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Lori0529

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      Lori0529
      Participant
        Hello Scout

        Similar story.
        Right Leg/Right Groin

        As Celeste always informs, treatment has NEVER been better.

        Are you seeing a Melanoma specialist??
        They’ll have the absolute best treatment recommendations.

        You’ll likely face a combination of treatments.
        Neo Adjuvant (before any surgery)
        Possible Surgery
        Adjuvant (after any surgery)

        My 2020 treatment plan
        Neo Adjuvant — a few rounds of immunotherapy Opdivo/Yervoy (infusions)
        Surgery (Removal of the lymph nodes)
        (I did not receive additional treatments after the surgery)

        In 2021, I did have a recurrence in an Adrenal Nodule
        I’m BRAF+, so treatment plan has been:
        6 months Braftovi/Mektovi Targeted Therapy (pills)
        Surgery to remove Adrenal gland
        6 months Braftovi/Mektovi

        So far, grateful to say I’m doing well
        No additional recurrences
        Recovered well from BOTH surgeries

        Please reach out if you have questions.
        Sorry you’re having to add all of this to your “young mom” life — not fun — but you can do it. : )

        Lori0529
        Participant
          Hello MM

          I think I may be in a similar (or same) clinical trial at Moffitt.

          My history:

          2006 — Melanoma in situ lower right leg
          2015 — Recurred in right upper thigh — needed Wide Excision — Stage 2B
          2020 — Surveillance CT scan revealed swollen groin lymph node — confirmed as Melanoma
          Immunotherapy followed by Superficial Inguinal Lymph Node Dissection
          Braf+
          2021 Confirmed Melanoma in right Adrenal Nodule

          Entered clinical trial:
          Neo Adjuvant BRAF/MEK for 6 months (2021 July – Dec)
          Surgery — Laparoscopic Adrenalectomy (2022 January)
          Randomized Adjuvant treatment (Targeted Therapy or Immunotherapy) depending on the surgical pathology

          Surgery was 4 weeks ago and am now expecting to begin adjuvant treatment soon.

          In July and August, I had trouble taking the BRAF/MEK full doses — very sick
          Dosage was reduced for the remaining months and I felt pretty good — 80% normal I guess
          Only side effects were joint pain and hair loss/texture change.

          Lori0529
          Participant
            Hi Trent

            I had my last round of immunotherapy in April of 2020

            — had pretty severe joint pain — a prednisone taper helps, but it’s also my understanding that a steroid like this works against the immunotherapy effectiveness.

            In January and February of 2021 I tapered my prednisone dosage and stayed on 5 mg of prednisone daily and it really helped.

            I stopped taking it in preparation for the COVID vaccine and have not taken it again.

            Joint pain has returned, but not nearly as severe as before.

            Lori0529
            Participant
              That’s good news Scout!

              Please reach out if you want to connect with someone a little further down the road.

              Lori0529
              Participant
                MM-

                All of it can be pretty overwhelming at times — I’ve found the “one day at a time” mindset to be helpful.

                Started the 6-month trial in July and as hard as some of the days (particularly nights) were —- suddenly it was December, the last dose, and time to schedule surgery.

                Surgery and recovery often better than I imagine too.

                Faith, family, friends — you’ll need all of them.

                Sent you an email — hope you received it.
                Hoping you respond really well to the treatment and receive lots of encouragement along the way.

                Lori0529
                Participant
                  Appointment at Moffitt in early March
                  Lori0529
                  Participant
                    Getting an appointment at Moffitt required an official biopsy report.
                    I just received that report on Monday so am looking forward to getting that appointment VERY soon.

                    SO appreciate your interactions and encouragement here. Thanks so much.

                    Lori0529
                    Participant
                      Thank you so very much for your insights —

                      You’re correct — only a biopsy of the swollen node has been done — not surgery.

                      On Feb 17 (Monday) I will get more details on the overall plan as well as begin Immunotherapy.

                      My initial impression is they may monitor what happens with this node during the Immunotherapy treatments
                      Can how it responds be a helpful gauge as to how the treatments are working?

                      Thinking I will begin all of the treatments as planned and then try to consult with Moffitt as well — prior to the more extensive surgery that is being recommended.

                      Lori0529
                      Participant
                        Additional updates:

                        Jan 31 — Bi-annual CT scan of Chest, Abdomen, Pelvis
                        Feb 3 — Follow up with doctor — scan shows 19mm enlarged groin lymph node very suspicious for melanoma
                        His treatment plan included the following before seeing him in 2 weeks on Feb 17
                        Brain MRI
                        PET Scan
                        Surgeon Appointment
                        Ultrasound Biopsy

                        He explained that it was important to get moving on all of it.
                        He also provided me with Yervoy and Obdivo information and explained that my case would most likely involve immunotherapy followed my surgery to remove the groin lymph nodes.

                        Feb 3 — Had Brain MRI (without contrast)
                        Feb 4 — met with surgeon who agreed it was melanoma suspicious
                        Brain MRI was clear
                        He described a treatment plan that would include immunotherapy followed by a Superficial Inguinal Lymph Node Dissection
                        I asked if immunotherapy could lead to avoiding surgery and he said not in my case because of the size of the lymph node
                        Feb 11 Ultrasound Biopsy
                        (Before going in for the Biopsy, the doctor office called to let me know they are scheduling Round 1 of Immunotherapy for Feb 17 after my next doctor visit)
                        Feb 12 (Today) Looking at the Biopsy report in the online portal it says:
                        Preop diagnosis: Melanoma
                        Postop diagnosis: Same

                        Still waiting for PET scan to be scheduled

                        I am in Florida

                        Earlier in the week, I called Moffitt and they explained that they need a current Biopsy report before they can schedule a consultation.

                        Any feedback on this potential treatment plan? Anything I should be asking/doing?

                        Moffitt is 90 minutes away — what are the advantages of pursuing treatment there?

                        Lori0529
                        Participant
                          Thank you both SO much for your replies.

                          Super helpful information and very encouraging support.

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