PET SCAN AND UPDATE

Forums General Melanoma Community PET SCAN AND UPDATE

  • Post
    JoshF
    Participant

      Well PET last week showed NED. I was a bit nervous because she said abdomen was bright but she felt it was contrasting and wanted to wait on offical radiologist reading. Though she was comfortable with results; I wasn't until I received official word. I've been very fortunate and grateful to my docs and the support I've received here.

      We discussed scanning and for those of you familiar with my story, I had the local recurrence this past Jan after doing IPI & IL-2 Combo in Jan 2014. I didn't have clear margins prior to starting treatment and they felt then that I may possibly need surgery after treatment due to perfusion(?). Regardless I had the 3rd recurrence which basically would put me at only 6 months NED now. My onc feels that we can push out scan to 6 months as she has concerns about all the readiation I've been exposed since the fall of 2013. I know many of you have been through more….I'm just very conflicted I what direction to go here. I like the scans to know what's going on…really I guess you like them when they come back NED. There is a tremendous amount of scanxiety a few weeks prior to scan. I guess I just want to give myself the best chance to stay ahead of it because after 3 recurrences I can't stop thinking of if it comes back…I always think like when it comes back. It's hard to balance all of this and if anyone has suggestions…I'm always open to hearing them.

      Wishing you all the best!

      Josh

    Viewing 11 reply threads
    • Replies
        SABKLYN
        Participant

          Hey Josh,

          Don't ats on on the awesome report!  Your fight has been an inspiration and terrific to see things are going your way.  As for managing the scanxiety, for me it's still there almost 4 years of being NED.  However, as I put more distance between then and  now, It,is always improving.   I've focused on my life….be a good husband and father,, dedicate myself to my profession and care of business relative to seeing my docs, etc.

          My sincerest wishes for a good life, and of course continued good scans!!

            JoshF
            Participant

              Much appreciated! It's awesome your 4yrs out and can imagine that the anxiety will never leave us. Just have to hang tough…be well!

              josh 

              JoshF
              Participant

                Much appreciated! It's awesome your 4yrs out and can imagine that the anxiety will never leave us. Just have to hang tough…be well!

                josh 

                JoshF
                Participant

                  Much appreciated! It's awesome your 4yrs out and can imagine that the anxiety will never leave us. Just have to hang tough…be well!

                  josh 

                SABKLYN
                Participant

                  Hey Josh,

                  Don't ats on on the awesome report!  Your fight has been an inspiration and terrific to see things are going your way.  As for managing the scanxiety, for me it's still there almost 4 years of being NED.  However, as I put more distance between then and  now, It,is always improving.   I've focused on my life….be a good husband and father,, dedicate myself to my profession and care of business relative to seeing my docs, etc.

                  My sincerest wishes for a good life, and of course continued good scans!!

                  SABKLYN
                  Participant

                    Hey Josh,

                    Don't ats on on the awesome report!  Your fight has been an inspiration and terrific to see things are going your way.  As for managing the scanxiety, for me it's still there almost 4 years of being NED.  However, as I put more distance between then and  now, It,is always improving.   I've focused on my life….be a good husband and father,, dedicate myself to my profession and care of business relative to seeing my docs, etc.

                    My sincerest wishes for a good life, and of course continued good scans!!

                    stars
                    Participant

                      Hi Josh

                      Scanxiety is the worst – I don't even get scans, but getting biopsies and waiting on path drives me around the twist.

                      You're a young man and all the CT/PET scanning does add up in terms of radiation exposure. There is some wisdom in finding the right amount of scanning to give you peace of mind, AND protect your future health. Also, if this rate of scanning was clinically sound, wouldn't it be great to have six months of fun in between the inevitable scanxiety?

                      I personally would get the clear margins, just for peace of mind – that said, if it makes no difference clinically, why bother? But the margins are all about trying to minimise chance of recurrence, according to my doc, so I only see margins as a good thing. But again, my history is very different to yours and I 100% defer to your knowledge in this area.

                      I think you are still in the process of finding out what you are going to be comfortable with in terms of scanning/monitoring, that might require a second opinion and a bit of time to think. I wish you all the best and thank you for your update.

                      Stars

                       

                        JoshF
                        Participant

                          Thank you Stars….I do enjoy time between for sure…. Though I find myself wondering at times if too much time between can lead to problems. I did have the 3rd Surgery in Jan after treatment finishing treatment in 2014…just wonder if it was too long of a wait. Either way I'm doing well now and will remain diligent. I've had a 2nd opinion from Dr Luke at U of Chicago and he knows my onc and said I'm in good hands. It's hard not worrying at times.

                          Josh

                          JoshF
                          Participant

                            Thank you Stars….I do enjoy time between for sure…. Though I find myself wondering at times if too much time between can lead to problems. I did have the 3rd Surgery in Jan after treatment finishing treatment in 2014…just wonder if it was too long of a wait. Either way I'm doing well now and will remain diligent. I've had a 2nd opinion from Dr Luke at U of Chicago and he knows my onc and said I'm in good hands. It's hard not worrying at times.

