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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

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