› Forums › General Melanoma Community › Stage IV update 6-year anniversary
- This topic has 14 replies, 6 voices, and was last updated 5 years, 1 month ago by Edwin.
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- July 24, 2018 at 12:16 am
Hi all,
I celebrated six years at stage four and still here this month. That felt good. My current update, however, is a mixed bag. Last December I had gotten completely clean scans. Prio to that, for about a year, my scans were either improving or clean. I had been taking Tafinlar/Mekenist as well as infusions of Keytruda. In January, I stopped taking Taf/Mek to see if maybe I was all clear. I immediately grew several brain tumors (one quite large) in a short time which was revealed in scans on Feb. 27th. I immediately restarted Taf/Mek and had surgery for the largest tumor on April 16th. I had no radiation. I had fresh brain scans done June 18th. Those scans were compared against the Febraury 27th scans and showed no tumors. More recently, I had a body scan (neck, chest, abdomen and pelvis) on July 11th which was clean. On that same day I alerted my oncologist to a lump on my arm near my armpit which he said was suspicious. On Monday, July 16th I had it excised. Just heard today that it was melanoma inside a lymph node. It wasn't clear to me if it was a tumor or individual tumor cells which would be an important distinction. But I have well exceeded the average time for Taf/Mek to be effective anyway so time to look for something else. Any suggestions? I am thrilled to not have active disease in dangerous locations at the moment. My oncologist is recommending re-starting Keytruda but it seems clear I was not a responder. Maybe I was a "partial" responder, but that doesn't quite cut it for long-term.
I hope you all are managing well. I hope my experience will be useful or informative for someone.
Cheer!
Maggie
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- July 24, 2018 at 1:10 am
In light of Bubbles' post on steroids, I thought I should add that while I was on Keytruda plus Taf/Mek, I experienced cyclical high fevers for which my oncologist put me on low dose prednisone (10mg) which controlled the fevers. But while doing all that, I had an outbreak of shingles last December and just overall seemed to have a whimpy immune system (colds, etc.). After April 16th brain surgery, I was weaned off the steroids entirely (Keytruda was stopped on Feb 27th) and fevers wound down completely even while continuing with Taf/Mek. My most recent neck scans showed swollen lymph nodes which is a first for me since I started any treatment. I realize swollen lymph nodes and cancer has traditionally been a bad combo, but with immunotherapy, it also seems to be rather common in people that are responders. Just thought I'd toss that in there.
Cheers!
Maggie
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- July 24, 2018 at 9:15 pm
You might ask your oncologist about the Yervoy and Opdivo combination. My melanoma spread to many more bones during the 3 months that I received Keytruda. I began Yervoy and Opdivo immunotherapy on April 1 2016. My oncologist told me that if the Yervoy and Opdivo immunotherapy failed, I would probably die within 1 year. It helped me. I can run and bicycle now.
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- July 24, 2018 at 9:32 pm
Hi Maggie, two links for you, in the first link Dr. Davies of MD Anderson at the 7:30 min mark talks about your specific situation. Now the first link was from early 2017 and since then a new targeted therapy combination was approved based on the Columbus trial. Dr. Weber talks about the # from this years ASCO on the new combination in 2nd link. I think a cake would be in order for 6 years!!! https://www.youtube.com/watch?v=4nBOF6xHzc4 https://www.medscape.com/viewarticle/898327
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- July 25, 2018 at 12:06 am
One more link with detailed explanation of new targeted therapy combination. https://m.youtube.com/watch?v=q5-WylO1O00
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- July 27, 2018 at 4:55 am
My oncologist mentioned those new BRAF drugs but if I've gone to a different mutation, not sure they would do anything, He was very excited about them las time I saw him, but that was before we found the lymph node with cancer. Thanks for the suggestion. I'm glad you're tolerating it well.
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- July 24, 2018 at 9:48 pm
Maggie,
I agree the ipi/nivo combo seems appropriate unless there's a trial your onc thinks is better. After years of being a non or partial responder I did a year on the combo, and then a big surgery that cleaned house.
I did not think I was responding either, but now 19 months post surgery I am still getting no progression.
So perhaps there is a delayed response, or help when tumor load is minimal and combo is fighting off progression at the micro level. It's the next logical step.
Best in the battle
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- July 27, 2018 at 5:30 am
Hi Maggie, Everyone has been surprised by this, including my doctors. My GP told me recently that at one point, he doubted I would be back for my next appoinment.
I have been progression-free, and off all meds since the surgery in December 2016.
Thought about removing my port, but my specilist says "don't jinx it".
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- July 27, 2018 at 1:01 am
Congrats on 6 years Maggie! That's a great accomplishment. Seems like some good options Ed and others have offered. Ipi/Nivo combo treated me pretty good. Best of luck with your upcoming decisions.
Brian
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- July 27, 2018 at 5:12 am
Thanks, Brian, I'm happy to be here. Six years is certainly a lot longer than I was expecting when I first learned about this mess. Still feeling good and nothing showed up in the danger zones on my recent scans. Glad to see you're hanging around posting.
Cheers!
Maggie
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