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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alabama girl's picture
Replies 8
Last reply 6/19/2012 - 9:52pm

I was just wondering how those of you that are IIIB stage are doing. I was diagnosed at that stage in Nov, 2011. I  also had breast cancer 3 months ago which is right above the chest wall where my melanoma was. I raised money and walked in the Relay for Life and I guess it made me very down and wondering what survival rates were for us. My next CT scan is in July and you know, not looking forward to it. I am normally pretty upbeat. I guess seeing all those who have died from cancer just makes you more aware of it all and brings it to mind. I usually try to just live one day at a time and enjoy life.

Thanks for any input and encouragement! .

Alabama girl

. Don't tell God how Big your storm is, Tell the storm how BIg your GOD is!

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ACTION! Help Save the Life of Darcy Doherty, Father of Three Children to get immunotherapy drug Anti-PD-1 (BMS-936558)  for melanoma .

A Cry for HELP!!!

Please write to Dr. Elliot Sigal at Bristol Myer Squib

Elliott.Sigal@bms.com

Dr. Sigal is the Director of Research at BMS.

Please send a note to Dr. Sigal requesting that BMS open compassionate use for Mr. Doherty. I know it is a long shot/ Hail Mary Pass but, base on my research, this drug with the combination of IL-2 may be able to beat the odds.

Bristol Myer Squib says "At Bristol-Myers Squibb, we are firmly focused on our Mission to discover, develop and deliver innovative medicines that help patients prevail over serious diseases."

Is this all lip service? Let see if BMS puts their money where their mouth is and grant this compassionate care use for this derserving family. Doherty with his clinal trial of Yervoy (Anti-CTLA-4 therapy) helped get the drug FDA approved through his survival data. The least Bristol could do is to grant the dying man compassionate use of the next generation drug called Anti-PD-1, (BMS-936558)

Bristol Myer Squib needs to show some compassion.

It is their ETHICAL Responsibility.

“It is not the strongest of the species that survives, nor the most intelligent, but the one most responsive to change.”

~Charles Darwin~

 Take Care,

Jimmy B

 

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ALM's picture
Replies 7
Last reply 8/21/2012 - 11:38pm

Hi Everyone

From what I have read my melanoma (Acral Lentiginous Melanoma) is fairly rare (more so since I am caucasian).  Is there anyone out there who has the same disease and can offer me any info? I am stage 4. The primary liesion was on the middle toe which was amputated. A year later another liesion appeared on the ankle which was surgically excluded. I would like to know if ALM is any more dangerous or aggressive than other types of melanoma or are all melanoma basically the same?

Thanks for any help 

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MaryEllen's picture
Replies 1
Last reply 6/17/2012 - 6:02pm
Replies by: Eileen L

 Hi everyone,

I haven't posted since being diagnosed with Stage IIIC in 2009 - now Stage IV. Currently, I have a positive inginual lymph node and multiple small lung nodules (about 5 - largest 6mm). I have acral lentiginous melanoma. Quick recap: Removal of 3.6 Breslow primary on L heel, positive sentinel node biopsy (no full groin dissection), heel reconstruction 2010, multiple in-transits treated with Oncovex (all gone), inginual node injected with Oncovex (biopsied during Oncovex trial as negative, now biopsied as positive), and now multiple small nodules in both lungs (about 5 of them - largest 6mm). I am BRAF, CKIT negative but am NRAS positive.

My complication in treating my one inginual node and lung nodules is that I have had multiple sclerosis for 23 years - an autoimmmune disease. My symptoms are extremely mild and far between. I am excluded from IPI and anti-PD1 trials because of the MS. I am being treated at MSKCC in NYC. My doctor and I are considering  IL-2 at Johns Hopkins next month. Of course, IL-2 carries a risk of making auto-immune disease worse too.

My questions - (1) Are there any promising later stage trials that take advantage of the NRAS mutation; (2) Is there any "wiggle-room" getting into a anti-pd1 trial with a very mild form of autoimmune disease (my neurologist would go to bat for me) and (3) does anyone have any experience with IL-2 and an autoimmune disease.

