This morning Pete picked up a copy of the CT report and it did clarify why one of the nodules was reported to have grown a tremendous amount. It seems that the tumor that increased from 6.6 x 2.4 cm to 7.7 x 6.4 cm came about when "several small nodules that were adjacent to the larger mass became confluent with it". The previous report from January identified 10 individual nodules. There are now only 6; the largest is a result of the merger of 5 into 1.
The recommendation by Dr. K (MSKCC) was to change Pete's chemo to Dacarbazine, so he had his first infusion this afternoon. Tomorrow afternoon he'll get his Nulasta shot (white blood cell booster). In 2 weeks he'll go in for blood work to check his white blood cell count, and then the next treatment will be in week 3.
This drug is listed as being "highly emetogenic", so at the end of the session, the nurse directed him to take one of the anti-nausea drugs this evening and to continue taking them for the next several days, even if he felt fine.
His first chemo treatment was Gem/Tax, the second was AIM (I'm not going to count the Rapamune, which is now discontinued) so this is the third attempt to find a treatment that will work at reducing the size of the tumors. Right now that old saying about "three's a charm" sounds pretty good to me.
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