(When I reviewed this case I specifically did so to make sure that it was not a GIST and I am very confident that this is a true leiomyosarcoma based on both the morphology and also the immunohistochemical profile.
The tumour demonstrated negative staining for cKIT and DOG1 and positive staining for desmin which excludes the possibility of GIST and given the morphology confirms the diagnosis of leiomyosarcoma.)
Above is the part of email from my pathologist.
I have no idea what they gonna give me.I will keep you posted once I find out.
It’s feeling bit better now after few days,but have to do it all over again and who knows how many times but hoping it will work.Yes I am with my family all these days,have beautiful wife and two young daughters.
My oncologist saying to have scan after 3 cycles but I will insist on having it now.If scan shows some shrinkage or any response at all then I think it worth to put up with another cycle . Any suggestions please.
Surinder, scanning after 3 cycles is standard for the treatment you’re on. It may well be that it your oncologist will be better able to interpret the scan result because he/she knows what to expect after three cycles. This may well be important in terms of classifying the response as complete/partial/stable/progressive and in terms of disease staging. If the norm is to stage after 3 cycles then doing it sooner might be something your oncologist is unhappy doing.
Personally, I think that if your tumour is responding to treatment then that response will be there after two cycles. I suspect though that your oncologist will resist scanning early…