
Dr. Narjust Florez from Dana-Farber Cancer Institute, along with nurse practitioner Stephanie McDonald and patients Megan and Matt Flanagan, discussed the evolving landscape of ALK-positive non-small cell lung cancer care. The program emphasized that lung cancer increasingly affects younger patients, particularly women who have never used tobacco, challenging traditional stereotypes about the disease.
Megan's journey highlighted common diagnostic delays despite persistent symptoms, with multiple healthcare visits initially attributing her chest pain and dyspnea to musculoskeletal issues or anxiety. Her story underscores the critical importance of biomarker testing, which revealed ALK-positive disease amenable to targeted therapy with lorlatinib.
Key themes included shared decision-making incorporating patient values and goals, comprehensive side effect management, and the psychological challenges of living with chronic cancer including scanxiety. The CROWN trial's 7-year follow-up data demonstrates unprecedented durability of response, with patients living years rather than months with their disease.





























