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Polymyalgia Rheumatica (PMR) | Last Active: 16 hours ago | Replies (36)
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Replies to "@dadcue Does this mean what I think it means for you? Is it a cancer that..."
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@boomermeg
I don't think my cancer was caused by Actemra. However, after I was diagnosed with cancer, my rheumatologist didn't think being on Actemra was a good idea. An active cancer diagnosis is generally a reason to pause or stop biologic medications because they suppress the immune system. We need our immune system to be at "full strength" to fight cancer.
The information I found suggests that IL-6 inflammation is something that drives the progression of the type neuroendocrine tumor that I have. I think dysregulated IL-6 inflammation might have provided the environment for my neuroendocrine tumor to form.
https://pubmed.ncbi.nlm.nih.gov/31466863/
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I have done CT-scans annually since 2020 to monitor my kidney stones. The tumor I have wasn't reported until 2025. However, an retrospective review of all my CT-scans back to 2020 showed that my tumor was present in 2020. Fortunately the tumor hasn't progressed very much since 2020.
I was still on Prednisone in 2020 but there is no evidence that prednisone increases the risk of cancer. However, I'm sure IL-6 inflammation was running wild until Actemra stopped that kind of chronic inflammation.
It is pure speculation on my part. Data on IL-6 inhibitors like Actemra directly treating or shrinking neuroendocrine tumors isn't a standard protocol. However, medical science knows that local IL-6 expression is heavily associated with tumor progression.
Actemra has only been paused by my rheumatologist until the cancer specialist gives his opinion about me continuing Actemra.