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My Father’s melanoma

Forums General Melanoma Community My Father’s melanoma

  • Post
    Kosta
    Participant

      Hello everybody,
       

      Hello everybody,
       

      I have to say that this is one great place for support and information. First time posting and would like to share our experience with Dad's melanoma.
      My father is 82 years old.  First biopsy came from a suspicious mole  on his right shoulder blade. Initial biopsy was done overseas (Greece) and I decided to get on the next flight out and bring him to NY. Thank God I did. Initial results in Greece showed 1.5mm on the primary tumor thickness. The same film brought to NYU was diagnosed as 6mm. immediately our Doctors at NYU called for PET/CT followed with lympadenectomy on May 24th The plan was to also start radiation therapy a couple of weeks later over the area  of the surgery to prevent any metastasis. A week after radiation therapy started my father started complaining about lower back pain. A few days later it was almost impossible to get him on the radiation table even though he was on oxycontin.
       

      By late June and after an MRI that showed metastasis to his spine. His higher dose of oxycontin (12h) and oxycodone (4h) had caused changes in his persona. For example, lethargic and sleepy and even going to the rest room was a huge task (severe constipation) and frequency in urination. We decided to go for a second opinion/consult with Dr. Francis Arena in Long Island. Dr. Arena wasted no time to communicate with Dr. Ott at NYU and both agreed it was necessary to start radiation therapy on his back to relieve the pain. After ten sessions and because of time constraints with the start of the clinical trial of Zelboraf that we had matched we had great success with in controlling his pain and getting completely off oxycontin by the time we started Zelboraf.
       

      Two and a half cycles of Zelboraf nd with minor adverse reactions we were scheduled for PET/CT and MRI of the spine. The results? Devastating. new mets and old mets had grown. We were told that Zelboraf had stopped working. I don't know if he had ever reacted to it. We stopped Zelboraf two weeks ago and were told by NYU to start on temodar. I again called Dr Arena and requested another consult because my father by now was ready to throw in the towel and requesting to bring him back to Greece for his last days. I know it’s his wish but I can not give up hope yet. Dr. Arena also build on our hopes and my father is ready to start on his first infusion of Yervoy Wednesday Nov. 2nd. We are looking and praying for some positive developments because we are back on oxycontin and the pain under his right arm is excruciating. I hate seeing anybody in pain but I can't express my pain seeing my DAD in this condition.

       

      Love and Hope to all of you and yours…Kosta

       

       

       

       

       

       

       

    Viewing 8 reply threads
    • Replies
        MichaelFL
        Participant

          Where was he tested for the BRAF V600E mutation? U.S. (NY) or Greece? It was positive, correct?

            Kosta
            Participant

              The test was done here at NYU. He tested positive.

              Kosta
              Participant

                The test was done here at NYU. He tested positive.

                Kosta
                Participant

                  The test was done here at NYU. He tested positive.

                MichaelFL
                Participant

                  Where was he tested for the BRAF V600E mutation? U.S. (NY) or Greece? It was positive, correct?

                  MichaelFL
                  Participant

                    Where was he tested for the BRAF V600E mutation? U.S. (NY) or Greece? It was positive, correct?

                    dearfoam
                    Participant

                      I agree – it is very difficult to see your father struggle with this diseaase! I am sorry to hear your dad has not had a good response to Zelboraf. My dad is on Temodar (since May 2011) and it so far has slowed the tumor growth. Perhaps it will give your dad some relief as well.

                      I also know it is difficult to accept what approach dad wants to take with his care, so I wish you the best!

                      -DF

                        Kosta
                        Participant

                          Thank you! I hope your dad continuous to improve…all my positive thoughts are going his way! 

                          Kosta
                          Participant

                            Thank you! I hope your dad continuous to improve…all my positive thoughts are going his way! 

                            Kosta
                            Participant

                              Thank you! I hope your dad continuous to improve…all my positive thoughts are going his way! 

                            dearfoam
                            Participant

                              I agree – it is very difficult to see your father struggle with this diseaase! I am sorry to hear your dad has not had a good response to Zelboraf. My dad is on Temodar (since May 2011) and it so far has slowed the tumor growth. Perhaps it will give your dad some relief as well.

                              I also know it is difficult to accept what approach dad wants to take with his care, so I wish you the best!

                              -DF

                              dearfoam
                              Participant

                                I agree – it is very difficult to see your father struggle with this diseaase! I am sorry to hear your dad has not had a good response to Zelboraf. My dad is on Temodar (since May 2011) and it so far has slowed the tumor growth. Perhaps it will give your dad some relief as well.

                                I also know it is difficult to accept what approach dad wants to take with his care, so I wish you the best!

                                -DF

                                FormerCaregiver
                                Participant

                                  Kosta, welcome to our forum. Sorry to read about your dad's situation and the fact that Zelboraf didn't work as expected. Can you tell me more about the location of the mets? Has a surgical oncologist been consulted to see if surgery is possible on any of these?

                                  Temodar, followed by Yervoy may work well. However, this could take some time and therefore it is important that his pain is well managed. Perhaps it would be an idea to consult a pain specialist. Here is some info about pain management: http://en.wikipedia.org/wiki/Pain_management#Moderate_to_severe_pain

                                  Hope this helps.

                                  Frank from Australia

                                    Kosta
                                    Participant

                                      Thank you so very much Frank great to be here. Any help we can get is greatly appreciated. He's got multiple lesions on a number of vertebrae. Right axillary where surgery was performed, Lungs, liver, low attenuation lesions on both kidneys.

                                      Kosta
                                      Participant

                                        Thank you so very much Frank great to be here. Any help we can get is greatly appreciated. He's got multiple lesions on a number of vertebrae. Right axillary where surgery was performed, Lungs, liver, low attenuation lesions on both kidneys.

                                        Kosta
                                        Participant

                                          Thank you so very much Frank great to be here. Any help we can get is greatly appreciated. He's got multiple lesions on a number of vertebrae. Right axillary where surgery was performed, Lungs, liver, low attenuation lesions on both kidneys.

                                        FormerCaregiver
                                        Participant

                                          Kosta, welcome to our forum. Sorry to read about your dad's situation and the fact that Zelboraf didn't work as expected. Can you tell me more about the location of the mets? Has a surgical oncologist been consulted to see if surgery is possible on any of these?

                                          Temodar, followed by Yervoy may work well. However, this could take some time and therefore it is important that his pain is well managed. Perhaps it would be an idea to consult a pain specialist. Here is some info about pain management: http://en.wikipedia.org/wiki/Pain_management#Moderate_to_severe_pain

                                          Hope this helps.

                                          Frank from Australia

                                          FormerCaregiver
                                          Participant

                                            Kosta, welcome to our forum. Sorry to read about your dad's situation and the fact that Zelboraf didn't work as expected. Can you tell me more about the location of the mets? Has a surgical oncologist been consulted to see if surgery is possible on any of these?

                                            Temodar, followed by Yervoy may work well. However, this could take some time and therefore it is important that his pain is well managed. Perhaps it would be an idea to consult a pain specialist. Here is some info about pain management: http://en.wikipedia.org/wiki/Pain_management#Moderate_to_severe_pain

                                            Hope this helps.

                                            Frank from Australia

                                        Viewing 8 reply threads
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