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.

The information on the bulletin board is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.

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slh4448's picture
Replies 2
Last reply 7/26/2016 - 3:24pm
Replies by: slh4448, Janner

Hello all,

I hope everyone is doing well or as well as can be expected! I typed in CLND in the search engine for this site and I came across 5 people who had a CLND and I read through their stories and responses that they received from other people on this board. I gotta think that there are more people on here who have had the CLND procedure unfortunately!

So I just wanted to ask the question....Is there a need to have a CLND? I guess conventional wisdom says yes, but I very curious. I came across some results from a phase III study presented last year in May at the 2015 American Society of Clinical Oncology (ASCO) meeting in Chicago entitled "No need for Lymph Node Dissection in Certain Melanoma Patients".

Basically saying that a CLND for people with MICROmetastatic cutaneous melanoma following a positive SLNB "may" not be necessary. So after my SLNB, my pathology report states that I am MICRO and not MACRO!

In the paper it states that "a potential improvement in survival is only one reason that a patient could be recommended to undergo a CLND. The main reason is the chance of a local lymph node recurrence that would later require more difficult surgery". So I see the pros and cons.

Now my Oncologist at The University of KU told me that I would have a CLND if the pet scan and mri results come back negative. I have also reached out to MD Anderson about this and am awaiting their response to my question. I meet with my Oncologist from KU on Thursday so I will definitely ask this question to discuss.

I am curious to know everyone's thoughts on this and especially the thoughts from anyone that actually had the procedure and what the recovery was like, life thereafter, etc.

Just a reminder...my tumor stage from the AJCC based upon one positive lymph node from my SLNB says that I am T3aN1a, no ulceration, micrometastasis, 3mm, involves 7% of nodal cross sectional area and is negative for extracapsular extension.

Thanks in advance for your responses.....Stacy


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Anonymous's picture
Replies 2
Last reply 7/26/2016 - 1:09pm
Replies by: Janner, slh4448

I had a growth removed from scalp and doc said path results were superficial melanoma. He first did a shave biopsy and said it was "nothing to worry about as it was in situ" per the results of the initial path.    But he then excised the area and sent for a biopsy of the margins.  Again, said no problems - it was in situ.  I got copies of initial and 2nd biopsy report and it is stated on the first report "Superficially invasive melanoma arising in melanoma in situ, lentigo malign type, melanoma in situ pesent at peripheral biopsy margin." Stage pT1b, Breslow: .30mm, Mitoses, 1, no Ulceration.

Path report from 2nd biopsy states no evidence of residual invasive or in situ melalnoma.

Did the doc read the path report correctly?  How can it be both in situ and invasive?  And do I need a 2nd opinion or any other treatment? 

 

 

 

 


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Jewel's picture
Replies 2
Last reply 7/26/2016 - 11:34am
Replies by: Ed Williams, Bubbles

First of all I would like to echo the words of so many of us on this Forum. Thank you so much for

all you do to help educate us about this disease and the choices that are out there to help combat it.

Recently you posted about responces between the Ipi and Pd1. My husband did the 4 doses of Ipi 3mg and

finished in an 2015. My question is this, are the 3mg doses of Ipi showing the complete responses that the

10 mg has? It seems to me that the majority if not all who are blessed with long term remission did the

10mg. My husband has scans again in Aug and of course the anxiety is through the roof. Thanks again

Bubbles.

 

Jewel

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mom3girlsFL's picture
Replies 3
Last reply 7/25/2016 - 11:53pm
Replies by: Maria C, Bubbles, Polymath

Hi Everyone,

Its been a while since i've posted but I linger often and lift everyone daily in my thoughts and prayers!

I have been a warrior since 2003 stage 1, stage 3 in 2010 groin lymph node involvement. Did interferon till recurrence again, had radical lymph node dissection then watch and wait. 5 days before hitting 5 years I walk into oncologist and hear the dreaded "we've got a problem".  Honestly, before this appointment i was feeling embarrassed to even have these appointments when other people were really dealing with cancer!  So, stage 4 lung and retroperinoteal involvement late 2015.

Anyway,  have an auto immune disease which makes treatment tricky but started with full dose tafinlar mekinist combo. Had immediate response 3 mth scan but my body was a mess! We switched to zelboraf cotellic to see if side effects would lessen, but those meds created red purplish spots all over my body head to toe! Not funny, but yeah it was! Back to lower dose taf/mek combo.

