› Forums › General Melanoma Community › Moving on from radiation to Opdivo + Yervoy
- This topic has 7 replies, 4 voices, and was last updated 5 years ago by iskitwo.
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- April 23, 2019 at 12:22 am
So after almost of a year of Opdivo and positive results I had one stubborn met show up on the iliac (upper part of hip bone). I then had 5 rounds of radiation and waited the 6-8 weeks to find out that the radiation didn't help and the met has doubled in size since late Dec. My doctor is recommending opdivo + yervoy. I have done very well on opdivo with minimal side effects. I am hoping for minimal side effects with the new treatment but know the reality is that the chance of side effect are much higher. My CT scans stated Continued increase in size of metastasis with extraosseous necrotic tumor now 4.6 cm x 4.4cm previously 2.9cm x 1.6cm. Wondering about the statement "extraosseous necrotic"?? Thanks for any insight!
Thanks,
Missy
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- April 23, 2019 at 1:58 pm
Hi Missy, could you give a little more information on the report that has the term "extraosseous necrotic". It is easier to make sense when in context with other sentences in the report. Best Wishes that the combination does the trick!!!Ed
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- April 23, 2019 at 3:29 pm
This one is outside my pay grade, I hope some one else can help with their personal experiences!!!
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- April 23, 2019 at 3:39 pm
Hey Missy,
Technically "extraosseous necrotic" means – "outside the bone" and "dead or dying". So…I think your radiation did some good!!! Though the tumor you have did increase in size from the 2.9 X1.6 cm to 4.6 X 4.4cm, that increase could well be due to inflammation and deterioration caused by the radiation!! The tumor now looks like it is outside the bone and made up of dead or dying material. It still think the ipi/nivo combo is a good idea since this tumor didn't respond to Opdivo alone. However, I am betting this will either disappear or just sit there as the lump of mess that it is. HA! Additionally, we have learned that radiation combined with immunotherapy is much more effective than either treatment alone. Lots of reports here if you are interested: https://chaoticallypreciselifeloveandmelanoma.blogspot.com/search?q=radiation+and+immunotherapy
Hope this helps. Wishing you my best. celeste
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- April 23, 2019 at 9:46 pm
I have an iliac met and just finished 4 rounds of the combo. Very minimal side effects ( fatigue, joint pain.) my recent scan showed it shrunk in half. It was about the same size as yours. I had previously done Opdivo for a year.
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