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When you Respond to Treatment

Forums General Melanoma Community When you Respond to Treatment

  • Post
    JoshF
    Participant

      GoodMorning!!!

      So I didn't know how to frame the subject up to reflect what Ireally want to ask people who have responded to treatments.

      This is for those that had palpable lymph nodes or sub-q's….

      How long until you noticed things shrinking once treatment started? Weeks….days??

      Once things started shrinking how long did it take to resolve…go away?

      So I have numerous sub-q's but I notice 1-2 of them are noticeably smaller while others haven't changed though I have aother that is sore…possible Tcell inflammation? It's been just over 3 weeks since Tcell infusion. They said give it time but I never had this experience before and don't know what to expect. I'm grateful that it appears my immune system is attempting to mount a response. Any experiences anyone can share would be great!!!

      Be well all!

      Josh

    Viewing 35 reply threads
    • Replies
        Casitas1
        Participant

          Hey Josh, I had a golf ball sized tumor in my cheek that had popped through the inside of mouth. there was one piece that i was chewing on every time i would eat. Two weeks after 1st. infusion of Pembro i noticed it shrinking and it slowly shrunk for six months until NED. Also had one node and a bone met that were gone as well. Hope this helps….

          Great to hear you are responding!

          Best, Paul

          Casitas1
          Participant

            Hey Josh, I had a golf ball sized tumor in my cheek that had popped through the inside of mouth. there was one piece that i was chewing on every time i would eat. Two weeks after 1st. infusion of Pembro i noticed it shrinking and it slowly shrunk for six months until NED. Also had one node and a bone met that were gone as well. Hope this helps….

            Great to hear you are responding!

            Best, Paul

            Casitas1
            Participant

              Hey Josh, I had a golf ball sized tumor in my cheek that had popped through the inside of mouth. there was one piece that i was chewing on every time i would eat. Two weeks after 1st. infusion of Pembro i noticed it shrinking and it slowly shrunk for six months until NED. Also had one node and a bone met that were gone as well. Hope this helps….

              Great to hear you are responding!

              Best, Paul

              Patrisa
              Participant

                Hey Josh,

                my father has been on pembro for 9months now, his only subq met was really large, it started to shrink a little after second infusion (6 weeks) and then it went down rapidly… at his 3 month mark and first scan it was almost completely gone…

                Hang in there Josh!

                Love,

                 

                Patrisa

                Patrisa
                Participant

                  Hey Josh,

                  my father has been on pembro for 9months now, his only subq met was really large, it started to shrink a little after second infusion (6 weeks) and then it went down rapidly… at his 3 month mark and first scan it was almost completely gone…

                  Hang in there Josh!

                  Love,

                   

                  Patrisa

                  Patrisa
                  Participant

                    Hey Josh,

                    my father has been on pembro for 9months now, his only subq met was really large, it started to shrink a little after second infusion (6 weeks) and then it went down rapidly… at his 3 month mark and first scan it was almost completely gone…

                    Hang in there Josh!

                    Love,

                     

                    Patrisa

                    Patina
                    Participant
                      Hi Josh,

                      My Mom had gamma knife radiation and ipi 4 days apart. 3 or 4 days after the infusion the tumors on her scalp and the tumor on her neck started tingling and they became firm.

                      By the 2nd infusion the tumors were much smaller. By the time she should have had her 3rd infusion some were gone including the one on her neck.

                      She got colitis and could not get her 3rd infusion for 3 months, but during that time the tumors on her scalp and neck were gone and just the blue color under he skin remained. Another 3 months out her skin was pink and all the tumors were gone.

                      I will keep my fingers crossed for you!

                      Good Luck!

                      Patina
                      Participant
                        Hi Josh,

                        My Mom had gamma knife radiation and ipi 4 days apart. 3 or 4 days after the infusion the tumors on her scalp and the tumor on her neck started tingling and they became firm.

                        By the 2nd infusion the tumors were much smaller. By the time she should have had her 3rd infusion some were gone including the one on her neck.

                        She got colitis and could not get her 3rd infusion for 3 months, but during that time the tumors on her scalp and neck were gone and just the blue color under he skin remained. Another 3 months out her skin was pink and all the tumors were gone.

                        I will keep my fingers crossed for you!

                        Good Luck!

