---
title: "Lung Carcinoma Case Study: Adley Hurwitz"
description: After six months of FidoCure® enabled therapy, Adley showed no evidence of pulmonary mass recurrence.
---

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# [Lung Carcinoma Case Study: Adley Hurwitz](https://blog.fidocure.com/fidocure-blog/lung-carcinoma-case-study-adley-hurwitz)

 Written by [Dr. Gerry Post](https://blog.fidocure.com/fidocure-blog/author/dr-gerry-post) | May 4, 2023 5:29:38 PM

#### After six months of FidoCure® enabled therapy, Adley showed no evidence of pulmonary mass recurrence.

 

In January 2020, Adley Hurwitz, **a 6.5-year-old female spayed Rhodesian Ridgeback mix**, was presented to her primary veterinarian due to a progressive cough occurring over a period of approximately one and a half months. During a physical exam, **two nodules were identified in the right cranial abdominal mammary gland**. Fine needle aspiration of the mammary nodules and chest radiographs were performed. Cytology evaluation of the nodules confirmed **presence of mammary and inflammatory cells**.

On pulmonary radiographs, a solitary lung mass was identified, suggesting a **diagnosis of mammary tumor metastasis or a concomitant primary lung tumor**. To better characterize the lung mass and its possible spread, a full body CT scan was performed on January 30, 2020. The scan confirmed the** presence of a single pulmonary lung nodule **with no apparent lymph node involvement.

On February 4, 2020, a **right cranial lung lobectomy was performed**, and a **60mm lung mass was completely excised**. Histopathologic evaluation revealed a **grade I pulmonary carcinoma** removed with marginal excision. Another surgical intervention was performed to remove the two mammary nodules on March 10, 2020, which included a multilobulated mammary gland nodule (15 mm) and one soft subcutaneous nodule (10 mm) adjacent to it.

Both nodules were completely excised. Histopathology revealed **epithelial cells forming tubulopapillary sheets** associated with myoepithelial proliferation. A mitotic index of 10 in 10 high-power fields was characterized. Results were consistent with a **complex mammary carcinoma mixed type**, and a **ductal hyperplasia**. Following both surgeries, no adjuvant treatment was elected.

During Adley’s three month re-staging, **a new lesion was suspected in the right middle lung lobe** via thoracic radiographs. A chest CT scan was performed and although there was no evidence of regrowth from the primary lung tumor, the CT scan **revealed a right caudal pulmonary mass**, which was likely a secondary or metastatic lesion. At this time Adley showed an enlarged lymph node, suggesting** lymphatic tumor spread from the primary pulmonary carcinoma that was previously removed.**

At this point, treatment options for Adley were discussed including systemic therapy. After consideration of all treatment options, Adley’s family elected to enroll in the **FidoCure® Precision Medicine Platform.**

[Read the rest of Adley's Story](https://fidocure.com/wp-content/uploads/2023/05/CaseStudy-Adley.pdf)

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