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LDH levels

Forums General Melanoma Community LDH levels

  • Post
    nancyg
    Participant
    My husband went to the dr today and the dr
    Was very happy to see that his LDH levels were decreasing and said
    That can mean less “tumor burden”… I am confused
    Because originally we were told that the only way
    we would know if my husband responded to IL-2
    was through a CT scan (scheduled for Sept 6). Don’t
    get me wrong I will take any good news… But am cautious…
    His dr is on vacation this is his partner… She is also a melanoma
    specialist… Any thoughts on LDH?
    Thank you in advance for any thoughts on this!!
    Nancy

    My husband went to the dr today and the dr
    Was very happy to see that his LDH levels were decreasing and said
    That can mean less “tumor burden”… I am confused
    Because originally we were told that the only way
    we would know if my husband responded to IL-2
    was through a CT scan (scheduled for Sept 6). Don’t
    get me wrong I will take any good news… But am cautious…
    His dr is on vacation this is his partner… She is also a melanoma
    specialist… Any thoughts on LDH?
    Thank you in advance for any thoughts on this!!
    Nancy

Viewing 13 reply threads
  • Replies
      JerryfromFauq
      Participant

      http://skincancer.about.com/od/diagnosis/a/LDH.htm

      The LDH Test for Melanoma Diagnosis – What is the LDH Test for Melanoma Metastasis

      "In general, the LDH level is measured in order to check for tissue damage, especially to the heart, liver, kidney, skeletal muscle, brain, and lungs — all of which elevates the normally low LDH level in the blood. For patients with melanoma, it is used to determine if the cancer has metastasized (spread) to organs beyond the skin or lymph nodes; this usually occurs in the liver or lungs. Although LDH is not specific for melanoma, it may be useful at diagnosis or to monitor post-surgery (adjuvant) treatment. The staging system for melanoma uses the LDH level to subdivide patients with stage IV disease."

      JerryfromFauq
      Participant

      http://skincancer.about.com/od/diagnosis/a/LDH.htm

      The LDH Test for Melanoma Diagnosis – What is the LDH Test for Melanoma Metastasis

      "In general, the LDH level is measured in order to check for tissue damage, especially to the heart, liver, kidney, skeletal muscle, brain, and lungs — all of which elevates the normally low LDH level in the blood. For patients with melanoma, it is used to determine if the cancer has metastasized (spread) to organs beyond the skin or lymph nodes; this usually occurs in the liver or lungs. Although LDH is not specific for melanoma, it may be useful at diagnosis or to monitor post-surgery (adjuvant) treatment. The staging system for melanoma uses the LDH level to subdivide patients with stage IV disease."

      JerryfromFauq
      Participant

      http://skincancer.about.com/od/diagnosis/a/LDH.htm

      The LDH Test for Melanoma Diagnosis – What is the LDH Test for Melanoma Metastasis

      "In general, the LDH level is measured in order to check for tissue damage, especially to the heart, liver, kidney, skeletal muscle, brain, and lungs — all of which elevates the normally low LDH level in the blood. For patients with melanoma, it is used to determine if the cancer has metastasized (spread) to organs beyond the skin or lymph nodes; this usually occurs in the liver or lungs. Although LDH is not specific for melanoma, it may be useful at diagnosis or to monitor post-surgery (adjuvant) treatment. The staging system for melanoma uses the LDH level to subdivide patients with stage IV disease."

      BrianP
      Participant

      Nancy,

      As Jerry's quote summarizes, LDH is used quite ofter as a marker for the quantity/activity of melanoma matastasis in the body.  I've been told that it isn't always a direct linear relationship and sometimes may not have any relationship at all but I would say you have reason to be cautiously optimistic about the LDH results.

      Brian

      BrianP
      Participant

      Nancy,

      As Jerry's quote summarizes, LDH is used quite ofter as a marker for the quantity/activity of melanoma matastasis in the body.  I've been told that it isn't always a direct linear relationship and sometimes may not have any relationship at all but I would say you have reason to be cautiously optimistic about the LDH results.

      Brian

      BrianP
      Participant

      Nancy,

      As Jerry's quote summarizes, LDH is used quite ofter as a marker for the quantity/activity of melanoma matastasis in the body.  I've been told that it isn't always a direct linear relationship and sometimes may not have any relationship at all but I would say you have reason to be cautiously optimistic about the LDH results.

      Brian

      Gene_S
      Participant

      Hello

      I think it can mean something good for you.  My husband's was very high (1200) and the scans showed he had moved to stage IV before he started in his clinical trial and as time went on it was down in the normal range and his scans have showed that his lesions had shrunk and now are gone.

      His oncologist said this was a very good sign and was pleased by it.  I am hoping the same for your husband.

      Judy (loving wife of Gene Stage IV and now NED for over 10 months.

      Gene_S
      Participant

      Hello

      I think it can mean something good for you.  My husband's was very high (1200) and the scans showed he had moved to stage IV before he started in his clinical trial and as time went on it was down in the normal range and his scans have showed that his lesions had shrunk and now are gone.

      His oncologist said this was a very good sign and was pleased by it.  I am hoping the same for your husband.

      Judy (loving wife of Gene Stage IV and now NED for over 10 months.

      Gene_S
      Participant

      Hello

      I think it can mean something good for you.  My husband's was very high (1200) and the scans showed he had moved to stage IV before he started in his clinical trial and as time went on it was down in the normal range and his scans have showed that his lesions had shrunk and now are gone.

      His oncologist said this was a very good sign and was pleased by it.  I am hoping the same for your husband.

      Judy (loving wife of Gene Stage IV and now NED for over 10 months.