                        Patina
                        Participant
                          Hi Josh,

                          My Mom had gamma knife radiation and ipi 4 days apart. 3 or 4 days after the infusion the tumors on her scalp and the tumor on her neck started tingling and they became firm.

                          By the 2nd infusion the tumors were much smaller. By the time she should have had her 3rd infusion some were gone including the one on her neck.

                          She got colitis and could not get her 3rd infusion for 3 months, but during that time the tumors on her scalp and neck were gone and just the blue color under he skin remained. Another 3 months out her skin was pink and all the tumors were gone.

                          I will keep my fingers crossed for you!

                          Good Luck!

                          Julie in SoCal
                          Participant

                            Hey Josh,

                            Sounds like you're responding!!  This is great news.

                            I had numerous sub-qs all up my arm.  It took a few weeks (4-5?) after pembro (more after ipi, I think) but they got sore, a bit larger, and then melted away to nothing (Ok I always think of the wicked witch from the wizard of Oz when I think of them melting, but I digress!).  It was fantastic to watch and so encouraging.  Once they stopped shrinking, sometimes a small lump was left.  Rock Star Doc said that it was just the shell of a dead tumor.  It took a little longer (months) but eventually even those critters disappeared. 

                            I am ridiculously happy that this is happening for you too!  Happy dancing here in So Cal with you!

                            Julie

                            Julie in SoCal
                            Participant

                              Hey Josh,

                              Sounds like you're responding!!  This is great news.

                              I had numerous sub-qs all up my arm.  It took a few weeks (4-5?) after pembro (more after ipi, I think) but they got sore, a bit larger, and then melted away to nothing (Ok I always think of the wicked witch from the wizard of Oz when I think of them melting, but I digress!).  It was fantastic to watch and so encouraging.  Once they stopped shrinking, sometimes a small lump was left.  Rock Star Doc said that it was just the shell of a dead tumor.  It took a little longer (months) but eventually even those critters disappeared. 

                              I am ridiculously happy that this is happening for you too!  Happy dancing here in So Cal with you!

                              Julie

                              Julie in SoCal
                              Participant

                                Hey Josh,

                                Sounds like you're responding!!  This is great news.

                                I had numerous sub-qs all up my arm.  It took a few weeks (4-5?) after pembro (more after ipi, I think) but they got sore, a bit larger, and then melted away to nothing (Ok I always think of the wicked witch from the wizard of Oz when I think of them melting, but I digress!).  It was fantastic to watch and so encouraging.  Once they stopped shrinking, sometimes a small lump was left.  Rock Star Doc said that it was just the shell of a dead tumor.  It took a little longer (months) but eventually even those critters disappeared. 

                                I am ridiculously happy that this is happening for you too!  Happy dancing here in So Cal with you!

                                Julie

                                dvd
                                Participant

                                  Josh –

                                  When I started in the combi ipi/nivo trial (Jan 7, 2014) I had about a dozen sub-q lesions on my scalp, all hard and about the size of a pea. The first change I noticed was in about 2 weeks when they became a bit more inflamed (sore) and started to soften up. I also had a large tumor about the size of a lemon in my calf muscle. I had asked the oncologist about a possible resection of that tumor since it was isolated and accessible. I thought his answer was a bit bizarre when he said he wanted to leave it because it was so easily palpable and he could assess my response to therapy by checking it regularly. My other tumors (lungs, spine, neck) could only be seen/tracked on imaging studies. The leg tumor, which had been hard as a rock, started to soften at 2-3 weeks, about the same time my pulmonary symptoms of shortness of breath and coughing started to resolve. The "softening" of the tumors continued until by about 10 weeks into the trial, when they had completely resolved with only a little residual soreness in my leg. A 12 week CT/PET showed resolution of all tumors with just some lucency in the bones where tumors had been. Even this normalized over the next 3 months and I continue to be NED.

