Brain MRI Results

TAMMY CARMONA

FINDINGS

BRAIN AND EXTRA-AXIAL SPACES: In the interval, there is significant enlargement in the multifocal areas of enhancement in the medial right temporal lobe since the previous exam of 04/23/2018. There is a dramatic increase when compared back to 01/22/2018. The inferior component of enhancement is without significant change measuring 1.3 x 1.8 cm (transverse by AP), as seen previously. However the superior component measures 1.6 x 2 cm and previously this measured 0.9 x 1.5 cm. In addition there is a more anterior component of enhancement that measures 1.3 x 1.1 cm that previously measured 0.8 x 0.4 cm. Thus, there is significant increasing enhancement in the medial temporal lobe. Surrounding edema in the right temporal lobe extends back little more posteriorly than previously. Perfusion images however do not show significant increased perfusion. Perfusion images suggest that these changes are related to radiation necrosis. However given the significant progression, I am concerned this is progressive neoplasm at this site..

The 2 mm focus of enhancement laterally in the right cerebellum on image 23 of series 10 is unchanged. The small focus of hemorrhage superiorly in the left superior cerebellum is unchanged.

No new areas of enhancement are visualized.

VENTRICLES: Normal in size and configuration.

SELLA/PARASELLAR REGIONS: Partially empty sella is again visualized.

VESSELS: Normal flow related enhancement in the major vessels of the circle of Willis and the major dural venous sinuses.

CALVARIUM AND SKULL BASE: No calvarial abnormalities are identified. PARANASAL SINUSES/MASTOID AIR CELLS: The paranasal sinuses, middle ear cavities and mastoid air cells are well-aerated.

ORBITS: Within normal limits

CRANIOCERVICAL JUNCTION: Within normal limits

OTHER FINDINGS: No other significant findings are seen.

IMPRESSION:

1. Interval significant increase in enhancing multifocal areas in the medial right temporal lobe since the previous exams of 4/23/2018 and 1/22/2018. Although this could still be radiation necrosis, recurrent neoplasm is an increasing concern.. MR cannot definitely differentiate these.

2. Unchanged tiny punctate focus of enhancement in the right cerebellum and small focus of hemorrhage in the left cerebellum.

3. No new areas of abnormality.

I love my radiology oncologist. She’s always honest with me. She’s says this is not good. We are not sure if it’s cancer or necrosis from radiation. There will be a meeting on my case on Monday. Then we will have a new plan. Right now the plan is to add another drug to my Xeloda and rescan in 2 months. If the progression is still as fast as it has been the past two months then brain surgery is my option. This plan may change after the board meeting. They will also consider some clinical trials. It seems to be another wait and see.

For now, I’m going to enjoy summer! I’m still going to the beach for a week and then the 🍒 on top is Lynard Skynard in September!😂. This has already been an eventful summer! I tell myself daily that I am blessed to be here and still be making memories! I have watched as T.J. got his first job, his first checking/ savings account, and finished drivers ed! He will be driving me around next week! I told him one day he will wish he didn’t have to work. I said don’t you want to hang by the pool, kayak and do things like that this summer? He said “Mom, I’m building my resumé”. 😂. How do you say no to that? I’ve also had so much quality time with my precious grand babies! You know I’m including pictures!

Thank you all for your love and support. You all bring sunshine to my life! I may make cancer look easy, but it’s not. When you see my adventures on Instagram or Facebook, know that I’m in bed on pain meds the next day. It’s so worth the memories I’m making! Life is so good! Get out and enjoy it and make some memories!!!!!Sending love to each and everyone of you!💕💕💕💕

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Rising Tumor Markers

I have lived with metastatic breast cancer for five years. Throughout this time my CA 27.2 marker has been an accurate indication of what’s going on inside my body. It’s steadily been on the rise. This month it jumped another 170 units. My hope is that cancer is dying and not growing while I’m on Xeloda. I have a new brain MRI and a chest and abdomen CT scheduled in two weeks. If the tumor in my brain is bigger my only option seems to be surgery. I’ve decided to have the surgery if necessary. But first, I’m going to the beach for a week and I’m going to see Lynyrd Skynyrd the first weekend in September! I’m going to enjoy summer, make some memories and not stress the outcome of my scans. If I have to deal with it I’ll do it in mid September.

Here are my recent tumor markers. They seem to be rising since I started Xeloda.

