BRAF mutations
I was diagnosed with Stage 4 melanoma. The cancer returned about 2 years later by creating a lseion on my lung as well as on a rib. When to two immunotherapy sessions only to realize that it wasn't working because the tumor on my rib was getting bigger and causing a tremendous amount of chest pain. I am now on targeted therapy - Braftovi and Mektovi. These two medications have helped and the tumor is no longer painful and has reduced considerably in size. My next PET scan is in two months. I was told that because I have the BRAF mutation, I have more treatment options but this mutation causes cancer cells to be mor aggressive. Is this true? Will I need to be on this targeted therapy for the rest of my life? I'm 69 years old. Thank you
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@laura10: I'd like to welcome to Mayo Clinic Connect both as a mentor here as well as a Stage 4 metastatic melanoma patient myself of roughly the same age who has undergone immunotherapy. Unlike you, however, I am BRAF negative. There's a double edged sword there, so to speak, with that mutation: while BRAF+ carries the risk of having melanomas that may be more aggressive in nature as it can cause cells to multipy faster, there are more treatment options available, such as the targeted therapy you're receiving, for which I would not be a candidate.
Will you need to be on targeted therapy for the rest of your life? From my understanding - based upon what I've read and gathered from attending various webinars sponsored by organizations such as AIM for Melanoma, that is highly dependent upon the stage of cancer, if surgery has been performed, and how it has responded - and continues to respond - to the targeted therapy. There are also new interventions becoming available which can offer much promise, dependent again on the specifics of the melanoma.
I'm glad to hear the rib lesion has declined in size and is no longer painful; what a relief that must be! I'm also due to have my next PET scan in about two months so I'd like to hear from you after yours if you could keep me in the loop. In the interim, the question about how long you can realistically expect to be on Braftovi and Mektovi, or a similar therapy, would be best directed to your oncology team for their expertise based upon your individual history. I'd be very interested to hear what they have to say, if you would be comfortable sharing that with me?
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2 ReactionsHi Susan, thank you for your words of support. I will let you know what my oncologist says at our next appointment at the end of month (sept). I hope you will share with me the results of your PET scan, my PET scan should be scheduled for sometime in October. Until then, let's stay strong and positive. Take care.
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