Abstract
When a 71-year-old man developed right putamen hemorrhage, a mass lesion in left lung apex with enlarged mediastinal lymph nodes on CT was detected. A CT-guided biopsy specimen revealed adenocarcinoma with EGFR exon 19 deletion without ALK fusion gene. He was a current smoker (125 pack-year) and performance status was 1. We planned surgery following concurrent thoracic radiation with chemotherapy (cisplatin plus docetaxel) for stage IIIA (cT1bN2M0) non-small cell lung cancer. However, lobectomy could not be performed because pleural dissemination was observed at chest surgery.
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