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Reoccurrence

Forums General Melanoma Community Reoccurrence

  • Post
    Jenine
    Participant

      Hello all,

      My husband was diagnosed with stage IIIC Melanoma two years ago.    He underwent immunotherapy including the maintenance program.    He had a CAT scan in June which showed nothing even though he felt pain in the center of his chest. Three months later he had a PET scan which resulted in a tumor in  his lymph node and sternum. Has anyone else experienced  something similar?   Maybe I'm naïve but I wasn't expecting a reoccurrence somehow.   So worried.  I'm trying to figure things out and be  strong for my husband and children.   Any input or suggestions for treatment you may have would be appreciated.

      Wishing everyone strength and good health.

      Thank you,

      Jenine

       

       

       

       

       

       

    Viewing 8 reply threads
    • Replies
        Bubbles
        Participant

          Hi Jenine,

          What immunotherapy did your husband complete? What is his BRAf status? Those are important to know when thinking about future care. Sorry that you and your husband are dealing with this. Sadly, melanoma plays by its own rules and many do deal with recurrences. Hang in there. Celeste

          Bubbles
          Participant

            Hi Jenine,

            What immunotherapy did your husband complete? What is his BRAf status? Those are important to know when thinking about future care. Sorry that you and your husband are dealing with this. Sadly, melanoma plays by its own rules and many do deal with recurrences. Hang in there. Celeste

              Jenine
              Participant

                Hello Celeste,

                 Thank you for replying to my question.   We are still waiting for bills Braf test to come back.  From what I understand it will either be positive or negative.   Our doctors have talked to us about participating in a case study13-105.    I believe it's a combination of Keytruda, Braf  inhibitor or maybe Peg.  All these drug names are a bit confusing to me right now.  Maybe I will better understand once his braf results are determined. 

                God bless you,

                Jenine

                Jenine
                Participant

                  Hello Celeste,

                   Thank you for replying to my question.   We are still waiting for bills Braf test to come back.  From what I understand it will either be positive or negative.   Our doctors have talked to us about participating in a case study13-105.    I believe it's a combination of Keytruda, Braf  inhibitor or maybe Peg.  All these drug names are a bit confusing to me right now.  Maybe I will better understand once his braf results are determined. 

                  God bless you,

                  Jenine

                  Jenine
                  Participant

                    Hello Celeste,

                     Thank you for replying to my question.   We are still waiting for bills Braf test to come back.  From what I understand it will either be positive or negative.   Our doctors have talked to us about participating in a case study13-105.    I believe it's a combination of Keytruda, Braf  inhibitor or maybe Peg.  All these drug names are a bit confusing to me right now.  Maybe I will better understand once his braf results are determined. 

                    God bless you,

                    Jenine

                  Bubbles
                  Participant

                    Hi Jenine,

                    What immunotherapy did your husband complete? What is his BRAf status? Those are important to know when thinking about future care. Sorry that you and your husband are dealing with this. Sadly, melanoma plays by its own rules and many do deal with recurrences. Hang in there. Celeste

                    beans920
                    Participant

                      Hello Jenine,  I have had cancer on my sternum and also had Yervoy and 1 maintenance dose.  All was clear for 10 months and the cancer came back to the sternum.  Had radiation which appeared to kill it but 7 months later it came back to the sternum.  Now I've had a heavy dose of radiation and Pembro at the same time.  Radiation was in late June early July and my Pembro started 2 weeks before that.  I just had my 6th dose of Pembro and finally had scans.  Tumor has shrunk by 60% and I can't feel it.  New we were working in the right direction after the 3rd dose of Pembro as I could feel it shrinking in size.  The Pembro has been very easy to deal with compared to Yervoy with very few side effects.  Mine grew very  quickly and my Drs. were surprised by its size but thats melanoma.  Hope this helps a little.  My prayers to your family.  Beans

                        Jenine
                        Participant

                          Hello Beans,

                          Sounds like you're heading in the right direction and your tumors are shrinking.   Glad you have less side effects from pembro.  This is my husband's second go around with melanoma. The tumor on his sternum is quite painful.    He also has a tumor on his neck in a lymph lode which is rather large but does not seem to hurt.  We may be participating in trial study 13–105.    No radiation or surgery as part of our treatment right now.  Stay strong Beans!

