Deena’s Story

Site created on June 21, 2023

On May 15, 2023 I was diagnosed with mucosal melanoma of the rectum, an extremely rare form of what is usually considered skin cancer (In other words, I've somehow developed melanoma in the one place the sun doesn't shine! Obviously, I AM a freaking ray of sunshine all by myself.)

The appearance of melanoma in this region is extremely rare, with fewer than 100 known cases worldwide each year. Thus, we're somewhat in uncharted waters when it comes to treatment and diagnoses, but I've been very fortunate in that I live near two major research hospitals, and I have already secured one of the few oncologists with experience in this illness: A melanoma specialist who has been involved in several promising new melanoma treatments and studies in recent years. I have begun immunotherapy treatments under her care  and should gain a clearer understanding of what the future holds over the coming summer months.

Mike and I will try to keep everyone updated as this chapter unfolds, but please know that while we may not be able to respond to all your questions right away, we will certainly do our best to keep you informed in the coming months. In fact, we plan to set up a CaringBridge site to post new information as it comes in.

Please keep us in your thoughts, and know that you will be in ours!

We are using this CaringBridge site to keep family and friends updated in one place. We appreciate your support and words of hope and encouragement. Thank you for visiting.

Newest Update

Journal entry by Deena Fahy (silverstein)


It's been a little while, so here's a quick update:

On 12/12/2023, the colonoscopy went well. They biopsied a polypoid near the scar from where they removed the "beast," and the results came back negative – fantastic news!

Fast forward to 1/21/24, and the scans with contrast came back clear. And on 2/1/24, the Signatera ctDNA test, which looks for circulating tumor DNA in my blood, also came back negative! I asked if this means I'm in the "no evidence of disease" category, and the response was positive. While I'm not officially declared cancer-free, being NED (no evidence of disease) is the best news!

I'm grateful for the Signatera test, as it helps monitor things that might go undetected with scans. Currently, the plan is to continue scans every 3 months along with the new blood test. I'll stay on the Nivo until at least September, and then we'll re-evaluate.

Big shoutout to my Mucosal Melanoma online group – they've been a great support. Since there's not a ton of literature on mucosal melanoma, we're navigating this together. Most patients are on maintenance immunotherapy for 24 months, so I'll keep an eye on the research and what top hospitals like MD Anderson and Mayo Clinic recommend.

For now, it's just monthly blood draws, infusions, and quarterly scans & Signatera. The side effects from the Nivo are annoying but manageable. All in all, it's a win! Thanks for all the support!

 

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