A 56-year-old patient working in the healthcare field visited the Oncology Clinic at Mouwasat Hospital Madinah with a noticeable deterioration in her health. She was suffering from severe shortness of breath, intense headaches, neurological symptoms, and severe bone pain that significantly affected her ability to carry out daily activities and forced her to stop working.
Following detailed diagnostic examinations and imaging, along with a lung biopsy, she was diagnosed with stage 4 lung cancer that had spread to the bones, liver, and brain. A pulmonary artery clot was also identified, contributing to the severity of her symptoms and their impact on her health and quality of life.
Genetic and immunological testing revealed a genetic mutation that could be targeted with targeted therapy. Based on these findings, the case was discussed at the multidisciplinary tumor meeting (MDT) to develop an integrated treatment plan tailored to the nature of the disease and its genetic characteristics.
The treatment plan included chemotherapy, targeted therapy based on the genetic test results, and radiation therapy to relieve bone pain and control disease sites.
After treatment began, the patient’s condition gradually improved. Her shortness of breath resolved, her general health improved significantly, and she regained her ability to move and carry out her daily activities.
More than a year after the diagnosis and the start of treatment, the patient continued regular follow-up at the Oncology Clinic. Clinical examinations and imaging showed significant and sustained improvement in her condition. The improvement was not limited to her health alone, as she regained her activity and returned to work regularly as a nurse after previously having to stop because of the impact of the disease on her health.
By the grace of God, followed by advances in diagnostic techniques and genetic testing and the integration of medical expertise within a multidisciplinary team, the treating team developed a comprehensive treatment plan that resulted in an excellent response to treatment, enabling the patient to regain her health and return to work and daily life normally.
This case reflects Mouwasat Hospital’s commitment to providing specialized and integrated care for complex cases according to the latest medical practices, utilizing medical expertise and modern technologies to help improve treatment outcomes and patients’ quality of life.