MPIP: Melanoma Patients Information Page

The MPIP is the oldest and largest community of people affected by melanoma hosted through the Melanoma Research Foundation. It is designed to provide support and information to caregivers, patients, family and friends. Once you have been touched by melanoma—either as a patient or as a family member or friend of a patient—you become part of a community. It is not a community anyone joins willingly. But if you must be part of this group, you will find no better place to find the tools you need in your journey with this cancer, and the friends who can make that journey more bearable.

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The last several trials in this URL are for c-kit melanomas.

http://www.hopkinsmedicine.org/kimmel_cancer_center/centers/melanoma/cli...

I'm me, not a statistic. Praying to not be one for years yet.

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Hi,

The first Oncologist I saw was not to keen on Interferon, was suggesting watch and wait, and going to check with colleague regarding clinical trials.

I opted to meet with Dr. Samlowski (he seems to be the Melanoma guy for Las Vegas) personally. I'm glad I did-he was very informative and much more comfortable discussing melanoma, statistics and treatments (not that I remember everything he said). He is suggesting interferon. The high dose phase for sure, and for as long as I can take take it the 3 times a week injections. He says it's tough, but they will help me get through it. He thinks it for sure prolongs time to progression of disease and therefore it is prolonging overall survival. He thinks in my situation ( Stage 3B with an ulcerated lesion) it could improve my odds by 10-20 percent.  I'm going to quote him he said "we keep running this horse, because it keeps winning". He is also optimistic about IPI-he says he has used it for years and he has patients with years of no progression in their disease. He said a trial is due to open very soon-early April.

After coming home I read all the news of Yervoy being approved (on this board) and happened to read the patient insert (link posted by another helpful member on this board). Yikes!!!! Some of the potential immune related adverse events sound pretty scary. Some irreversible and some even causing death. Tonight I looked up Intron and found some good ones in there as well.

My head is spinning-all the reading I do seems to make me more confused. Is there another choice I should be asking him about? Has anyone done both Interferon and IPI-is one easier than the other? I wouldn't get to choose if I'm in the clinical trial-it's randomized between the two. I meet with him again in a week. I also need to get a brain MRI, my PET scan was negative except for some reaction probably related to surgery and inflammation as it was only 3 weeks post surgery.

From what I have read on here-you have only so much time post surgery to get started on Interferon and some clinical trials.

I have to say though, I think I'm feeling better about doing something vs nothing. I reread my posts and they sound so jumbled up-so many of you post such eloquent coherent words! It has been so informative reading all the posts and I'm so thankful that you all have been so generous with your first hand knowledge about this disease. It is overwhelming, but I'm going to fight it!!

Julie in Las Vegas

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Sunny Sea's picture
Replies 25
Last reply 4/18/2011 - 6:12pm

Hi Everyone. 

I'm so glad to have found this site.  This is so overwhelming.....the people around me who seem to actually "get" how serious this is are few and far between.  Most telling me "dont worry" ....yeah right.   The complete loss of control over my future .....I mean, from now on, this *thing* is a central component of my existence.   I can never "not worry" that it will come back.....someplace.   And now, every little ache or pain i have is the cancer spreading.  I feel like i'm losing my mind.  And I'm kicking myself for pulling a wait-and-see approach when i noticed the thing changing about a year ago.  All i'd ever known about skin cancer was basal cell or squamous cell.....(cut it off, it's gone) so i didnt feel any urgency about getting it checked.  The fact that skin cancer can kill....I was so clueless.    ---and i'm a freaking RN, you'd think i might have known better. 

I know it all comes down to reports and results.  This is my biopsy report.  I had one mole taken from my back that my dermatologist found (it was atypical) and then the one on my wrist which was melanoma. 

