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Treatment options for new in transit mets

Forums General Melanoma Community Treatment options for new in transit mets

  • Post
    kentuckycat
    Participant

      Nodular 3.5mm primary melenoma  on leg18 months ago with a positive lymph node and 1 local in transit met.  I was staged at 3c.  Was on the ipi vs interferon trial and randomized into the 3mg ipi arm.  Completed all 8 doses of ipi in July and just found 3 small subq mets 2 inches from primary site.  A fine needle biopsy done and positive for melanoma.  Ct scans were just done last week as well and all clean.  My melanoma specialist oncologist wants to do an MRI of brain and full body PET scan just to make sure no further disease.  Assuming all clear he wants to have surgery to remove the 3 mets and then interferon as an adjuvant therapy.  

      My doc says I am still stage 3c.  What other options do I have?  Can I leave the mets and do some type of systemic treatment?  Can I surgically remove the mets and then do some type of adjuvant treatment besides interferon?  Any clinical trials available that I should look into?  Thank you in advance for any suggestions.

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        Norman_Maryland
        Participant

          I had a similar experience a few years ago. Primary on leg excised, I node positive, also did interferon. Intransit mets reoccurred on leg. My Onc recomended isolated limb perfusion (ILP), pretty agressive surgery but all that was available at the time. You may want to look into it.  I would not recomend leaving the mets… I believe surgery is the most recomended option.

          Best wishes

            kentuckycat
            Participant

              Thank you for the response.  Did the ILP work for you so far to prevent any more recurrences?  My oncologist mentioned it, but said it isn't used much anymore.  The fact he mentioned it means he considers it an option though so may make sone sense,  right now I do plan to have the Mets surgically removed.  I wish I could do it now, but must wait for the PET, meet with surgeon and then schedule surgery.  It will likely be 2-3 weeks since the mets were discovered.  Does that seem like a long time?  I just want to get them out as soon as possible?  Thanks again and best wishes to you too.

              kentuckycat
              Participant

                Thank you for the response.  Did the ILP work for you so far to prevent any more recurrences?  My oncologist mentioned it, but said it isn't used much anymore.  The fact he mentioned it means he considers it an option though so may make sone sense,  right now I do plan to have the Mets surgically removed.  I wish I could do it now, but must wait for the PET, meet with surgeon and then schedule surgery.  It will likely be 2-3 weeks since the mets were discovered.  Does that seem like a long time?  I just want to get them out as soon as possible?  Thanks again and best wishes to you too.

                kentuckycat
                Participant

                  Thank you for the response.  Did the ILP work for you so far to prevent any more recurrences?  My oncologist mentioned it, but said it isn't used much anymore.  The fact he mentioned it means he considers it an option though so may make sone sense,  right now I do plan to have the Mets surgically removed.  I wish I could do it now, but must wait for the PET, meet with surgeon and then schedule surgery.  It will likely be 2-3 weeks since the mets were discovered.  Does that seem like a long time?  I just want to get them out as soon as possible?  Thanks again and best wishes to you too.

                Norman_Maryland
                Participant

                  I had a similar experience a few years ago. Primary on leg excised, I node positive, also did interferon. Intransit mets reoccurred on leg. My Onc recomended isolated limb perfusion (ILP), pretty agressive surgery but all that was available at the time. You may want to look into it.  I would not recomend leaving the mets… I believe surgery is the most recomended option.

                  Best wishes

                  Norman_Maryland
                  Participant

                    I had a similar experience a few years ago. Primary on leg excised, I node positive, also did interferon. Intransit mets reoccurred on leg. My Onc recomended isolated limb perfusion (ILP), pretty agressive surgery but all that was available at the time. You may want to look into it.  I would not recomend leaving the mets… I believe surgery is the most recomended option.

                    Best wishes

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