CA 27.2

1311.8 units/mL
Date:
Jun 11, 2018

1141.6 units/mL
Date:
May 11, 2018

1084.6 units/mL
Date:
Mar 16, 201

1037.9 units/mL
Date:
Feb 16, 2018

1057.4 units/mL
Date:
Jan 26, 2018

968.0 units/mL
Date:
Jan 04, 2018 n

263.3 units/mL
Date:
Nov 24, 2017

268.7 units/mL
Date:
Oct 26, 2017

216.2 units/mL
Date:
Aug 11, 2017

232.8 units/mL
Date:
Jul 27, 2017

199.3 units/mL
Date:
Jun 28, 2017

160.1 units/mL
Date:
Jun 01, 2017

Despite all this cancer chaos, I’m still alive, so I’m still smiling. My Javiee and I celebrated another anniversary on June 5th. Here’s a picture….We went to The Conundrum escape room in Asheville. If you haven’t been to an escape room, you should definitely go! We didn’t escape but we had a blast! Here’s our picture…..My precious granddaughter, Evie, had her first birthday! You know a picture is coming!

Thank you all for your love and prayers! I’m sending love to each and everyone of you! It’s summer! Get out and make some memories!💕💕

Wednesday…Mammogram Day..Feb 6, 2013

Tuesday, February 6, 2018 I hit my five year mark. Five years living with metastatic breast cancer. Being diagnosed at Stage 4 means I’d unknowingly been living with cancer for a while. This was just the day I first heard “you have cancer”. I’ve been blessed the last five years with so many memories. Tonight, in reflection, I’m going back to my first ever blog post. I actually started the blog for my sister who lives in North Dakota. It grew into so much more. You all have become a huge part of my life and I’m grateful. 💕💕💕

Tammy Carmona

Today’s Wednesday. I love Wednesday, it’s my favorite day of the week. My Javiee is off on Wednesday, so it’s always a special day for us. We go out to breakfast on Wednesday, then we go shopping and get what we need for the week ahead. I know it sounds pretty simple, but it’s our time and we enjoy every second of it. Today’s a little different. Breakfast and then a mammogram (I found a lump in my left breast). I’m thankful my Javiee is with me for my appointment. I wasn’t really worried, I thought it would be nothing. The lady doing my mammogram was so nice, but when she saw the image and said wait right here a minute while the doctor looks at this, he may want to do an ultrasound , I knew there was a problem. Ten minutes later another lady is doing an ultrasound…

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Brain MRI Results

I’m going to keep this simple for you guys.  I have a new tumor in my brain.  It’s in the superior left cerebellar hemisphere. WBR and the cyber knife took the initial tumor away back in 2016.  This tumor is growing right underneath where the initial tumor was located.  Radiation is not an option for this tumor.  My doctors are getting together Friday with other specialists and going over my charts to figure out what my options may be.   Here’s some good news……

Two rounds of Xeloda cleared my liver!  Those liver mets are gone.  It’s been four months since my previous brain MRI.  Our hope is that this tumor in my brain was bigger and xeloda has shrunk it.  There’s no way to know because my previous brain MRI was clear. Our plan, for now, is to keep taking Xeloda and do a new brain MRI next month.  If the tumor is smaller then we will continue with Xeloda and monthly scans.  If the tumor is the same size or bigger next month the only option will be brain surgery.  That’s the plan right now.  This could change after our meeting Friday.  Another wait and see!

I have chosen to not worry about this.  I’m going to keep doing what I’m doing and see what next month brings.  What does worrying help anyway?  Tomorrow I’m going to pick up my sweet little Jaxon and we are going to watch T.J. wrestle.

I love you guys! Get out and make some memories! 💕💕💕

My song for the day….Click here. 😂

An Update

I’ve  had so much going on lately!  I feel like I just can’t keep up.  I didn’t even mail Christmas cards this year!

I finish my second cycle of Xeloda tomorrow.  I can’t really complain with the side effects, I’ve dealt with worse.  I’m exhausted and my feet and legs hurt.  It’s like walking on pins and needles.  I’m handling it and praying it works.  After my first cycle of Xeloda (14 days) my tumor markers jumped from 263 to 968.  They’ve never been so high.  I have new blood work next Friday and I’m hoping to see a drop.

I had a tumor removed from my neck two days after Christmas.  My doctor was concerned that it was lymphoma.  It turned out to be breast cancer.  That was good news.  Now I have two new tumors in my neck and one on my jawbone.  The one on my jaw bone has caused numb chin syndrome.  It’s just like it sounds.  My chin and botttom lip are numb.