                          God bless you,

                          Jenine

                          Jenine
                          Participant

                            Hello Beans,

                            Sounds like you're heading in the right direction and your tumors are shrinking.   Glad you have less side effects from pembro.  This is my husband's second go around with melanoma. The tumor on his sternum is quite painful.    He also has a tumor on his neck in a lymph lode which is rather large but does not seem to hurt.  We may be participating in trial study 13–105.    No radiation or surgery as part of our treatment right now.  Stay strong Beans!

                            God bless you,

                            Jenine

                            Jenine
                            Participant

                              Hello Beans,

                              Sounds like you're heading in the right direction and your tumors are shrinking.   Glad you have less side effects from pembro.  This is my husband's second go around with melanoma. The tumor on his sternum is quite painful.    He also has a tumor on his neck in a lymph lode which is rather large but does not seem to hurt.  We may be participating in trial study 13–105.    No radiation or surgery as part of our treatment right now.  Stay strong Beans!

                              God bless you,

                              Jenine

                              beans920
                              Participant

                                Hi Jenine, You mentioned your husbands tumor on sternum is quite painful.  My Drs. often asked me how painful ime was and they couldn't believe me when I told them I rarely felt anything even as it grew quite large.  I could feel it with my hand but I would say very little if any pain.  Just shows what a bastard disease this is.  Just wanted to mention when I had the Yervoy it was in a trial with Interferon also given.  Made me feel like I was in another state of mind, miserable.  Prayers for you and your entire family, hang in there.  Beans

                                beans920
                                Participant

                                  Hi Jenine, You mentioned your husbands tumor on sternum is quite painful.  My Drs. often asked me how painful ime was and they couldn't believe me when I told them I rarely felt anything even as it grew quite large.  I could feel it with my hand but I would say very little if any pain.  Just shows what a bastard disease this is.  Just wanted to mention when I had the Yervoy it was in a trial with Interferon also given.  Made me feel like I was in another state of mind, miserable.  Prayers for you and your entire family, hang in there.  Beans

                                  beans920
                                  Participant

                                    Hi Jenine, You mentioned your husbands tumor on sternum is quite painful.  My Drs. often asked me how painful ime was and they couldn't believe me when I told them I rarely felt anything even as it grew quite large.  I could feel it with my hand but I would say very little if any pain.  Just shows what a bastard disease this is.  Just wanted to mention when I had the Yervoy it was in a trial with Interferon also given.  Made me feel like I was in another state of mind, miserable.  Prayers for you and your entire family, hang in there.  Beans

                                  beans920
                                  Participant

                                    Hello Jenine,  I have had cancer on my sternum and also had Yervoy and 1 maintenance dose.  All was clear for 10 months and the cancer came back to the sternum.  Had radiation which appeared to kill it but 7 months later it came back to the sternum.  Now I've had a heavy dose of radiation and Pembro at the same time.  Radiation was in late June early July and my Pembro started 2 weeks before that.  I just had my 6th dose of Pembro and finally had scans.  Tumor has shrunk by 60% and I can't feel it.  New we were working in the right direction after the 3rd dose of Pembro as I could feel it shrinking in size.  The Pembro has been very easy to deal with compared to Yervoy with very few side effects.  Mine grew very  quickly and my Drs. were surprised by its size but thats melanoma.  Hope this helps a little.  My prayers to your family.  Beans

                                    beans920
                                    Participant

                                      Hello Jenine,  I have had cancer on my sternum and also had Yervoy and 1 maintenance dose.  All was clear for 10 months and the cancer came back to the sternum.  Had radiation which appeared to kill it but 7 months later it came back to the sternum.  Now I've had a heavy dose of radiation and Pembro at the same time.  Radiation was in late June early July and my Pembro started 2 weeks before that.  I just had my 6th dose of Pembro and finally had scans.  Tumor has shrunk by 60% and I can't feel it.  New we were working in the right direction after the 3rd dose of Pembro as I could feel it shrinking in size.  The Pembro has been very easy to deal with compared to Yervoy with very few side effects.  Mine grew very  quickly and my Drs. were surprised by its size but thats melanoma.  Hope this helps a little.  My prayers to your family.  Beans

                                      BrianP
                                      Participant

                                        Jenine,

                                        Sorry your family is having to deal with this.  It sucks.  No other way to say it. 