                            Josh

                            JoshF
                            Participant

                              Thank you Stars….I do enjoy time between for sure…. Though I find myself wondering at times if too much time between can lead to problems. I did have the 3rd Surgery in Jan after treatment finishing treatment in 2014…just wonder if it was too long of a wait. Either way I'm doing well now and will remain diligent. I've had a 2nd opinion from Dr Luke at U of Chicago and he knows my onc and said I'm in good hands. It's hard not worrying at times.

                              Josh

                            stars
                            Participant

                              Hi Josh

                              Scanxiety is the worst – I don't even get scans, but getting biopsies and waiting on path drives me around the twist.

                              You're a young man and all the CT/PET scanning does add up in terms of radiation exposure. There is some wisdom in finding the right amount of scanning to give you peace of mind, AND protect your future health. Also, if this rate of scanning was clinically sound, wouldn't it be great to have six months of fun in between the inevitable scanxiety?

                              I personally would get the clear margins, just for peace of mind – that said, if it makes no difference clinically, why bother? But the margins are all about trying to minimise chance of recurrence, according to my doc, so I only see margins as a good thing. But again, my history is very different to yours and I 100% defer to your knowledge in this area.

                              I think you are still in the process of finding out what you are going to be comfortable with in terms of scanning/monitoring, that might require a second opinion and a bit of time to think. I wish you all the best and thank you for your update.

                              Stars

                               

                              stars
                              Participant

                                Hi Josh

                                Scanxiety is the worst – I don't even get scans, but getting biopsies and waiting on path drives me around the twist.

                                You're a young man and all the CT/PET scanning does add up in terms of radiation exposure. There is some wisdom in finding the right amount of scanning to give you peace of mind, AND protect your future health. Also, if this rate of scanning was clinically sound, wouldn't it be great to have six months of fun in between the inevitable scanxiety?

                                I personally would get the clear margins, just for peace of mind – that said, if it makes no difference clinically, why bother? But the margins are all about trying to minimise chance of recurrence, according to my doc, so I only see margins as a good thing. But again, my history is very different to yours and I 100% defer to your knowledge in this area.

                                I think you are still in the process of finding out what you are going to be comfortable with in terms of scanning/monitoring, that might require a second opinion and a bit of time to think. I wish you all the best and thank you for your update.

                                Stars

                                 

                                arthurjedi007
                                Participant

                                  Congrats on the good report. If I understand right the pet ct has more radiation than just the ct. Granted the ct has enough. If your doc can see things with just the ct maybe mix things up a little. Like in 3 months have the ct then in 6 or something have the ct with the pet. I know one of the early ipi responders is in his 80s now. He gets a scan every 6 months. They alternate between a ct and a pet. He has never been Ned but he's been stable for many years. Just a thought.

                                  Artie

                                    JoshF
                                    Participant

                                      Thanks Artie….hope you're well. 

                                      JoshF
                                      Participant

                                        Thanks Artie….hope you're well. 

                                        JoshF
                                        Participant

                                          Thanks Artie….hope you're well. 

                                        arthurjedi007
                                        Participant

                                          Congrats on the good report. If I understand right the pet ct has more radiation than just the ct. Granted the ct has enough. If your doc can see things with just the ct maybe mix things up a little. Like in 3 months have the ct then in 6 or something have the ct with the pet. I know one of the early ipi responders is in his 80s now. He gets a scan every 6 months. They alternate between a ct and a pet. He has never been Ned but he's been stable for many years. Just a thought.

                                          Artie

                                          arthurjedi007
                                          Participant

                                            Congrats on the good report. If I understand right the pet ct has more radiation than just the ct. Granted the ct has enough. If your doc can see things with just the ct maybe mix things up a little. Like in 3 months have the ct then in 6 or something have the ct with the pet. I know one of the early ipi responders is in his 80s now. He gets a scan every 6 months. They alternate between a ct and a pet. He has never been Ned but he's been stable for many years. Just a thought.

                                            Artie

                                            Bubbles
                                            Participant

                                              NED!!!  Josh!  That's great.  I know it is weird not knowing what is around the corner.  Hang in there.  Hoping you are NED at 83….83 thousand, that is!!! c

                                                Momofjake
                                                Participant

                                                  Always happy to hear NED! Go enjoy:) Do all you can. Make the best decisions you can and live happy every day you can! It's a new reality, but one you can do! 

                                                  So happy for you!

                                                   

                                                  Momofjake
                                                  Participant

                                                    Always happy to hear NED! Go enjoy:) Do all you can. Make the best decisions you can and live happy every day you can! It's a new reality, but one you can do! 

                                                    So happy for you!

                                                     

                                                    Momofjake
                                                    Participant

                                                      Always happy to hear NED! Go enjoy:) Do all you can. Make the best decisions you can and live happy every day you can! It's a new reality, but one you can do! 

                                                      So happy for you!

                                                       

                                                    Bubbles
                                                    Participant

                                                      NED!!!  Josh!  That's great.  I know it is weird not knowing what is around the corner.  Hang in there.  Hoping you are NED at 83….83 thousand, that is!!! c

                                                      Bubbles
                                                      Participant

                                                        NED!!!  Josh!  That's great.  I know it is weird not knowing what is around the corner.  Hang in there.  Hoping you are NED at 83….83 thousand, that is!!! c

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