slyseal28
Member
11 messages
joined Mar 2007
We went in for follow-up CT scans of the chest, abdomen, and pelvis yesterday. To say the results were a disaster would be an understatement. That damn sarcoma has come back, and it’s back in full force—appearing in three different spots.
Excerpts from the chest CT report: "On the left, there is a markedly high protrusion of the rib; along the lateral thoracic wall, a soft tissue expansive round mass measuring 3.7 x 3.3 cm is visible. Near the aortic arch and pulmonary artery, an irregularly shaped soft tissue expansive mass is also seen, and further down, anterior to the cardiac apex, there is a polycyclic expansive mass measuring 11.8 x 5.7 cm. A smaller soft tissue expansive mass is also noted on the left dorsal side in the posterior recess behind the spleen."
Excerpts from the abdomen and pelvis CT report: "Dorsal to the left, against the posterior abdominal wall behind the diaphragmatic crus, there is a larger oval-shaped soft tissue expansive mass measuring 5.6 x 5.0 cm; more anteriorly, near the diaphragmatic crus latero-aortally, another round mass is visible, almost inseparable from the larger one."
Basically, the report is a wreck. We weren't expecting this. I've been thinking about the possibility of a recurrence, but I never imagined it would happen this fast. And in three places, no less. We went straight to our specialist to hammer out a game plan:
The recommendation is third-line chemotherapy: Gemcitabine and Docetaxel. On Monday, we have to file the paperwork to get this treatment approved because, naturally, these specific drugs aren't on the standard coverage list for soft tissue sarcomas. We’re planning for a second cycle, followed by another CT scan. If this doesn't work, we move to Yondelis. Yondelis is that drug that isn't officially approved here in the States, and the monthly treatment costs roughly $11,000.
Surgery is also on the table—possibly even two separate procedures. We need to consult with the thoracic surgeon, Dr. Šantek, and most likely an abdominal surgeon as well. But we'll deal with that when the time comes.
How have we taken this news? It’s been hard. We’re back on the front lines, right in the thick of it again. We need to pull ourselves together, process this, and adjust to the new reality. *Sigh*...
Our fight continues. We’ll keep fighting for the approval of Yondelis, and we’ll keep fighting for life. This time, we’re going to need the support of friends and good people. Please, stay with us.