Last week I woke up vomiting.  It turned to blood and I ended up staying in the hospital for a few days.  They sent me home saying it was diabetes.  The truth was the vomiting is what made my blood glucose rise.  They sent me home and then called and said I wasn’t supposed to be released because my oncologist had ordered scans.  I told them to just schedule me for the scans and I would come in for them. I’m home now and resting.  I have three different scans scheduled for next Monday.  I will get the results of the brain scan on Wednesday and the throat and body MRI results will be Friday.  Until then it’s another wait and see.

I want to thank you all for the love and prayers sent my way.  You all make my life a little brighter!  💕💕

Get out and make some memories!

Time to say goodbye to Afinitor–A Scan Update

Some treatments are easier to handle than others.  Afinitor was fairly easy on me. I had many adventures and made lots of memories this summer while on Afinitor.  I wish it would have worked longer.

My new scans showed two tumors in my liver.  I had cancer in my ovaries and I had them taken out.  I can’t just take my liver out.

Time for a new plan.  Xeloda is what’s next for me.   I’m not ready for new side effects and fatigue.  It is what it is.  I will adjust and carry on.  I have so much love in my life, so much to live for.  That keeps me going.

I love you guys!  I’ll keep you updated! 💕

 

 

 

Brain MRI Results

I have to tell you I was anxious while waiting for these results.  I spent last summer doing brain radiation and I was really excited to get out and make some memories this summer! I’m so happy to say my MRI came back stable!  There’s nothing new!  Thank you all for your love, good vibes and prayers!  I feel so blessed to have you all in my life!💕

So what’s next for me?  Mexico!  I was going no matter what my results were.  I’m just happy they were good and I can go worry free!  My Javiee has worked day and night to make this trip possible.  I’m so ready to spend some quality time with him and meet his family!  It’s been a long time coming!

Get out and make some memories! 💕💕💕 I love you guys!

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Scan Results

There are a few impressive words on my scans this month.  My favorite is STABLE!  It says I have widespread bony metastases that show NO PROGRESSION since 02/06/17.  I’ll take it!

So where are my mets?

In my T3, T5, T6, T7, T11 and T12 vertebra.  There are multiple mets in my lumbar spine.  L3 is the worst and it hasn’t grown in the past three months.  There are multiple mets in my sacrum, iliac, pubic rami and my right femur.

Are they painful?

Yes.  Some more than others.  There is one on my spine that causes shooting pain if I move a particular way.  It’s close to a nerve.  I take hydrocodone and get on with life.

I also had brain mets and I have a brain MRI scheduled the first of June.  My last brain scan was clear.  I’m praying for the same result!

Remember the tumor in my lung?  Well, there is stable scarring in the left upper lobe.  No evidence of lung metastasis! Wow!

The pea sized knot in my neck seems to be my immune systems way of dealing with allergies. Good News! Gotta love it!

It’s always good to hear stable and nothing new!   What’s a girl to do?  I’m off to Mexico soon with my Javiee.  He’s working two jobs to pay for our trip (imagine not seeing your family for 11 years!).  Our tickets have been purchased and we’re going no matter what my brain MRI shows.  Time to make some memories!!    I love you guys!💕💕💕

 

Tracking My Rising Tumor Markers

I’ve lived with metastatic breast cancer for over four years now.  My CA-15-3 has always indicated when something was awry.  It was 22.8 in December 2015.  In June of 2016 it jumped to 169.8. For this reason we started checking my tumor markers monthly.  I’ll share from that point on below:

July 2016                  267.6   This is when we found brain mets.

August 2016            565.0

October 2016          694.0

November 2016     691.5

January 2017          167.0  This was after WBR/Cyber Knife.

February 2017        132.2

March 2017             159.2

April 2017                172.2

May 2017                  183.0

We weren’t concerned with the first rise.  It can happen for many reasons.  After two more months of higher numbers we decided it’s time to do scans.  I had a chest and abdomen CT Wednesday (results next week).  I also have a brain MRI scheduled for the first week in June.  It’s another wait and see!  I have to tell you I Feel Good!!  I go on that.  It may sound strange but I don’t even worry about results anymore.  I just get on with life until result day arrives.  Life has been good to me lately!  Wait until I share what I was blessed with this week (for those that don’t follow me on social media)!!!!!!!  That will be my next post. Until then I’m sending you all love!!!!💕💕

Get out and make some memories!!!!!!

 

Hello April!

I’m happy to say hello to a new month!  March was probably the craziest, busiest, most stressful and most rewarding month I’ve ever had!