If anyone has any thoughts, I would be most appreciative.

Thanks, MaryEllen

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Anonymous's picture
Anonymous
Replies 4
Last reply 6/18/2012 - 6:12pm
Replies by: LynnLuc, Harry in Fair Oaks, Anonymous

Hi

I am 62 years olds and  live in Californa. I have been receiving SSDI for 6 months. I am stage 4, and on a clinical trial for 6 mos. and just became  NED.

I know nothing about what qualifies a cancer patient to be able STAY on  SSDI. Will SSDI re-evaluate my stage 4 status and when to determine if I am well enough to stop SSDI??

My husband & I pay for our insurance plan ourselves which is very expensive.Our annual premiums are over $13,000. then we have a high deductible of $7500 (each) so  we are looking at a lot of money for "out of pocket" for  medical insurance.

My SSDI was approved on June 2011, then I waited 6 months to get my first check which I received in Jna 2012. How long do I have to wait before qualifying for Medicaid??Do I have to wait 2 years from June 2011 before  I qualify for Medicare??

What is Meicaid and how to you qualify for Medicaid??/

I would appreciate any information you can give me.

Thanks so much for taking the time to reply to my questions.

Christine

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jessebug99's picture
Replies 3
Last reply 6/18/2012 - 7:28pm
Replies by: H555, Erinmay22, AllyNTAus

Was wondering if anyone else has experienced bumps in throat (like maybe squamous cell tumor).  I have been on Zelboraf for 5 weeks and had some really hard side effects.  Noticed a few days ago a bump on my uvula (spellcheck).  I have a checkup appt. with oncology on this Thursday.  I have had a lot of warts or bumps pop up on my face, back, and arms just within the last couple of weeks, also.  Right now according to the last MRI I had, there is no cancer in the brain and the PET/CT showed minimal node involvement near my left armpit. 

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Was wondering if anyone else has experienced bumps in throat (like maybe squamous cell tumor).  I have been on Zelboraf for 5 weeks and had some really hard side effects.  Noticed a few days ago a bump on my uvula (spellcheck).  I have a checkup appt. with oncology on this Thursday.  I have had a lot of warts or bumps pop up on my face, back, and arms just within the last couple of weeks, also.  Right now according to the last MRI I had, there is no cancer in the brain and the PET/CT showed minimal node involvement near my left armpit. 

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Was wondering if anyone else has experienced bumps in throat (like maybe squamous cell tumor).  I have been on Zelboraf for 5 weeks and had some really hard side effects.  Noticed a few days ago a bump on my uvula (spellcheck).  I have a checkup appt. with oncology on this Thursday.  I have had a lot of warts or bumps pop up on my face, back, and arms just within the last couple of weeks, also.  Right now according to the last MRI I had, there is no cancer in the brain and the PET/CT showed minimal node involvement near my left armpit. 

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pfloyd's picture
Replies 9
Last reply 6/17/2012 - 10:10pm

I was diagnosed with stage 4 melanoma of the lung via CT scan/biopsy and PET scan in January ... very small tumor (1 cm) ... used VATS surgery to remove "wedge" of my left lung in February ... had a followup CT/PET scans in May the melanoma had spread to the leura of my left lung, lower left quadrant of my abdomen and in my liver ... I had been on Leukine (self injections ... 14 days of shots/14 days recovery) since the surgery (56 shots/4 rounds later the cancer had matastisized to the other locations listed above ... my oncology team at the James OSU Medical Ctr in Columbus took me off of the Leukine and started me on Zelboraf with my first dosages began 6/4/12 ... the first week was rather uneventful other than fatigue, week 2 has had the onset of major joint pain wrists , muscle pain throughtout my body and the fatigue continueing ... and the beat goes on ...

(my saga started in Oct. 2010, excission of melanoma on inner calf of my left leg, lymph nodes removed in my groin ... received immuno therapy Interferon - the most difficult chemo I have had - tore my body down as low as it could get for 2 months ... when I did the Leukine I told my oncologist the Leukine was like taking candy compared to the Interferon immuno therapy LOL) - neither how ever was successful in building my immune system to fight off the cancer ...)