DIAGNOSIS:
     A.  Skin, right upper back, punch biopsy:
            - COMPOUND LENTIGINOUS MALANOCYTIC NEVUS WITH ARCHITECTURAL DISORDER AND MILD MELANOCYTIC ATYPIA
     B.  Skin, right forearm, excision:
            - MALIGNANT MELANOMA, SPINDLE CELL TYPE.
            - CLARK'S LEVEL:  IV
            - DEPTH OF INVASION:  1.0 MM
            - NO ULCERATION
            - NO REGRESSION
            - NO PERINEURAL OR ANGIOLYMPHATIC SPACE INVASION
            - THE MARGINS ARE CLEAR OF BOTH MELANOMA IN SITU AND INVASIVE MELANOMA
COMMENT:
     Dr. Buckley, Dr. Frazier has also reviewed specimen B and concurs with the interpretation of spindle cell melanoma.
______________________________________________________________________________________________________________
 
CLINICAL INFORMATION:
41 y/o caucasian female
A) irregularly shaped dark brown macule.  R/O atypia
B) irregularly shaped multiclored macule with dark brown center.  Nevus. R/O melanoma in situ.
 
GROSS DESCRIPTION:
    A.    Labeld with the patient name and "right upper back".  A pigmented skin punch measuring 0.8 cm in diameter and 0.5 cm in length.  Bisected.
    B.    Labeled with the patient name and "right forearm".  A skin ellpse 1.4 x 1.0 x 0.4 cm  No orienting marks are identified.  Inked, breadloafed, and submitted in one cassette. 
 
MICROSCOPIC DESCRIPTION:
    A.    An asymmetric lentiginous proliferation of melanocytes in variably sized nests as well as individually at the tips and alongside rete pegs with extension into the dermis, highlighted by immunohistochemical stains for pan-melanocyte antigens, controls appropriate.  Broad zones of confluent melanocyte proliferation along the junction extending beyond three rete ridges in width or significant upward pagetoid migration are not observed.  There is a variable host fibroinflammatory reaction including melanophages.   Mild degrees of melanocytic atypia are identified.  The biopsy margins appear clear in the plane of section. 
   B.     Sections show broad, irregularly-nested and solitary atypical junctional melanocytes overlying sun-damaged skin.  Dermal cells are spindled with superficial mitotic figures identified.  There is no perineural or angiolymphatic space invasion identified.  The pan melanocytic marker highlights the spindled dermal melanocytes within the reticular dermis measuring to 1.0 millimeter.  There is no ulceration or regression.  Tumor infiltrating lymphocytes is absent.  A Ki-67 proliferating marker shows low proliferative activity of the dermal melanocytes.  An HMB-45 immunoperoxidase stain shows weak positive staining of the dermal spindled cells.  A pHH3 mitotic stain highlights a rare dermal mitosis.   The margins are clear of both melanoma in situ and invasive melanoma. 
 

So, I had the initial biopsy in mid-February, they got the results a week later and referred me to a surgical oncologist.  The soonest appointment was March 1.  He in turn set me up for a WE and SNB which will be done this Thursday (3/31).  So, about 2 months have gone by since this thing was removed.....could it have been spreading or causing more problems while i'm sitting here WAITING...(the waiting is horrible).  

If the WE removes all the tissue from around the site, HOW can the thing come back in the same area??   Can the still leave "stray" cells behind even when they're removing so much surrounding skin?   If it does come back, will it show up on the surface of the skin or just pop up in some random place in my body?   Could it not already BE somewhere else?  Is there a reason why they wouldnt have done a PET scan yet?  Wouldnt that be a logical step to take while we're waiting for the surgery date?   Ok, as you can see....i'm overthinking this and driving myself nuts.   I try to remember to take one day, one moment, one step at a time.   That's much easier said than done.  

Thank God for all of you and the courage that you have to be on here, helping us "newbies" while continuing your own fight.   I'm sure the "freak-out" factor must get old after a while but i know that if anyone can understand it, it is those of you who have been here before.   Any help or guidance you can give would be appreciated.  

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FormerCaregiver's picture
Replies 4
Last reply 4/12/2011 - 2:28am

If you have recently joined this forum, it would be very helpful if you
could create a brief profile so that we can quickly assess what stage you
(or the person that you are concerned about) is at.