I flew to Vegas and filmed a television show (and signed a confidentuality agreement). So there are no details about the show that I can share with you. Sorry!  I would love to because I think it’s going to be amazing! You guys will just have to wait.  It was a fantastatic experience and I met the most wonderful people while doing this project.  My Javiee bought me a new wig for the filming and there was a professional makeup artist there so I felt beautiful…..here’s a picture!

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I have to include a picture with my Vegas partner in crime, Marilyn.  Ok, so no real crimes were committed, but we had a fabulous time together!  Thank you Marilyn for taking this journey with me!

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Two days before I left for Vegas my husband was on a plane to Mexico.  This was the stressful part of my month.  I share my family and my life with cancer with you all.  There are somethings that I haven’t shared with many people.  One of these things is that my sweet Javiee was illegal.  I mean walked across the desert for 6 days illegal.  He told me before we even started dating.  Honestly, I didn’t care.  I knew it wouldn’t be easy.  I also knew it would be worth it.  It’s been eleven years and I wouldn’t trade a minute of our time together for the biggest house or the fanciest car on the block. He has loved me during the good times and held me up during the bad.  He has worked so hard to help T.J. become the confident young man that he is now.  He is a grandpa to Jax and will always be there for Kori and Kristen.  We are all blessed to have him in our lives.

Sending him to Mexico for his immigration appointment was so stressful.  If denied he was facing a ten year bar from returning. Talk about nerve wracking!  He was approved and is home now ( the process took four years). He’s legal, has a social security number and a drivers license.  Talk about life changing.  Freedom (don’t take yours for granted)!  I have watched my Javiee be taken advantage of SO many times because he was illegal.  That won’t happen anymore.  Now is his time to get what he deserves and I’m so happy for him! And us!

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Here’s the sad part.  If I wasn’t diagnosed with cancer he would have never been approved.  He was approved because of a hardship waiver.  I know most people think you can apply and go through a process and become legal if your married to a citizen.  It doesn’t work that way if your here from Mexico illegally.  Now if your a citizen and want a Russian bride you can just go apply for a K-1 Visa and that’s that.  Ridiculous if you ask me.

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Here’s one of the first pictures that Javiee, T.J and I had taken together.  Javiee has always been there for us and I can’t imagine life without him.  We are so blessed to have him home!💕💕

The month ended with a baby shower, a week with our precious little Jaxon, a new car (new to us) and an all day wrestling tournament with T.J.

A few pictures from the baby shower.  Kori and Emily will be having a little girl soon!

imagePictures from our week with Jax.  He is the sweetest. I love spending time with him and I love hearing him say glamma!

imageHere’s a picture from the wrestling tournament.  It was T.J.’s first time wrestling Greco Roman and freestyle.  He came home happy with two third place medals.

I have to thank two beautiful souls before I end this post Linda and Windy.  Remember I told you my doctor wanted me to stop driving our 5 speed because it was aggravating the pain in my hip and spine.  We had planned on buying a new car when Javiee came back from Mexico and went back to work.  The immigration process took what money we had saved so we decided to wait until we could save money for a decent used car.  Having a car payment is not a good thing when you have cancer because you never know what medicines or treatments won’t be covered by your insurance the next month.  I lost the last new car we had because I had to pay for my first surgery and was out of work.  I thought it was better to just keep driving the 5 speed for a while.  Well, thanks to Linda and Windy I’m no longer driving that 5 speed.  They gave us a car this week.  How do you say thank you to such a kind gesture?  They are special ladies and we are so thankful to them.  We love you Linda and Windy!  I wish I had a picture of them to share!

What a month, right?  Six months ago I was doing WBR and a new chemo.  I was so sick.  It was the first time I had ever felt like it may be the end of my life here.  I remember a consult with my doctor about changing my meds.  My mom was there and she knew how sick I was.  She asked me if I really wanted to start a new medication and add more to what I was already dealing with.  I would do anything for more time/memories with my family.  I did start the new treatment regimen and I’m so glad I did.  One new medicine can change so much.  Look at the month I’ve had!  I would have missed this!  Donating to research is so important to those of us living with Metastatic Breast Cancer.  Please support Metavivor.  100% of your donation will go to research.

I Love you guys!  Thank you for sharing my life with me.  I know there will be the random person that comes across my blog with opinions about immigration and such.  It’s fine, your comments are welcome.  One thing that cancer has changed in me is that I don’t mind criticism.  I don’t need approval.  Think about your life.  Wouldn’t it be nice to be free, not to worry about what everyone else thinks.  Life is short do what makes you happy and make those memories!!!  Sending love to you all!