oncology appt was mixed results
There is no evidence of bone or liver cancer, so it’s not spread which is good
However, the CT scan is what he calls a complicated scan and falls into a grey area
Some aspects look better, the top left lung has re-expanded and the base of the left lung looks better as well.
But there are definite new lymph node involvement in both sides, especially on the right side, and this is a definite new change since the last scan
However, in a small number of patients having immunotherapy, there is something called “pseudo progression” - so whilst the CT scan shows the lymph nodes to be more involved which suggests more cancer, it can just be an inflammatory reaction to the immunotherapy
So the plan is to do another CT scan in three weeks -
If the lymph nodes are the same or similar, then I will stay on the Chemotherapy and immunotherapy plan that I am on now. If there is progression with the lymph nodes, either more inflammation or more lymph nodes involved, then we have to change treatment.
That treatment is what they call second line treatment, but is like the last line of defence as far as I understand it
A tablet called sotorasib
He wants to keep me on the chemo as long as possible, because once it’s been stopped, they can’t restart it
But if more lymph nodes are involved, then the chemo isn’t working and will be stopped
They’ve doubled the 2 morphine meds to try and combat the chest pain I have, he describes it as mediastinal pain, which is in keeping with inflamed lymph nodes