                                  Here's hoping a similar experience for you…

                                   

                                  DVD

                                  dvd
                                  Participant

                                    Josh –

                                    When I started in the combi ipi/nivo trial (Jan 7, 2014) I had about a dozen sub-q lesions on my scalp, all hard and about the size of a pea. The first change I noticed was in about 2 weeks when they became a bit more inflamed (sore) and started to soften up. I also had a large tumor about the size of a lemon in my calf muscle. I had asked the oncologist about a possible resection of that tumor since it was isolated and accessible. I thought his answer was a bit bizarre when he said he wanted to leave it because it was so easily palpable and he could assess my response to therapy by checking it regularly. My other tumors (lungs, spine, neck) could only be seen/tracked on imaging studies. The leg tumor, which had been hard as a rock, started to soften at 2-3 weeks, about the same time my pulmonary symptoms of shortness of breath and coughing started to resolve. The "softening" of the tumors continued until by about 10 weeks into the trial, when they had completely resolved with only a little residual soreness in my leg. A 12 week CT/PET showed resolution of all tumors with just some lucency in the bones where tumors had been. Even this normalized over the next 3 months and I continue to be NED.

                                    Here's hoping a similar experience for you…

                                     

                                    DVD

                                    dvd
                                    Participant

                                      Josh –

                                      When I started in the combi ipi/nivo trial (Jan 7, 2014) I had about a dozen sub-q lesions on my scalp, all hard and about the size of a pea. The first change I noticed was in about 2 weeks when they became a bit more inflamed (sore) and started to soften up. I also had a large tumor about the size of a lemon in my calf muscle. I had asked the oncologist about a possible resection of that tumor since it was isolated and accessible. I thought his answer was a bit bizarre when he said he wanted to leave it because it was so easily palpable and he could assess my response to therapy by checking it regularly. My other tumors (lungs, spine, neck) could only be seen/tracked on imaging studies. The leg tumor, which had been hard as a rock, started to soften at 2-3 weeks, about the same time my pulmonary symptoms of shortness of breath and coughing started to resolve. The "softening" of the tumors continued until by about 10 weeks into the trial, when they had completely resolved with only a little residual soreness in my leg. A 12 week CT/PET showed resolution of all tumors with just some lucency in the bones where tumors had been. Even this normalized over the next 3 months and I continue to be NED.

                                      Here's hoping a similar experience for you…

                                       

                                      DVD

                                      Scooby123
                                      Participant

                                        Hi Josh, 

                                        so glad treatment is working Hun. When I was on ippi I notice subs seemed to get bigger but after second dose started to go down. 

                                        So pleased for you xx

                                        scooby123

                                        Scooby123
                                        Participant

                                          Hi Josh, 

                                          so glad treatment is working Hun. When I was on ippi I notice subs seemed to get bigger but after second dose started to go down. 

                                          So pleased for you xx

                                          scooby123

                                          Scooby123
                                          Participant

                                            Hi Josh, 

                                            so glad treatment is working Hun. When I was on ippi I notice subs seemed to get bigger but after second dose started to go down. 

                                            So pleased for you xx

                                            scooby123

                                            casagrayson
                                            Participant

                                              Josh,  I have absolutely nothing of help to offer.  I just wanted to say how nice it is to see a post from you that feels upbeat.  You can and will beat this beast!!

                                              casagrayson
                                              Participant

                                                Josh,  I have absolutely nothing of help to offer.  I just wanted to say how nice it is to see a post from you that feels upbeat.  You can and will beat this beast!!

                                                casagrayson
                                                Participant

                                                  Josh,  I have absolutely nothing of help to offer.  I just wanted to say how nice it is to see a post from you that feels upbeat.  You can and will beat this beast!!

                                                  Polymath
                                                  Participant

                                                    Hey Josh,

                                                    Great to hear from you and glad something seems to be happening with your treatment.  I have had chronic sub-q's over the almost four years since diagnosis.  My first drug therapy, BRAF inhibitor Zelboraf (vemurafenib) attacked the tumors with blinding speed, shrinking was noticeable within days.  Unfortunately success was short-lived.  I have been a non-responder to almost everything since, and needed radiation to destroy three, large sub-q's that were really causing problems in my life.  I would add that it seems not all tumors are created equal, even within the individual, as I have had a range of results from total destruction, now imperceptible on scans, to one that never went away completely, and started to grow back, and another that shrunk to the size of a peanut but is likely necrotic tissue. Mel refuses to follow any set of rules.  Best to you as always.

