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“Tumor Load”

Forums General Melanoma Community “Tumor Load”

  • Post
    theresar
    Participant

      I frequently read on these posts people talking about their tumor burden or tumor load. What exactly does that mean? Does it have have anything to do with the LDH factor or some other lab tests or just the number of tumors one has.

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    • Replies
        BrianP
        Participant

          Good question.  I've always considered it kind of a subjective thing.  Just a few tumors, none of which are very large and none of which are causing problems with vital organs would in my mind equate to a low tumor burden.  Numerous tumors, problematic functioning of organs due to tumors, high LDH level, etc… would in my mind equate to a high tumor burden.  Maybe there is a clinical definition of these items.  Never thought about it.

          Brian

            RJoeyB
            Participant

              I've generally always thought about it the same way as Brian, very subjective; for example, I have always considered myself to have a low tumor burden — but only relative to what I know others have faced.  You may see the term used in a more clinical setting, for example when using the "RECIST criteria" to determine if a certain treatment has resulted in stable disease, disease response (to treatment), or disease progression.  With RECIST, tumors are measured and the size is totaled up, and then compared, usually from scan to scan.  However, it often isn't all tumors included in the total, but a subset of "target lesions".  And even with RECIST, there isn't a scale that says that a tumor load of a certain size implies a low, medium, or high load, it's all relative to an initial baseline.  So in the case of RECIST, a doctor may say, "Your tumor load has decreased by 20%, so you have a partial response."  Again though, in general, it's what Brian said — and certainly what nearly everyone means when they discuss tumor burden/load here on this forum.  

              RJoeyB
              Participant

                I've generally always thought about it the same way as Brian, very subjective; for example, I have always considered myself to have a low tumor burden — but only relative to what I know others have faced.  You may see the term used in a more clinical setting, for example when using the "RECIST criteria" to determine if a certain treatment has resulted in stable disease, disease response (to treatment), or disease progression.  With RECIST, tumors are measured and the size is totaled up, and then compared, usually from scan to scan.  However, it often isn't all tumors included in the total, but a subset of "target lesions".  And even with RECIST, there isn't a scale that says that a tumor load of a certain size implies a low, medium, or high load, it's all relative to an initial baseline.  So in the case of RECIST, a doctor may say, "Your tumor load has decreased by 20%, so you have a partial response."  Again though, in general, it's what Brian said — and certainly what nearly everyone means when they discuss tumor burden/load here on this forum.  

                RJoeyB
                Participant

                  I've generally always thought about it the same way as Brian, very subjective; for example, I have always considered myself to have a low tumor burden — but only relative to what I know others have faced.  You may see the term used in a more clinical setting, for example when using the "RECIST criteria" to determine if a certain treatment has resulted in stable disease, disease response (to treatment), or disease progression.  With RECIST, tumors are measured and the size is totaled up, and then compared, usually from scan to scan.  However, it often isn't all tumors included in the total, but a subset of "target lesions".  And even with RECIST, there isn't a scale that says that a tumor load of a certain size implies a low, medium, or high load, it's all relative to an initial baseline.  So in the case of RECIST, a doctor may say, "Your tumor load has decreased by 20%, so you have a partial response."  Again though, in general, it's what Brian said — and certainly what nearly everyone means when they discuss tumor burden/load here on this forum.  

                BrianP
                Participant

                  Good question.  I've always considered it kind of a subjective thing.  Just a few tumors, none of which are very large and none of which are causing problems with vital organs would in my mind equate to a low tumor burden.  Numerous tumors, problematic functioning of organs due to tumors, high LDH level, etc… would in my mind equate to a high tumor burden.  Maybe there is a clinical definition of these items.  Never thought about it.

                  Brian

                  BrianP
                  Participant

                    Good question.  I've always considered it kind of a subjective thing.  Just a few tumors, none of which are very large and none of which are causing problems with vital organs would in my mind equate to a low tumor burden.  Numerous tumors, problematic functioning of organs due to tumors, high LDH level, etc… would in my mind equate to a high tumor burden.  Maybe there is a clinical definition of these items.  Never thought about it.

                    Brian

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