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Leptomeningeal Disease

Forums General Melanoma Community Leptomeningeal Disease

  • Post
    TrinityME
    Participant

      2 weeks ago we found out my mom's melanoma has returned to her spinal fluid and ventricle of her brain (diagnosed via two separate spinal taps and brain MRI). She has a history of one large brain met, but had that gamma knifed and then a subsequent brain surgery a little over a year ago. Her doctor said she now has leptomeningeal disease, and we're waiting on scans (Fri: PET; Mon: spine MRI, brain MRI) to see if it's elsewhere in her body. Does anybody have anyone I could reach out to for help?? I've been searching through posts and, per other posters, have seen that Dr. Papadopoulos at MD Anderson is someone we should try (since he does intrathecal IL-2 radiation to the spinal fluid). My mom is my everything, and I have never been so scared in my life. She's battled melanoma for the last 5 years and has done interferon, il-2, ipi, gamma knife…She's both Braf and CKit negative. She has completed one round of Temodar and is set to start the second round next week…WBR has also been discussed… I just don't know what to do and I feel like her oncologist has no idea what to do either! 🙁 Any help, resources, uplifting stories, etc. would be greatly appreciated!!! 

    Viewing 11 reply threads
    • Replies
        Janner
        Participant

          Dr. Papa at MDA recently retired, not sure if others also do the intrathecal IL-2 there.

          Janner
          Participant

            Dr. Papa at MDA recently retired, not sure if others also do the intrathecal IL-2 there.

            Janner
            Participant

              Dr. Papa at MDA recently retired, not sure if others also do the intrathecal IL-2 there.

              casagrayson
              Participant

                You might try to reach out to Nancy (Snickers60) whose husband had the treatment at MD Anderson.  Here is one thread where she discusses the treatment.

                http://www.melanoma.org/find-support/patient-community/mpip-melanoma-patients-information-page/update-aldakota22#comment-72076

                casagrayson
                Participant

                  You might try to reach out to Nancy (Snickers60) whose husband had the treatment at MD Anderson.  Here is one thread where she discusses the treatment.

                  http://www.melanoma.org/find-support/patient-community/mpip-melanoma-patients-information-page/update-aldakota22#comment-72076

                  casagrayson
                  Participant

                    You might try to reach out to Nancy (Snickers60) whose husband had the treatment at MD Anderson.  Here is one thread where she discusses the treatment.

                    http://www.melanoma.org/find-support/patient-community/mpip-melanoma-patients-information-page/update-aldakota22#comment-72076

                    kalisama
                    Participant

                      I too am dealing with LMD. Here is a recent thread I started on the topic, with helpful responses. Will look more closely at your questions and see if I can be of further help to you later today.

                      http://www.melanoma.org/find-support/patient-community/mpip-melanoma-patients-information-page/leptomeningeal-disease-0

                      Bless,
                      kali

                      kalisama
                      Participant

                        I too am dealing with LMD. Here is a recent thread I started on the topic, with helpful responses. Will look more closely at your questions and see if I can be of further help to you later today.

                        http://www.melanoma.org/find-support/patient-community/mpip-melanoma-patients-information-page/leptomeningeal-disease-0

                        Bless,
                        kali

                        kalisama
                        Participant

                          I too am dealing with LMD. Here is a recent thread I started on the topic, with helpful responses. Will look more closely at your questions and see if I can be of further help to you later today.

                          http://www.melanoma.org/find-support/patient-community/mpip-melanoma-patients-information-page/leptomeningeal-disease-0

                          Bless,
                          kali

                          SStamps
                          Participant

                            Dr. Isabella Glitza took over Dr. Papa's patients being treated for liptomeningeal at MDAnderson.  My husband has been getting treament for LMD since 2011 there have been bumps in the road but he is doing good! We are headed to Houston this weekend for scans and LMD treatment. If you have question you may email me at [email protected]

                            Samantha Stamps

                            SStamps
                            Participant

                              Dr. Isabella Glitza took over Dr. Papa's patients being treated for liptomeningeal at MDAnderson.  My husband has been getting treament for LMD since 2011 there have been bumps in the road but he is doing good! We are headed to Houston this weekend for scans and LMD treatment. If you have question you may email me at [email protected]