      Tina D
      Participant

      As in the first post, LDH raises in response to tissue damge. Other factors can raise your LDh, so it is not a tumor marker as they use in some other cancers… but it can be a good indicator if there is much change in either direction, and this is why they monitor it.Having it trend down may likely be a sign of a lessening tumor load.But you are right, it is not definitive. Nothing will tell you for certain until the scans are done. However, it sounds like you have reason for optimism here, though! Do you know how high they had gone, and what they were on the last check?

      Tina

      Tina D
      Participant

      As in the first post, LDH raises in response to tissue damge. Other factors can raise your LDh, so it is not a tumor marker as they use in some other cancers… but it can be a good indicator if there is much change in either direction, and this is why they monitor it.Having it trend down may likely be a sign of a lessening tumor load.But you are right, it is not definitive. Nothing will tell you for certain until the scans are done. However, it sounds like you have reason for optimism here, though! Do you know how high they had gone, and what they were on the last check?

      Tina

      Tina D
      Participant

      As in the first post, LDH raises in response to tissue damge. Other factors can raise your LDh, so it is not a tumor marker as they use in some other cancers… but it can be a good indicator if there is much change in either direction, and this is why they monitor it.Having it trend down may likely be a sign of a lessening tumor load.But you are right, it is not definitive. Nothing will tell you for certain until the scans are done. However, it sounds like you have reason for optimism here, though! Do you know how high they had gone, and what they were on the last check?

      Tina

      nancyg
      Participant
      Hi Tina,
      Here is the thing that totally confuses me about
      The LDH: Jan CT scan – clear LDH Normal
      March LDH normal
      May LDH normal
      July 2nd pain in side- ER room X-ray/CT- mass
      On lung / lymph nodes in chest reactive
      July 3- LDH normal
      July 11 biopsy confirmed melanoma – lung
      Pet shows activity in nodes
      July29 – begins HD IL-2
      Aug 6 LDH 308— that is the highest it has ever
      Been
      Aug 20 LDH 294
      So I guess that is good that his levels were never
      Too high, but there was melanoma spreading in
      His body and his levels never changed early on
      I guess I am just frustrated because I m trying to figure
      Everything out and with Melanoma it is NOT easy to do.
      I appreciate all the knowledgable people on here!!
      It really helps that people are so nice .
      Thank you so much,
      Nancy
      Tina D
      Participant

      No, it is NOT easy to do with melanoma… you are right. He is blessed to have you looking into things for him and trying to figure it out. The scans will be the only definitive way to show changes, for sure. I also have found this board to be full of very helpful, and knowlegable people. Especially in this day and age of so many new treatments, it is priceless to gain from each others' experiences.

      Tina

        nancyg
        Participant
        Hi Tina,
        Here is the thing that totally confuses me about
        The LDH: Jan CT scan – clear LDH Normal
        March LDH normal
        May LDH normal
        July 2nd pain in side- ER room X-ray/CT- mass
        On lung / lymph nodes in chest reactive
        July 3- LDH normal
        July 11 biopsy confirmed melanoma – lung
        Pet shows activity in nodes
        July29 – begins HD IL-2
        Aug 6 LDH 308— that is the highest it has ever
        Been
        Aug 20 LDH 294
        So I guess that is good that his levels were never
        Too high, but there was melanoma spreading in
        His body and his levels never changed early on
        I guess I am just frustrated because I m trying to figure
        Everything out and with Melanoma it is NOT easy to do.
        I appreciate all the knowledgable people on here!!
        It really helps that people are so nice .
        Thank you so much,
        Nancy
        nancyg
        Participant
        Hi Tina,
        Here is the thing that totally confuses me about
        The LDH: Jan CT scan – clear LDH Normal
        March LDH normal
        May LDH normal
        July 2nd pain in side- ER room X-ray/CT- mass
        On lung / lymph nodes in chest reactive
        July 3- LDH normal
        July 11 biopsy confirmed melanoma – lung
        Pet shows activity in nodes
        July29 – begins HD IL-2
        Aug 6 LDH 308— that is the highest it has ever
        Been
        Aug 20 LDH 294
        So I guess that is good that his levels were never
        Too high, but there was melanoma spreading in
        His body and his levels never changed early on
        I guess I am just frustrated because I m trying to figure
        Everything out and with Melanoma it is NOT easy to do.
        I appreciate all the knowledgable people on here!!
        It really helps that people are so nice .
        Thank you so much,
        Nancy
        Debbieamccoy
        Participant

        My last LDH was 5000, I guess I have a rapid progression 

        Debbieamccoy
        Participant

        My last LDH was 5000, I guess I have a rapid progression 

        Debbieamccoy
        Participant

        My last LDH was 5000, I guess I have a rapid progression 

      nancyg
      Participant
      Thank you, Judy..for your kind words!
      nancyg
      Participant
      Thank you, Judy..for your kind words!
      nancyg
      Participant
      Thank you, Judy..for your kind words!
      Tina D
      Participant

      No, it is NOT easy to do with melanoma… you are right. He is blessed to have you looking into things for him and trying to figure it out. The scans will be the only definitive way to show changes, for sure. I also have found this board to be full of very helpful, and knowlegable people. Especially in this day and age of so many new treatments, it is priceless to gain from each others' experiences.

      Tina

      Tina D
      Participant

      No, it is NOT easy to do with melanoma… you are right. He is blessed to have you looking into things for him and trying to figure it out. The scans will be the only definitive way to show changes, for sure. I also have found this board to be full of very helpful, and knowlegable people. Especially in this day and age of so many new treatments, it is priceless to gain from each others' experiences.

      Tina

Viewing 13 reply threads
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