TP53 S241F mutation