                                        I did a quick google search on the trial you mentioned.  Only results I found were concerning the DLTs (Dose limiting Toxicity) of the Phase I trials.  Generally during phase I they are looking to see how much of a drug the patients can withstand and then once they figure that out in Phase II they try and find the optimal dose.  Are you being seen at Pittsburgh?  Pittsburgh and a Dr. Kirkwood have a long history with interferon.  I will tell you interferon as a solo drug is and has been a controversial drug for a long time.  How it will work in conjunction with MK 3475 (also know as pembroluzimab or Keytruda) is still unknow. 

                                        As others have mentioned, there seems to be a lot of benefit with doing radiation and Pembro at the same time.  That would be an option to discuss with your doctors.  Being in a trial has many advantages and disadvantages.  A couple advantage are you get a lot of monitoring and scans and also the drug is provided free.  Depending on your insurance and financial situation that can be huge when one infusion of pembro can be in excess of $10,000.

                                        I'm a big advocate of trials.  There are many good ones now that are combining a Anti-PD1 drug (such as Pembo or another drug known as Nivolumab or Opdivo) with another novel drug.  You may want to go to clinicaltrials.gov and do a search for melanoma.  You can then go to the map tab and click on the state or states near you to see trials which are available near you.  MRF also has a free trial finder service. 

                                        Best of luck.  This is a great place for knowlege and emotional support.  Suggest you check out Celeste's blog.  It is a weath of knowledge.

                                        Brian

                                        BrianP
                                        Participant

                                          Jenine,

                                          Sorry your family is having to deal with this.  It sucks.  No other way to say it. 

                                          I did a quick google search on the trial you mentioned.  Only results I found were concerning the DLTs (Dose limiting Toxicity) of the Phase I trials.  Generally during phase I they are looking to see how much of a drug the patients can withstand and then once they figure that out in Phase II they try and find the optimal dose.  Are you being seen at Pittsburgh?  Pittsburgh and a Dr. Kirkwood have a long history with interferon.  I will tell you interferon as a solo drug is and has been a controversial drug for a long time.  How it will work in conjunction with MK 3475 (also know as pembroluzimab or Keytruda) is still unknow. 

                                          As others have mentioned, there seems to be a lot of benefit with doing radiation and Pembro at the same time.  That would be an option to discuss with your doctors.  Being in a trial has many advantages and disadvantages.  A couple advantage are you get a lot of monitoring and scans and also the drug is provided free.  Depending on your insurance and financial situation that can be huge when one infusion of pembro can be in excess of $10,000.

                                          I'm a big advocate of trials.  There are many good ones now that are combining a Anti-PD1 drug (such as Pembo or another drug known as Nivolumab or Opdivo) with another novel drug.  You may want to go to clinicaltrials.gov and do a search for melanoma.  You can then go to the map tab and click on the state or states near you to see trials which are available near you.  MRF also has a free trial finder service. 

                                          Best of luck.  This is a great place for knowlege and emotional support.  Suggest you check out Celeste's blog.  It is a weath of knowledge.

                                          Brian

                                          BrianP
                                          Participant

                                            Jenine,

                                            Sorry your family is having to deal with this.  It sucks.  No other way to say it. 

                                            I did a quick google search on the trial you mentioned.  Only results I found were concerning the DLTs (Dose limiting Toxicity) of the Phase I trials.  Generally during phase I they are looking to see how much of a drug the patients can withstand and then once they figure that out in Phase II they try and find the optimal dose.  Are you being seen at Pittsburgh?  Pittsburgh and a Dr. Kirkwood have a long history with interferon.  I will tell you interferon as a solo drug is and has been a controversial drug for a long time.  How it will work in conjunction with MK 3475 (also know as pembroluzimab or Keytruda) is still unknow. 

                                            As others have mentioned, there seems to be a lot of benefit with doing radiation and Pembro at the same time.  That would be an option to discuss with your doctors.  Being in a trial has many advantages and disadvantages.  A couple advantage are you get a lot of monitoring and scans and also the drug is provided free.  Depending on your insurance and financial situation that can be huge when one infusion of pembro can be in excess of $10,000.

                                            I'm a big advocate of trials.  There are many good ones now that are combining a Anti-PD1 drug (such as Pembo or another drug known as Nivolumab or Opdivo) with another novel drug.  You may want to go to clinicaltrials.gov and do a search for melanoma.  You can then go to the map tab and click on the state or states near you to see trials which are available near you.  MRF also has a free trial finder service. 

                                            Best of luck.  This is a great place for knowlege and emotional support.  Suggest you check out Celeste's blog.  It is a weath of knowledge.

                                            Brian

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