Hi ..the therapy depends on performance status ..if tolerance is expected to be good which further depends on co-morbidities, age and general overall condition .. should go for platinum doublet chemotherapy in combination with antiVEGF therapy with bevacizumab. If tolerance is expected to be poor ..options with single agent chemotherapy/ oral TKI Alone/ best supportive care... based on clinical picture ..
Please review with medical oncologist for assessment for chemotherapy tolerance and plan accordingly
All the best
Next Steps
assessment for chemotherapy tolerance and performance status
Health Tips
rule out other causes for pleural metastases