The point of all this? Well, im still here. Still responding as of scan in june. Some days bite the big one-cant move out of bed, sleep half the day away...BUT, i also have really good days where i can be "normal"-go shopping, eat out, live! 

I really do consider myself lucky and i hurt so deeply for those of you suffering so much.  

I so appreciate the intelligent and informative posters out there who selflessly work to keep melanoma info current.  And, mostly, i am so grateful for this community who continually cheer each other on and encourage the fight.

Living WITH melanoma,

Laurie

Do not fear tomorrow, God is already there.

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pasadenagirl's picture
Replies 1
Last reply 7/25/2016 - 8:27am
Replies by: Janner

Good morning 

I was previously dx with melanoma stage 1b, originated from an existing mole in 2014, since I have had a few other spots removed but all has been good.  I do my best to watch my skin for new moles or changes in existing moles.   I have a mole on my stomach that I have had since I can remember and recently it has gotten a faint white ring around it and I feel like the mole has changed colors but not darker, I think lighter.  It's also not as perfectly round as it was.   I have read about halo moles and Im assuming that is what this may be, however having had melanoma I was just wondering if this type of change is more ominous in nature.  I do have a derm appointment coming up and will discuss.  I just like the feedback on this board, I never feel judge or stupid and like the insight from so many knowledgeable warriors.

Blessings to you all

Pasadena Girl

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Mikers's picture
Replies 3
Last reply 7/25/2016 - 7:32pm
Replies by: Bubbles, Andrew1725, Mikers

My wife is a stage 4 patient. She was diagnosed with melanoma 1.5 years ago having multiple lesions in lungs. They were successfully resolved with Dabra+Tram cobmo. In Feb 2016 she added Keytruda to this combination because one brain met was found. The lesion was successfully treated with gamma-knife. Last MRI showed 8 new lesions in her brain which appeared very quickly - only within 1 last month. Seems that Keyt+Dabra+Tram are not working.
My question is which therapy can we consider next?

Ipilimumab? or chemotherapy with cisplatin+carboplatina or temozol?

or any other clinical trial?

 

Thank you!

 

 

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Teochasse's picture
Replies 27
Last reply 7/26/2016 - 12:25pm

I have not posted in a while and maybe few people on this board remember me but I just wanted to quickly say that am still doing fine, still alive and NED after 6 years.I was diagnosed with cervical mucosal melanoma in 2010 and given "numbered days" to live .Please believe there is a hope that this nasty disease can be beaten,I am the living proof .My heart go to all brave fellow warriors that are fighting this dreadful disease ,medicine is making a progress every day towards eradicating  it for good.Just hang in there.God Bless!

Teodora Chasse

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IvanaDim's picture
Replies 5
Last reply 7/23/2016 - 9:30pm

Hello,

Last results shows my father has progression :-( more mets to liver, one spot to lung. So far tried keytruda, biochemo and now dr says carbo/taxol. Did anyone got good results from carbo/taxol? Is it very brutal?
He is in pain and I need your opinion allso on prednisone. I read that it supresses the immune system and we dont need that, but... Anyone has expirience? Does it help and how much you take? How long?

Thanks for any suggetions...
Best wishes to all!

Kind regards,
Ivana

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Casitas1's picture
Replies 5
Last reply 7/23/2016 - 5:56pm
Replies by: jvictoria, Anonymous, Lee Parlier, Casitas1

Been on Keytruda  January of this year. Caught a virus two weeks after 1st. infusion. I have had a productive cough with bad taste ever since. Just wondering if anyone has had this as a side effect? Cough is listed as one...

Best,

Paul

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Lee Parlier's picture
Replies 17
Last reply 7/26/2016 - 3:17pm

I received my pet scan results yesterday and they were bad. Multiple mets in neck, liver, lower abdomen, pelvis etc. The SUV was around 4.00-5.00. My prior pet scan was clear on Feb. 29. I had lymph node removal in March in the left groin with 6 showing metastasis. I started yervoy and radiation on May 26 and due for my 4th ipi treament next Thursday. 

I did have the satellite tumors pop up and the sub q's that were purple. Most have disappeared. I see the melanoma Dr. and surgeon next week at Duke. 

Just a few questions:

1) Has anyone that tried the immunotherapy experienced a worsening before finishing treatment?

