› Forums › General Melanoma Community › LDH levels
- This topic has 24 replies, 6 voices, and was last updated 9 years, 2 months ago by Debbieamccoy.
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- August 30, 2013 at 9:44 pm
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!!
NancyMy 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
- Replies
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- August 30, 2013 at 9:53 pm
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."
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- August 30, 2013 at 9:53 pm
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."
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- August 30, 2013 at 9:53 pm
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."
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- August 31, 2013 at 2:58 am
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
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- August 31, 2013 at 2:58 am
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
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- August 31, 2013 at 2:58 am
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
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- August 31, 2013 at 1:12 pm
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.
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- August 31, 2013 at 1:12 pm
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.
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- August 31, 2013 at 1:12 pm
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.
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- September 2, 2013 at 12:12 pm
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
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- September 2, 2013 at 12:12 pm
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
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- September 2, 2013 at 12:12 pm
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
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- September 2, 2013 at 1:42 pm
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 -
- September 3, 2013 at 2:30 am
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
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- September 2, 2013 at 1:42 pm
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 -
- September 2, 2013 at 1:42 pm
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 -
- September 27, 2015 at 2:21 am
My last LDH was 5000, I guess I have a rapid progression
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- September 27, 2015 at 2:21 am
My last LDH was 5000, I guess I have a rapid progression
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- September 27, 2015 at 2:21 am
My last LDH was 5000, I guess I have a rapid progression
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- September 3, 2013 at 2:30 am
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
-
- September 3, 2013 at 2:30 am
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
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