Mandamoo
12-13-2012, 08:20 PM
Argh!what a week! Three differ radiologists look at the scans and I get three different views...
After much thought and discussion with those I trust I am staying on TDM1 and rescanning in three weeks.
I have not progressed according to trial criteria. The target lesions have grown 15%. So they are saying stable. My private oncologist feels result is borderline when entire view of lungs is taken into account. 2/3 say no new disease. The other issue is scan was on a different machine with higher resolution. Trial oncologist is also saying lung mets on TDM1 appear to respond slower and sometimes flare a little before reduction and that perhaps I haven't had full benefit of the drug yet. The radiologist I trust the most has looked at the 6 lesions that have changed the most and they are around the 20- 25% mark but there are numerous unchanged or just marginally changed lesions.
So...I don't want to jump off this horse that is so low toxic until I have to so we are ridding TDM1 a little longer with full understanding that it may not be doing much for me but maybe it is keeping me relatively stable. It seems lung mets are difficult to measure too.
I'm in the chair waiting and happy with my decision.
Here's to me simply being a slow responder rather than a non responder!
After much thought and discussion with those I trust I am staying on TDM1 and rescanning in three weeks.
I have not progressed according to trial criteria. The target lesions have grown 15%. So they are saying stable. My private oncologist feels result is borderline when entire view of lungs is taken into account. 2/3 say no new disease. The other issue is scan was on a different machine with higher resolution. Trial oncologist is also saying lung mets on TDM1 appear to respond slower and sometimes flare a little before reduction and that perhaps I haven't had full benefit of the drug yet. The radiologist I trust the most has looked at the 6 lesions that have changed the most and they are around the 20- 25% mark but there are numerous unchanged or just marginally changed lesions.
So...I don't want to jump off this horse that is so low toxic until I have to so we are ridding TDM1 a little longer with full understanding that it may not be doing much for me but maybe it is keeping me relatively stable. It seems lung mets are difficult to measure too.
I'm in the chair waiting and happy with my decision.
Here's to me simply being a slow responder rather than a non responder!