Michael

" never be satisfied" ... "- I hate to lose ... having melanoma has me treating each "issue" that arises as a battle - a battle to be fought and won ...

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I hope this will help others. My dad was diagnosed with melanoma 6 years ago. Stage 4 3 years ago. Multiple surgeries...biggest was the lung 3 years ago. it was removed...very painful for my dad but he's a fighter.  It hit the nervous system 8 months ago, PET scan showed it along the spinal column and in the fluid around his brain. Sorry for the lack of specifiics...I am not a doctor.  the dcotors gave him 2 months. From what I know Zelboraf isn't supposed to cross hte blood brain barrier, but he tried it anyway. He had radiation around the head followed by taking the Zelboraf. Next scan showed the cancer had practically disapeared. Doctors were amazed. Side effect were bad, he had every one on the package insert. Just as he was about to stop the Zelboraf becuase the side effect were too much it quit working...symptoms were back. Confusion, headace, backace, etc. He's now on steroids to relieve the swelling in the brain and under hospice care. It's a great drug, bought time...maybe enough for him to see my son born. Worth the side effects? I don't know, only the person who has to do it can decide. I'll try to answer questions anyone has if you post or email me mcarter12345@hotmail.com.

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Sharona19's picture
Replies 9
Last reply 6/17/2012 - 4:47am

Hello, my name is Sharon and was diagnosed with invasive nodular melanoma 5/7/12 and am currently recovering from a WLE with a full thickness skin graft on my left ankle and SLNB from 6/5/12. My margins are clear and the three nodes taken show clear as well. The primary tumor was 1.79mm. I see the general surgeon Tuesday for a wound check and to go over my pathology report. What can I expect as far as the next step in treatment? The surgeon mentioned that I might be placed in a clinical trial. My biggest question is where and how do I find information on nodular melanoma and it's treatments and outcomes. I've been Googling like a crazy person but I can't seem to find any thorough information. It all seems vague and contradictory. I just found this site and I haven't learned how to navigate it yet. Any help would be appreciated as well as any hints to make this WLE recovery any better - it's very painful and I'm not good at sitting.

I thank you in advance for any help I get and I send peace to those who know the answers I need.

Sharon

Everything works out in the end, so if it isn't worked out then it's not the end.

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A national research collaboration of senior researchers, including a researcher from Moffitt Cancer Center, has found that 20 to 25 percent of "heavily pre-treated" patients with a variety of cancers who enrolled in a clinical trial had "objective and durable" responses to a treatment with BMS-936558, an antibody that specifically blocks programmed cell death 1 (PD-1). PD-1 is a key immune "checkpoint" receptor expressed by activated immune cells (T-cells) and is involved in the suppression of immunity.

The clinical trial, designed to assess the anti-tumor activity and safety of the treatment, was conducted with the help of 296 patients with a variety of cancers, including non-small cell lung cancer, melanoma and renal cell cancer, among others. Study results were published in a recent article in The New England Journal of Medicine.

According to study co-author Scott J. Antonia, M.D., Ph.D., chair of the Thoracic Oncology Program and co-chair of the Immunology Program at Moffitt, tumors can develop multiple resistance mechanisms to evade natural destruction by the body's immune system. Tumors may do this by exploiting a variety of biochemical pathways that lead to "immune checkpoints" where immune responses that might get through the checkpoints and otherwise help destroy tumor cells are, instead, terminated.

"There have been recent intensive efforts to develop immunotherapeutic approaches to treat cancer, including efforts to develop immune-checkpoint-pathway inhibitors," Antonia said. "A particular challenge in cancer immunotherapy has been to find the mechanism-based biomarkers that could be used to identify patients whose tumors are candidates for immune treatment."

For evidence that this approach is working, the study authors pointed to the recent success of the drug ipilimumab, an immune checkpoint pathway inhibitor that has been effective for many patients with advanced melanoma.