                                                    Gary

                                                    Polymath
                                                    Participant

                                                      Hey Josh,

                                                      Great to hear from you and glad something seems to be happening with your treatment.  I have had chronic sub-q's over the almost four years since diagnosis.  My first drug therapy, BRAF inhibitor Zelboraf (vemurafenib) attacked the tumors with blinding speed, shrinking was noticeable within days.  Unfortunately success was short-lived.  I have been a non-responder to almost everything since, and needed radiation to destroy three, large sub-q's that were really causing problems in my life.  I would add that it seems not all tumors are created equal, even within the individual, as I have had a range of results from total destruction, now imperceptible on scans, to one that never went away completely, and started to grow back, and another that shrunk to the size of a peanut but is likely necrotic tissue. Mel refuses to follow any set of rules.  Best to you as always.

                                                      Gary

                                                        JoshF
                                                        Participant

                                                          Thanks Gary…good to hear from you! As I mentioned I've only had 1 for sure that has shrunk, the other I believe is starting to shrink…not noticeable yet. I have at least 4-5 more that haven't done anything. It's only been just over 3 weeks since cell infusion and again they said give it time. Just hard to know what to expect or what's going on with tumors inside. Time will tell. 

                                                          Josh

                                                          JoshF
                                                          Participant

                                                            Thanks Gary…good to hear from you! As I mentioned I've only had 1 for sure that has shrunk, the other I believe is starting to shrink…not noticeable yet. I have at least 4-5 more that haven't done anything. It's only been just over 3 weeks since cell infusion and again they said give it time. Just hard to know what to expect or what's going on with tumors inside. Time will tell. 

                                                            Josh

                                                            JoshF
                                                            Participant

                                                              Thanks Gary…good to hear from you! As I mentioned I've only had 1 for sure that has shrunk, the other I believe is starting to shrink…not noticeable yet. I have at least 4-5 more that haven't done anything. It's only been just over 3 weeks since cell infusion and again they said give it time. Just hard to know what to expect or what's going on with tumors inside. Time will tell. 

                                                              Josh

                                                            Polymath
                                                            Participant

                                                              Hey Josh,

                                                              Great to hear from you and glad something seems to be happening with your treatment.  I have had chronic sub-q's over the almost four years since diagnosis.  My first drug therapy, BRAF inhibitor Zelboraf (vemurafenib) attacked the tumors with blinding speed, shrinking was noticeable within days.  Unfortunately success was short-lived.  I have been a non-responder to almost everything since, and needed radiation to destroy three, large sub-q's that were really causing problems in my life.  I would add that it seems not all tumors are created equal, even within the individual, as I have had a range of results from total destruction, now imperceptible on scans, to one that never went away completely, and started to grow back, and another that shrunk to the size of a peanut but is likely necrotic tissue. Mel refuses to follow any set of rules.  Best to you as always.

                                                              Gary

                                                              snow white
                                                              Participant

                                                                Hi Josh-

                                                                I obviously have nothing to add as far as experience.  I just wanted to say hang in there, it sounds like things are working in your favor, even if slow.  I myself am a cancer survivor and know the battle within, one day your on an upswing and the next not so much.  The battle is tough, but it can be fought and you are a WARRIOR!

                                                                ๐Ÿ™‚

                                                                snow white
                                                                Participant

                                                                  Hi Josh-

                                                                  I obviously have nothing to add as far as experience.  I just wanted to say hang in there, it sounds like things are working in your favor, even if slow.  I myself am a cancer survivor and know the battle within, one day your on an upswing and the next not so much.  The battle is tough, but it can be fought and you are a WARRIOR!

                                                                  ๐Ÿ™‚

                                                                  snow white
                                                                  Participant

                                                                    Hi Josh-

                                                                    I obviously have nothing to add as far as experience.  I just wanted to say hang in there, it sounds like things are working in your favor, even if slow.  I myself am a cancer survivor and know the battle within, one day your on an upswing and the next not so much.  The battle is tough, but it can be fought and you are a WARRIOR!

                                                                    ๐Ÿ™‚

                                                                    stotesbery
                                                                    Participant

                                                                      Hi Josh,

                                                                      Thanks for asking this question.  I've been thinking of posting this type of question the last few days.  I was curious what other people that had responded had experienced too. I've just had my third Opdivo infusion so am hoping to notice some response myself.  Best wishes with your treatment!  