                              Samantha Stamps

                              SStamps
                              Participant

                                Dr. Isabella Glitza took over Dr. Papa's patients being treated for liptomeningeal at MDAnderson.  My husband has been getting treament for LMD since 2011 there have been bumps in the road but he is doing good! We are headed to Houston this weekend for scans and LMD treatment. If you have question you may email me at [email protected]

                                Samantha Stamps

                                  kalisama
                                  Participant

                                    thank you samantha! 2011 that is sooooo encouraging! as if  stage IV melanoma isn't enough to be dealing with, i was convinced the LMD would take me out in months! 

                                    Bless,
                                    kali

                                    kalisama
                                    Participant

                                      thank you samantha! 2011 that is sooooo encouraging! as if  stage IV melanoma isn't enough to be dealing with, i was convinced the LMD would take me out in months! 

                                      Bless,
                                      kali

                                      SStamps
                                      Participant

                                        Kali

                                        LMD is serious we lost a friend to it 6 months after her diagnosis. Mickey started in 12-2011 had to be in the hospital for a month for induction. Then after induction the treatment was once a week for four weeks then every two weeks and so on. He is now getting half the dose every five weeks. I know there is a patient that has been getting this treatment for 20 or more years also a brother and sister that have been getting the treatment for 10 or more years! Mickey has had WBR, 1 1/2 rounds of ipi , currently on Zelboraf, cryoablation on a rib and lung, 2 brain surgeries , placed an ommaya in the brain for the treatment of LMD, in April 2013 he developed hydrocephalus and converted ommaya to shunt. When this happened there was a brief moment he didn't know who I was and the Drs didn't know if the shunt would make him better but God wasn't done with him yet. Mickey short term memory isn't great but he drives and works some. This is just some of journey together we don't know when God will call him home so we just try to enjoy our moments together. Bless you and should you want more information email me:)

                                        Samanth

                                        SStamps
                                        Participant

                                          Kali

                                          LMD is serious we lost a friend to it 6 months after her diagnosis. Mickey started in 12-2011 had to be in the hospital for a month for induction. Then after induction the treatment was once a week for four weeks then every two weeks and so on. He is now getting half the dose every five weeks. I know there is a patient that has been getting this treatment for 20 or more years also a brother and sister that have been getting the treatment for 10 or more years! Mickey has had WBR, 1 1/2 rounds of ipi , currently on Zelboraf, cryoablation on a rib and lung, 2 brain surgeries , placed an ommaya in the brain for the treatment of LMD, in April 2013 he developed hydrocephalus and converted ommaya to shunt. When this happened there was a brief moment he didn't know who I was and the Drs didn't know if the shunt would make him better but God wasn't done with him yet. Mickey short term memory isn't great but he drives and works some. This is just some of journey together we don't know when God will call him home so we just try to enjoy our moments together. Bless you and should you want more information email me:)

                                          Samanth

                                          kalisama
                                          Participant

                                            Thank you again, Samantha. I know I'm dealing with serious and unpredictable disease. I have requested a neurologist be added to my team, honestly have no earthly clue why this has not yet been done nearly 2 years into primarily brain/CNS stage IV prognosis.

                                            While tons of MRIs have been performed, I have not even had a spinal tap, however both my onc and radiation onc have diagnosed me with LMD based on the quantity and pervasiveness of tumors in the dural layer of my brain, particularly infiltrated at the Sylvian  Fissures. Symptoms include focus seizures primarily. We've upped my Keppra, to just short of hallucinating. I cannot take high doses of Dexamethasone, this last 4 +week round almost killed me. Yet we need to keep the swelling down, so I am hopeful a neurologist will have the secret recipe for me.

                                            Unfortunately I live so far from MD Anderson, heck I'm 4 hours one way to my primary onc and radiologist and an hour one way from a blood draw!

                                            I'm BRAF + and have gone from Zelb to Mek/Taf and am 2 weeks from 3rd Yervoy which I will be trying to change up to Keytruda. I'm in progression and it seems that all positivevYervoy aspects that would possibly impact my course of treatment, are also found in Keytruda.

