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My latest surgery

Forums Cutaneous Melanoma Community My latest surgery

  • Post
    miaka618
    Participant

      Hey guys! Just wanted to provide an update on what's going on in April land.

      First a quick recap of my first year in melanoma land. My initial mole was located on my right temple, just in my hairline. I had a 7cm excision as well as 3 sentinel nodes removed back in April of 2016. All nodes came back positive. A neck dissection soon followed removing 28 more nodes, all clear. Started ipi in the summer, but had to stop after 1 dose because of an insurance hiccup. Good thing too because my pituitary gland flared up about a month after that and I was placed on high dose steroids. I currently lost production of cortisol and thyroid hormone. A late fall PET scan revealed another lymph node near my right ear which they then removed just before Christmas. My next PET revealed that EXACT SAME SPOT. Ok, so there were 2 lymph nodes that needed to go, not 1.

      Now that you are up to speed. I went in last Wednesday to have the second lymph node removed as well as several other suspicious nodes around my neck as well as a suspicious looked mass of tissue from my right cheek. The surgeon didn't want to leave anything behind this time. I got the path back today and it seems that out of all the nodes he removed, 2 were positive and the mass of tissue was apparently nothing. I'm actually pretty happy about those results, but definitely confused about what the mass could have been. I had been noticing a bit of pain in that area for the last month, and mentioned it to the nurse practitioner, but when it came to crunch time, it totally slipped my mind to mention it to my surgeon! Buy yet, he found the mass on his own. 

      All of my nerves are dead again. Boo. They were doing such a nice job reconnecting themselves. I mean, the feeling wasn't completely back, but there was definitely some sensation there. I could totally scratch my ear by rubbing under my chin! Ha! Nope, all gone again. I guess we'll see what the next rebuild will do. lol

      This surgery was just before Memorial weekend, so of course I over did it. The weather was so perfect. We went on a bike ride, swung on the rope swing, grilled out, watched the neighbors shoot off fireworks and stayed up way to late. By Monday I was so exhausted I missed my son's parade. 🙁 I feel terrible about that.

      Back to the oncologist on Friday to figure out what's happening next. He's retiring soon, so I guess this will be the last time I see him. 

      Cheers my fellow warriors.

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        MovingOn
        Participant

          Best wishes that this is the end of the melanoma road for you – no more nodes lighting up.

          I had a similar occurrence with Ipi (hypophysitis).

          Keytruda or Optivo might be worth trying because I think you would now be considered stage 4 (lymph nodes in different areas). Their side effects are supposed to be less frequent and their effectiveness is higher.

            jennunicorn
            Participant

              If anymore areas light up again, I would agree to try opdivo or keytruda. If you are NED again now, you won't be able to start on a treatment, Ipi is the only approved one for NED folks. Hoping no more lighting up for you though and this can be the end of lymph node surgeries.

              miaka618
              Participant
                Right, I am still stage 3 so there is nothing available, however my local oncologist said he’d be willing to try to push for some stage 4 drugs so I guess we will wait and see.
                jennunicorn
                Participant

                  If something else lights up and they can do a needle test to see if it is melanoma and they don't take it out surgically, then you can be considered 3C unresectable and then all of the drugs will be available.

                UBContributor
                Participant

                  Thank you for sharing! I hope you will share your recovery process too. I hope those nerves back alive again soon. Best of luck! 

                    miaka618
                    Participant
                      Definitely! I have found other people’s stories inspiring. I think it is good to inspire others in return.
                    MovingOn
                    Participant

                      Is there anything you do to promote the nerve regrowth/healing?

                      I use a warm wet towel over a heating pad and it seems to make my nerves respond (I'm not sure if it makes them heal faster but they seem to pulse when I've got the heat on them.)

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