                                                                      Christal

                                                                      stotesbery
                                                                      Participant

                                                                        Hi Josh,

                                                                        Thanks for asking this question.  I've been thinking of posting this type of question the last few days.  I was curious what other people that had responded had experienced too. I've just had my third Opdivo infusion so am hoping to notice some response myself.  Best wishes with your treatment!  

                                                                        Christal

                                                                        stotesbery
                                                                        Participant

                                                                          Hi Josh,

                                                                          Thanks for asking this question.  I've been thinking of posting this type of question the last few days.  I was curious what other people that had responded had experienced too. I've just had my third Opdivo infusion so am hoping to notice some response myself.  Best wishes with your treatment!  

                                                                          Christal

                                                                          Bubbles
                                                                          Participant

                                                                            Hey Joshie,

                                                                            Glad to hear that palpable sub-q's are shrinking.  I think lots of folks have experienced slight enlargement/tenderness in tumors before they go away!!  Can't give you any personal experience…or even data in your study!  You're the man!!  Too far on the front lines for the rest of us.  Just wanted to say:  You're one awesome rattie!!!  Hang in there!  c

                                                                            Bubbles
                                                                            Participant

                                                                              Hey Joshie,

                                                                              Glad to hear that palpable sub-q's are shrinking.  I think lots of folks have experienced slight enlargement/tenderness in tumors before they go away!!  Can't give you any personal experience…or even data in your study!  You're the man!!  Too far on the front lines for the rest of us.  Just wanted to say:  You're one awesome rattie!!!  Hang in there!  c

                                                                              Bubbles
                                                                              Participant

                                                                                Hey Joshie,

                                                                                Glad to hear that palpable sub-q's are shrinking.  I think lots of folks have experienced slight enlargement/tenderness in tumors before they go away!!  Can't give you any personal experience…or even data in your study!  You're the man!!  Too far on the front lines for the rest of us.  Just wanted to say:  You're one awesome rattie!!!  Hang in there!  c

                                                                                AshleyS
                                                                                Participant

                                                                                  Hey Josh! 

                                                                                  I'm so glad to hear it sounds like you're responding! You are a great resource on this board – through your responses and through sharing your story. 

                                                                                  I was on the Ipi/Nivo trial starting 3/6/15. TWELVE  HOURS after the conclusion of my first infusion my sub-q's (chest/back) doubled in size and were red/hot. Within weeks, probably 2-4, they shrunk smaller than their original size. It took about 2.5 months until I could no longer feel them. They were gone on my 3 month scans; those scans also indicated 95% tumor reduction on my liver and no evidence of a former tumor on my spine. In November 2015, 9 months after my first infusion, I received NED status. 

                                                                                  Best of luck,

                                                                                  Ashley

                                                                                   

                                                                                  AshleyS
                                                                                  Participant

                                                                                    Hey Josh! 

                                                                                    I'm so glad to hear it sounds like you're responding! You are a great resource on this board – through your responses and through sharing your story. 

                                                                                    I was on the Ipi/Nivo trial starting 3/6/15. TWELVE  HOURS after the conclusion of my first infusion my sub-q's (chest/back) doubled in size and were red/hot. Within weeks, probably 2-4, they shrunk smaller than their original size. It took about 2.5 months until I could no longer feel them. They were gone on my 3 month scans; those scans also indicated 95% tumor reduction on my liver and no evidence of a former tumor on my spine. In November 2015, 9 months after my first infusion, I received NED status. 

                                                                                    Best of luck,

                                                                                    Ashley

                                                                                     

                                                                                    AshleyS
                                                                                    Participant

                                                                                      Hey Josh! 

                                                                                      I'm so glad to hear it sounds like you're responding! You are a great resource on this board – through your responses and through sharing your story. 

                                                                                      I was on the Ipi/Nivo trial starting 3/6/15. TWELVE  HOURS after the conclusion of my first infusion my sub-q's (chest/back) doubled in size and were red/hot. Within weeks, probably 2-4, they shrunk smaller than their original size. It took about 2.5 months until I could no longer feel them. They were gone on my 3 month scans; those scans also indicated 95% tumor reduction on my liver and no evidence of a former tumor on my spine. In November 2015, 9 months after my first infusion, I received NED status. 

                                                                                      Best of luck,

                                                                                      Ashley

                                                                                       

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