My scans this time showed some shrinkage. By RECIST criteria, wherein the longest axis (only) is measured, my fellow arrived at a value of 2% reduction from last month's measurements. This puts me at 27% reduction compared to baseline. "Partial Response (PR)" begins at 30%, so I have a little bit to go to reach that benchmark.
What was most encouraging was to see how one of the biggest and least-resectable tumors appears now. On the CT scan, it looks like a hole is developing right through the middle of it! In reality, it isn't an actual hole; certainly it is less dense in the middle. Its longest dimension remains the same, however, so this is an example of where RECIST criteria falls short. Measuring only the longest diameters fails to capture the sort of disintegration that is obviously happening.
More worrisome for me was the fact that one tumor showed "hot" on the PET scan. I asked about scar tissue (it is very close to the staple-line remaining from April's lung wedge surgery), but the doc is confident that it glowed because of cancer, and not scar tissue (and not due to TIL infiltration either). I had hoped the PET would show the lungs dark, indicating that the tumors are all necrotic now, but that is not the case. Soon! Maybe soon the cancer will all die.
No new lesions were identified, thank God.
Since I didn't reach Partial Response (I was 2mm short by my husband's reckoning) I will return in November for the next follow-up.
Two millimeters! The length of a mustard seed*. Like last time.
Here is a link to a presentation that Dr. Rosenberg gave, where he mentions my case (he is the second speaker on this video). Here is a talk that he gave a few months earlier.
*Matthew 17:20: "...if you have faith as small as a mustard seed, you can say to this mountain, ‘Move from here to there,’ and it will move. Nothing will be impossible for you.”