There are some very knowledgeable people in this forum, who are more up to
date than some doctors are. However, in order for you to get the best
possible answers to your questions we really do need a basic profile in
order to help us to help you. It doesn't have to be very long at all, but
should include the following as per your profile page:

Melanoma Stats
Initial Diagnosis date
Stage at Diagnosis
Current Stage (this is important)
Depth of Primary (this is very important)

Treatment Stats
Location:
Doctor:
Treatment Center:
Clinical Trials (this is extremely important)

Thanks,
Frank

I urge everyone to thoroughly educate themselves about melanoma. No part of this post should be considered to constitute any form of medical advice. Please consult a competent oncologist. (I think that prayer can help in ways that we don't always expect).

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I have spent a significant amount of time reading as much as I can from everyone regarding the BRAF Mek trial.  Everyone has been so positive and their words have truly helped.  My mother in law has stage IV melanoma.  She has multiple tumors under the skin in her torso, legs, and two on her head.  Her scans also show a tumor in her right hip.  Her scan have indicated that the cancer has not spread to any vital organs.  She is tired and has a lot of right leg pain.  Tomorrow is a big day.  She will begin the BRAF Mek trial at the Beth Israel Hospital in Boston.  We are hoping for the best.  I am her primary care giver and I have told her about this website but she is not ready to read it.  I just wanted to say thank you to all those who are sharing their experience.  It has helped me stay knowledgeable about what to expect. 

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debandmike's picture
Replies 6
Last reply 3/28/2011 - 2:50pm

My husband was just diagnosed with Stage 4 melanoma with tumors in his lung and liver. He will start treatments on April 11th. Would love to hear from others who have tried this treatment.

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Nebr78's picture
Replies 6
Last reply 3/28/2011 - 11:33am

I have had a very good friend of mine says that he knows of two people that went somewhere in Mexico and got cured of Melanoma.  Of course you never know if you are cured.        It cost a lot of money $25,000.      This friend is not barking up a tree.   He is from Iowa and I am from Nebr.  We were in service together in Korea (1951.       Does anyone know if any of our Cancer research people have looked into this.   I would think they would and give an evaluation.     There is a fox in the chicken house somewhere.    Ipilimumab was supposed to be approved in Dec. 2010 and then in March 2011, and so far hasn't.    Is there any good reason for this.  I have 2 lumps in lung (4 cent. and 2 cent) and what I have been getting does no good.   Is reasearch really being done?????????????????

 

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Replies by: CKasper, Cynthia C, Anonymous

Does anyone know whether the HCG drops for weight loss are safe for melanoma patients?

 

HCG stands for Human Chorionic Gonadotropin, and it is produced by the female placenta. Its primary purpose is to give directions the hypothalamus gland. The hypothalamus gland, in turn, regulates your thyroid functions, fat storage and metabolic rate.

So, in a nutshell, HCG drops tells the hypothalamus to increase your metabolic rate, burn any stores of fat and reel in thyroid functions. This funnels more useable energy into the body.

I'm just curious if there is any reason not to give it a try.  I realize it may not work for me, I can deal with that.  But, I sure don't want to push my NED status.

Nancy D

Stage 3B, NED 6+ years

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EricNJill's picture
Replies 5
Last reply 3/27/2011 - 8:29pm
Replies by: Anonymous, premedy, Lori C, EricNJill, jim Breitfeller

Eric has been on the GSK BRAF/MEK Combo Trial.  The changes in his leg have been outstanding!  His tumors are shrinking rapidly.  One external tumor on his leg went from being 4 1/4 inches to less than 2 inches and his leg is actually normal size for the internal tumors shrinking.

What is confusing for me is that he has new enlarged tumors around his heart and new non-calcified nodules in his lungs.  Why would the treatment work in his leg and not the heart and lungs?  His Oncologist said that if he hadn't obviously had response in his leg they probably would have stopped the treatment.