                                            Again, thank you for reaching out, I may just take you up on your generous offer when I have the energy, which is not often these days.

                                            Blessings to you, your family and friends always,
                                            kali
                                             

                                            kalisama
                                            Participant

                                              Thank you again, Samantha. I know I'm dealing with serious and unpredictable disease. I have requested a neurologist be added to my team, honestly have no earthly clue why this has not yet been done nearly 2 years into primarily brain/CNS stage IV prognosis.

                                              While tons of MRIs have been performed, I have not even had a spinal tap, however both my onc and radiation onc have diagnosed me with LMD based on the quantity and pervasiveness of tumors in the dural layer of my brain, particularly infiltrated at the Sylvian  Fissures. Symptoms include focus seizures primarily. We've upped my Keppra, to just short of hallucinating. I cannot take high doses of Dexamethasone, this last 4 +week round almost killed me. Yet we need to keep the swelling down, so I am hopeful a neurologist will have the secret recipe for me.

                                              Unfortunately I live so far from MD Anderson, heck I'm 4 hours one way to my primary onc and radiologist and an hour one way from a blood draw!

                                              I'm BRAF + and have gone from Zelb to Mek/Taf and am 2 weeks from 3rd Yervoy which I will be trying to change up to Keytruda. I'm in progression and it seems that all positivevYervoy aspects that would possibly impact my course of treatment, are also found in Keytruda.

                                              Again, thank you for reaching out, I may just take you up on your generous offer when I have the energy, which is not often these days.

                                              Blessings to you, your family and friends always,
                                              kali
                                               

                                              kalisama
                                              Participant

                                                Thank you again, Samantha. I know I'm dealing with serious and unpredictable disease. I have requested a neurologist be added to my team, honestly have no earthly clue why this has not yet been done nearly 2 years into primarily brain/CNS stage IV prognosis.

                                                While tons of MRIs have been performed, I have not even had a spinal tap, however both my onc and radiation onc have diagnosed me with LMD based on the quantity and pervasiveness of tumors in the dural layer of my brain, particularly infiltrated at the Sylvian  Fissures. Symptoms include focus seizures primarily. We've upped my Keppra, to just short of hallucinating. I cannot take high doses of Dexamethasone, this last 4 +week round almost killed me. Yet we need to keep the swelling down, so I am hopeful a neurologist will have the secret recipe for me.

                                                Unfortunately I live so far from MD Anderson, heck I'm 4 hours one way to my primary onc and radiologist and an hour one way from a blood draw!

                                                I'm BRAF + and have gone from Zelb to Mek/Taf and am 2 weeks from 3rd Yervoy which I will be trying to change up to Keytruda. I'm in progression and it seems that all positivevYervoy aspects that would possibly impact my course of treatment, are also found in Keytruda.

                                                Again, thank you for reaching out, I may just take you up on your generous offer when I have the energy, which is not often these days.

                                                Blessings to you, your family and friends always,
                                                kali
                                                 

                                                SStamps
                                                Participant

                                                  Kali

                                                  LMD is serious we lost a friend to it 6 months after her diagnosis. Mickey started in 12-2011 had to be in the hospital for a month for induction. Then after induction the treatment was once a week for four weeks then every two weeks and so on. He is now getting half the dose every five weeks. I know there is a patient that has been getting this treatment for 20 or more years also a brother and sister that have been getting the treatment for 10 or more years! Mickey has had WBR, 1 1/2 rounds of ipi , currently on Zelboraf, cryoablation on a rib and lung, 2 brain surgeries , placed an ommaya in the brain for the treatment of LMD, in April 2013 he developed hydrocephalus and converted ommaya to shunt. When this happened there was a brief moment he didn't know who I was and the Drs didn't know if the shunt would make him better but God wasn't done with him yet. Mickey short term memory isn't great but he drives and works some. This is just some of journey together we don't know when God will call him home so we just try to enjoy our moments together. Bless you and should you want more information email me:)

                                                  Samanth

                                                  kalisama
                                                  Participant

                                                    thank you samantha! 2011 that is sooooo encouraging! as if  stage IV melanoma isn't enough to be dealing with, i was convinced the LMD would take me out in months! 

                                                    Bless,
                                                    kali

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