2) Is the disappearance of the visible sattelite tumors a sign that the ipi is working?

3) How long does it take to know if you are a responder to ipi? (I am currently 7 weeks)

 I know the melanoma Dr. will answer these questions next week but I know there are a bunch of melanoma fighters that have talked to some of the best Docs in the field and I would welcome any input or answers you may have been told. Thakns, Lee

Lee Parlier

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Anonymous's picture
Anonymous
Replies 2
Last reply 7/22/2016 - 11:36am

Hey guys, I have noticed a bright purple/brown spot on my chest. It bled a little a month ago then never anymore. It seems to have remained the same, but could it be melanoma? Or else, what could it be?

 

Thank you!

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BrianP's picture
Replies 3
Last reply 7/22/2016 - 9:08am
Replies by: Ed Williams, JoshF, Polymath

Pretty interesting article on the abscopal effect and work being done on trying to figure it out.

http://www.pbs.org/wgbh/nova/next/body/abscopal-response/

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jade1111's picture
Replies 9
Last reply 7/24/2016 - 9:35am

Hello! So my mom went to the Drs today.. they decided no infusion based on the rash.. the rash is pretty severe.. they all looked a little shocked.. purple like bumps all over legs and back and some on arms. Also revealing itself was a small purple hard like mass on the arm pimpke sized (her original site is leg). Has anyone heard of these little mets showing up with therapy? They said for now  no biopsy they will just monitor. Was not expecting that part.

Thanks!!!

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ecc26's picture
Replies 3
Last reply 7/22/2016 - 9:45pm
Replies by: ecc26, kylez, JoshF

Starting last Friday up through today I have spent the better part of every day (except Tuesday) and one overnight in the hopital. My poor husband has been with me every time and so has missed much of his work week as well. Hoping this trend doesn't continue.

Last Friday I started the week with a regular visit with my oncologist before Monday's scheduled infusions of IPI/PD-1. After looking at my bloodwork and listening to my complaints of worsening belly pain (not nausea) over the previous couple of days he decided to admit me overnight for a chest/abd/pelvis CT and a blood transfusion. He also more or less banned NSAIDs as a method of pain relief and told me to use Tylenol (virtually useless) or opiods (which make me dizzy, nauseated, and generally non functional). I wasn't very happy and we ended up with a compromise that I could use Advil and a muscle relaxant in the morning (back pain) to be functional, and the opioid in the evening when I don't need to be functional, just sleep.

I was discharged Sat morning following the CT, and 2 units of blood. As many know, hospitals are not restful places to start with, let alone with the additional monitoring that comes with a blood transfusion. I spent most of the rest of the weekend resting.

Monday morning I went back in early for a recheck and to get my infusions. They added an IV Fe and started me back on Zometa (for bone strength), so by the end I was there from 8-2. Just got a light lunch and went home- no point in trying to go to work.

Tuesday didn't go to the hospital, but abdominal pain got more prominant, and by Wed morning didn't even dare put water into my stomach I was in such pain. Calle my oncologists office and they had me come in- husband drove and 2 L of fluids and multiple IV meds later we were there from about 9-3, with instructions to come back today @ 10:30. We were there at 10 hoping to be done and have me home before my husband's 1:00 meeting. Didn't happen. While we got started early enough, didn't get the Dr visit, meds, and port de-access until around 2. Husband had meetings at 2 and 3, obviously missed the 2, but instead of being at home resting, I'm hiding in my office waiting for him to come back and get me. His meeting just ended, so we'll be on our way soon.

Not what either of us had in mind for the week, but he's done so much I can't get mad about this. Hoping to not have to go back to the hospital again for a while and planning to just stay home tomorrow.

-Eva

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btcedarr's picture
Replies 8
Last reply 7/26/2016 - 11:15am
Replies by: Mkelley1, Anonymous, btcedarr, keepthefaith11

I had a Stage 1b melanoma removed in October followed by a WLE and negative SLNB. I have been going to my dermatologist every 3 months. Last week she noticed a mole on my back that looked a bit inflamed and removed it for biopsy. She thinks it's "nothing", I heard that before! Lol! But, with my history she removed it. I keep reading that inflammation is a sign of melanoma. Is this always the case? And if it wasn't pink around the border 3 months ago, shouldn't be anything too advanced if it is, correct?

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