Thanks for any help.  JillNEric in OH

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Rocklove's picture
Replies 5
Last reply 3/27/2011 - 12:31pm

Hi All,

I posted earlier in March I failed IPI and Dr. Weber reccommened I start a round of carboplatinum/taxol and get to MD Anderson. I did the round of carboplatinum 3 weeks ago and have an appt with Dr. Falchook on Tues morning. I hope he has something for me that works.

If anyone is going to be at MD Anderson the next week or two it would be a pleasure to meet up with you. They gave me the blanket two weeks for testing etc. But everyone I have talked to said it does not take that long.

I'll try to keep you posted on what Dr. Falchook reccommends.

Thanks for all the prayers and positive thoughts.

Rocky (Stage IV Liver Mets)

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HarryObrian's picture
Replies 1
Last reply 3/30/2011 - 1:21am
Replies by: JerryfromFauq

One of the interesting things to note about this article "http://www.businessweek.com/lifestyle/content/healthday/651283.html" is the mention of the molecule CTLA-4 and it's role in suppressing the immune system. For years the supplements resveratrol and curcumin have been touted anecdotally as supplements for cancer patients, with curcumin specifically linked to aide in melanoma suppression, "http://health.usnews.com/usnews/health/briefs/cancer/hb050711a.htm". However it has been found that both resveratrol and curcumin are immunosuppressants and upregulate CTLA-4,"http://www.ncbi.nlm.nih.gov/pubmed/17177975".

These conflicting articles, both from 'authoritative' sources, either demonstrate the still unknowns of medicine or they each serve their own unexposed commercial purpose and raise questions similar to "Why would a melanoma research hospital find that curcumin, a known CTLA-4 upregulator, actually suppresses melanoma while the drug industry's friend, the FDA, approves a drug, with serious side effects, that is designed to interfere with CTLA-4?". While CTLA-4 is obviously an immunosuppressant is it really the true culprit of melanoma's progression? 

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Anonymous's picture
Replies 3
Last reply 3/27/2011 - 9:16pm
Replies by: Jim M., Lisa13

I am reading that Yervoy is approved for 'late stage melanoma.'  Does anyone know if this includes any stage 3c patients?  Could it be perscribed (maybe not paid for by insurance) to stage 3 patients? 

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steelergirl's picture
Replies 2
Last reply 3/27/2011 - 8:51am
Replies by: MichaelFL, Anonymous

 I saw in today's newsaper, about the new drug for metastatic mealnoma called, Yervoy.  Has anybody on here, heard about it before?  Does anybody know how long the drug is given and side effects that goes with it? 

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CKasper's picture
Replies 2
Last reply 3/27/2011 - 1:57am
Replies by: CKasper, Charlie S

I first contracted melanoma in 1984, I am currently staged IIIB, had surgery to remove tumor, and lymph nodes, high dose interferon therapy.

Currently in remission.  I have had many other complications:  Fluid in the heart and lungs, constant rash on palms of hands and feet then spreads to the rest of my body, cataracts, swelling of joints, candida in my digestive tract...still here after 27 years...has anyone else had these complications?

 

C Kasper

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Replies by: jim Breitfeller

 

Thursday, January 6, 2011BMS denies any wrongdoing. Is this what we have to look forward to with Yervoy (Ipililumab) Melanoma..Jim Breitfeller

Commentary:
BMS denies any wrong doing, but this was not it's first offence and may not be it's last. As the patent waterfall nears close with Plavix, is BMS trying to make up for it's loss of revenue?
Mesothelioma and Cancer Patients Who Received Certain Chemotherapy Drugs May be Eligible for Reimbursement
 

http://blog.mesotheliomahelp.net/2011/01/mesothelioma-and-cancer-patients-who-received-certain-chemotherapy-drugs-may-be-eligible-for-reimbursement.asp

I am anticipating that BMS will try to inflat the cost of production of Ipilimumab (Yervoy) and try to pass it along to the patients that desperately need it. It is a shame that the drug companies have come down to greed and screw the consumer. BMS needs desperately to clean house again and go through some Ethics training, Big time!!!

I am all for paying a fair price, but not to get gouged to the point that the insurance won't pay and pass the copay onto the patients. It is not right.

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