Their study results, Antonia said, suggested that tumors expressing the PD-1 ligand - PD-L1 (a ligand is binding molecule) - is an important candidate molecular marker. For example, in patients with PD-L1-positive tumors, the response to BMS-936558 was 36 percent, as opposed to no response in patients with PD-L1-negative tumors.

Among the 296 patient volunteers in whom responses could be evaluated, complete or partial responses resulted for those with non-small cell lung cancer, melanoma or renal cell cancer. The researchers concluded that the anti-PD-1 antibody was safe, effective and the responses were "durable."

http://www.medicalnewstoday.com/releases/246587.php      Article Date: 15 Jun 2012 - 1:00 PDT

Advocate for your own treatment.. Stage 4 Melanoma NED Surgery,Radiation, Temodar 300Mg July 2009-March 2010, then Thorocotomy...now "Phase I Study of Anti-PD-1 Human Monoclonal Antibody MDX-1106 and Vaccine Therapy"

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Snickers60's picture
Replies 8
Last reply 6/18/2012 - 8:05pm

He was diagnosed March 13, 2012 with mets from a 1999 ear lobe mole, and started ZEL on April 23, 2012

We returned home today from MDANSERSON bouncing off the walls with joy ! 

Yesterday,  Dr. B showed us the PET and every single one of his tumors were GONE !

He said he ALMOST NEVER saw Liver mets go, but Wayne's were, which put him in the 4% of folks who responded this well on ZEL.

2 liver

4 lung

1  L-5

1  Distal Leg bone

ALLLLLLLLLLLLLLLLL GONE !!!!!!!!    

I hope this will encourage someone !    I pray it last.   He will continue on full dosage of ZEL for now and they will do all the SCANS

again in 8 weeks.   We are so encouraged - we're JUST PLUM OUT OF OUR MINDS !   LOL LOL

MAY YOU BE ENCOURAGED !!!!!!!!!!!!  :-))))))))))

Matt. 15:13 "Every plant that my Heavenly Father hath not planted shall be pulled up by the roots". "With God all things are possible" ! Keep the FAITH !

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vonnie4100's picture
Replies 1
Last reply 6/15/2012 - 5:54pm
Replies by: lhaley

I am constantly reading other posts to find out the results from others with this depth and the treatments that have been used successfully. Does anyone have anything to share on this topic?

"Dream as if you'll live forever, live as if you'll die tomorrow."

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My first recurrence was a neck lymph node 3/12, surgically removed.  A PET scan showed activity in a chest node very close to the esophagus.  After presentation to a Tumor Board the consensus was the risks far outweighed the benefits of surgery.  I was being seen by my local oncologist as well as at the U of AZ at the Cancer Center w/Dr. Evan Hersh.  A brain MRI showed a 3mm area in the cerebellum (either age related or tumor).  Decision to wait and repeat in 2 months.  Next step chemo.  THEN a wonderful new treatment method was discovered in an article in a  local hospital newsletter.  I was considered a good candidate and received 5 one hour treatments with this new technology.  Now I understand it's been around for a while, but for whatever reasons I hadn't heard about it.  I figure it's up to me to get the word out.  The treatment facility is Phoenix Cyberknife and Radiation Oncology Center, Scottsdale, AZ.  Dr. John Kresl is my doctor and the head of the clinic. He and his staff are the best.  All kinds of cancers and sites can be treated.  They have state-of-the-art equipment featuring CYBERKNIFE VSI, TRUEBEAM STX, VARISOURCE  IX HDR AND GE WIDE BORE 16-SLICE CT.  This is the only treatment center in AZ.  I am so thankful to have found Dr. Kresl.  The dosage is high and the area treated is just the tumor area so the tumor is destroyed. The robotic arm can approach the tumor from all angles.  You lay on a table and the arm moves around your body.  First I had a planning CT then the doctor, a physicist and a dosimeter decide on the treatment plan and schedule.  I could go on and on, but you get the idea.  If I can help in any way please email me at omeake@cox.net.   

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