Updated: Mar 10, 2020
Dr. Brooks called late Friday to share the results of David's recent abdominal CT scan. The last abdominal CT scan was done on 11/7/19 and David has had four Keytruda IVs since then, so we were very eager to check the status of David's stomach and liver tumors as well as his abdominal lymph nodes.
Much to our relief, Dr. Brooks reported good news. There are no new tumors in the abdomen and the liver lesions are now barely perceptible on the scan. Originally, one liver lesion was 2.3 cm x 1.6 cm (.9" x .63") and the other was 1.2 cm x 1.2 cm (.47" x .47"), so that is a huge improvement. The lymph nodes also show "no adenopathy," which means they are no longer enlarged. They were very enlarged when David's cancer was first diagnosed in Nov. of 2018, so that is good news as well.
Dr. Brooks said it's more difficult to discern the status of the main cancer in the stomach, because it is inside the stomach, but the CT scan showed no abnormal shape or thickening of the stomach, so that is good. David and I suspect the only way to definitively check the stomach tumor would be to do another endoscopy. We will ask if that might be an option at some point.
Needless to say, we are thrilled! Dr. Brooks said he hopes the Keytruda will keep things stable, which, reading between the lines, indicates that he has seen cases where that doesn't happen. But David and I are encouraged that, at 15 months since diagnosis, things have improved so much.
We saw Dr. Frye (radiology oncologist) on Friday for a one-month post-radiation checkup. Dr. Frye was glad to hear that David's post-radiation fatigue has not been as severe this time. David is now about halfway through the eight week period when fatigue is usually an issue, so we suspect the fatigue will probably lesson going forward.
Dr. Frye put in orders for a brain MRI about one month from now. So when Dr. Frye tells us the results of that on 3/24, we'll know the status of all the previous brain tumors and whether any new brain tumors have shown up.