. Step 32 of 41
Clinical Stem 3
A patient with right upper lobe adenocarcinoma progressing on biomarker-directed therapy

The Case Continues
Using fluoroscopic guidance, two brushings and five transbronchial biopsies were performed, followed by BAL with a total fluid instilled of 120 ml and return of 60 ml of bloody fluid. Results from the biopsy showed adenocarcinoma. The treating oncologist considered reflex molecular testing to obtain a complete molecular profile as soon as possible.
Each fictitious clinical case scenario is based on a conglomerate of real patient data. Cases have been modified to avoid any possibility for patient identification and to help meet educational objectives. Any resemblance to real persons, living or deceased, is purely coincidental.

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