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Local Recurrence

Forums General Melanoma Community Local Recurrence

  • Post
    Lucas
    Participant

      I recently had an extensive local recurrence located all inside of skin graft. This was removed by a 1cm wide excision which resulted in "close" margins. 7 weeks later i have a few tiny mealnoma dots outside of resction scar. They are right on the edge. I have stage 3b disease and am undergoing opdivo adjuvant just started i treatment. I stopped Keytruda clinical trial after developing type 1 diabetes and horrible arthritis. I also do not see a melanoma specialist (unfortunately) due to being unable to switch insurance at this time. I am in Kaiser system. Im hoping for advice on next steps or similar experience? thank you!

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        Kevin2016
        Participant

          Just curious about your horrible arthritis…I've been on Keytruda since the spring of 2017…I get an infusion every 3 weeks. In February, I had a viral infection and they said as my immune system was dealing with that and my immune system being boosted by the Keytruda – they said my immune system "over heated" and triggered an autoimmune response that was absolutely brutal. My joints (hands, knees and ankles/feet) were in extreme pain. They stopped treatments and put me on 60mg of prednisone and then titrated me off of that reducing it by 10mg every 3 days. When it got down to 10mg the pain all flared up again, so they put me on 40mg of prednisone and titrated me by reducing it by 10mg every 5 days instead (making it more gradual). I've had some pain at now at 10 mg. I just had an infusion of Keytruda last Friday. The last infusion I had before that one was Feb. 2nd. Today, I have felt more pain returning and I'm holding my breath that it doesn't get as severe a last time. Right now, I can barely open the cap on a water bottle…this has been a tough stretch, although my most recent PET scan was good showing only 2 lymph nodes lit up in my stomach area that they believe is only inflammation.

            Lucas
            Participant

              My legs would tremble in pain when I stood up. This was after only 5 infusions. Prednisone did help, but a year later my knees are permanently damaged and I’m 36 yo. I use to run and lift weights daily and I can do neither now. It’s kept my PET scans clear for 18 months but keeps popping up in the same primary spot. 

              Lucas
              Participant

                My legs would tremble in pain when I stood up. This was after only 5 infusions. Prednisone did help, but a year later my knees are permanently damaged and I’m 36 yo. I use to run and lift weights daily and I can do neither now. It’s kept my PET scans clear for 18 months but keeps popping up in the same primary spot. 

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