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Shawn Perkins BSN,RN,OCNNavigating Lung Cancer
•Goal:
Change the lives of the people that you work with…
“What do you do?”
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Find Patients
Track Patients
Contact
Behind the Scenes
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Navigation from my experience
• From suspicious finding to treatment start
• Present for each initial consultation and key follow up appointments
• Act as a translator
• Coordination
• Be aware of transitions
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Why Is Lung Cancer Important
60-70%
19.4%
81%American Cancer Society Cancer Facts & Figures 2019
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Screening for Lung Cancer
55-77?
30+
15 years
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NSCLCSurgeryRadiationChemotherapy
Carboplatin CisplatinDocetaxel (Taxotere) Gemcitabine (Gemzar)Nab-paclitaxel (Abraxane) Paclitaxel (Taxol)Pemetrexed (Alimta)Vinorelbine (Navelbine)
Cancer.net
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Targeted TherapyAnti-angiogenesis
Bevacizumab (Avastin),Ramucirumab (Cyramza)EGFR Inhibitors
Afatinib (Gilotrif), Dacomitinib (Vizimpro), Erlotinib (Tarceva), Gefitinib (Iressa), Necitumumab (Portrazza), Osimertinib(Tagrisso)
ALK InhibitorsAlectineb (Alecensa), Brigatinib (Alunbrig), Ceritinib (Zykadia), Lorlatinib (Lorbrena)
ALK or ROS 1Crizotinib (Xalkori)
BRAF V600ECombination of dabrafenib (Tafinlar) and tremetinib (Mekinist)
NTRK Gene FusionLarotrectinib (Vitrakvi)
Cancer.net
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ImmunotherapyAtezolizumab (Tecentriq)Durvalumab (Imfinzi)Nivolumab (Opdivo)Pembrolizumab (Keytruda)
Cancer.net
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SCLCSurgeryRadiationChemotherapy
Etoposide/irinotecan+ platinum
ImmunotherapyAtezolizumab (Tecentriq)Nivolumab (Opdivo)Pembrolizumab(Keytruda)
Cancer.net
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Emerging TreatmentsLiquid biopsyIntraoperative brachytherapyStudies Surgery vs Stereotactic radiationMore targeted drugsMore immunotherapy drugsDifferent ways to use immunotherapyChimeric antigen receptor (CAR) T-cell therapyTherapeutic VaccinesChemoprevention
Up to Date 2019
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You Are Awesome
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Sources:American Cancer Society. Cancer Facts & Figures 2019. Atlanta: American Cancer Society; 2019
Cancer.net, editorial board. “Lung Cancer - Non-Small Cell - Types of Treatment.” Cancer.Net, 7 Mar. 2019, www.cancer.net/cancer-types/lung-cancer-non-small-cell/types-treatment.
PDQ® Screening and Prevention Editorial Board. PDQ Lung Cancer Screening. Bethesda, MD: National Cancer Institute. Available at: https://www.cancer.gov/types/lung/hp/lung-screening-pdq. Accessed <04/30/2019>. [PMID: 26389268]
Thomas, Karl W, Gould, Michael K (updated Apr 03, 2019). Overview of the initial evaluation, diagnosis, and staging of patients with suspected lung cancer. Retrieved from https://www.uptodate.com/contents/overview-of-the-initial-evaluation-diagnosis-and-staging-of-patients-with-suspected-lung-cancer?search=overview-of-the-initial-evaluation-treatment-and-prognosis-of-lung-&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 Accessed 04/30/2019