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Stable Tumor Size

Forums General Melanoma Community Stable Tumor Size

  • Post
    newmanmark
    Participant

      Hey guys,

      It has been a while since I have posted.  Despite still having a tumour on my pancreas I have been doing well.  In December of 2016, I started the IPI/Nivo trial (Canada) and did quite well until my pituitary was damaged and I experienced severe arthritis.  I remained on the nivo for 7 months and then decided to take a break.  My tumour has shrunk from 8.5cm to 2.1cm in that amount of time.  Pretty amazing!  However on the latest CT it shows the tumor is the same size it was on my last CT (October 2017).  Im happy it hasn't grown but would prefer it to be gone!  I asked my oncologist if it could just be scar tissue and not necessarily the melanoma.  She thought there was a chance of this and it could just be inflammed tissue but they don't really know.  She said at this point it is up to me if I want to continue with the break or continue with the Nivo.

      How is this situation being tackled in the U.S. when you get to a point where the tumor stops skrinking?  biopsy, PET scan, etc??

      Thanks

      Mark 

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    • Replies
        sister of patient
        Participant

          Hi Mark – we're in Ontario and my sister is on Nivo and NED after battling a huge tumour burden. In the end she had one stubborn met left in the pancreas, scan to scan it stayed the same or shrunk very little and then **poof** on a scan last summer, it was gone. She's finishing up immuno sometime this spring – it'll be about the 2-year mark. I think if I was in your place, and had such a response as you've had, I'd stick it out with nivo 'til that pesky met is gone!! Just my thoughts 🙂 I wish you the best whatever you decide!!

          Barb

            newmanmark
            Participant

              Thanks Barb.  I really appreicate your response and I'm happy to hear that your sister is doing well after such a huge tumour burden.  

            Bubbles
            Participant

              Hey Mark,

              Glad for the stability.  Unfortunately, there is no set answer for you.  Some continue to  monitor with scans.  Some biopsy.  Some remove the lesion surgically to see what is really in there….active melanoma vs debris…and either way, then it is gone.  It varies depending on the views/wishes of the patient and doc.  In so many ways melanoma treatment still lacks consensus.  Anyhow…hang tough.  Let us know what you decide.  I wish you my best.  celeste

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