A STAGE IV MELANOMA SURVIVAL STORY
I was 26 years old in November, 2000 when I decided to have a mole located on the inner portion of my upper arm
in the bicep area looked at by a dermatologist. Now I admit that I waited too long to have it checked out, because
while I have a lot of freckles, I really don't have any moles and should have known something was up when a weird
shaped mole just started to grow and develop on my arm. I went to the dermatologist and he assured me that it was
just a form of dead skin. But just to ease my worries, he took a small biopsy of the mole and sent it off to pathology.
Two weeks later, I got a call telling me that the mole was actually melanoma!

Due to the size and anticipated depth of the mole/lesion on my arm, I was diagnosed with Stage II Melanoma (See
Diagnosis). The general surgeon determined that it would be best to perform a sentinel node biopsy to determine if
the melanoma had spread to the lymph nodes. The mole and surrounding tissue were surgically removed, together
with the sentinel lymph nodes. Pathology results came back negative, meaning that the melanoma had not spread
to my lymph nodes. My surgeon advised me that melanoma often reoccurs and that I should routinely have my skin
examined by a dermatologist. So I began to regularly see a dermatologist and keep a close eye on my skin for any
abnormalities, vowing to catch any reoccurrence early. I lived a normal life for the next five years, but little did I
know that the melanoma wasn't reoccurring on the outside on my skin, but (in the words of my oncologist)
micro-metastasizing all the while on the inside.

On Valentine's Day 2006, I woke up and just felt kind of off-balance. I just continued on thinking maybe it was just
vertigo or something else that would go away in a few days. It didn't go away and started to get worse. After being
treated for an inner ear infection and a viral infection of the inner ear with no success, my condition continued to
worsen and I began to even slur my speech.

So on Sunday, February 26, 2006, with my wife 8 ½ months pregnant and having some small contractions, we went
to the emergency room. A CT scan revealed a brain tumor! My life stopped on a dime! 31 years old, a father of a
15-month old son and another baby ready to be born, and I had a brain tumor. My wife and I were simply devastated
and could not believe this was happening! I was immediately admitted to The Ohio State Comprehensive Cancer
Center - James Cancer Hospital ("The James"), and five days later on Friday, March 3, 2006, I underwent
successful brain surgery to remove the tumor. (My son was born six days later on March 9, 2006)
While in the hospital, CT scans were performed on my chest, abdomen and pelvis to determine if the
cancer had spread to any organs or other areas in these regions. I was referred to an oncologist at
The James, Dr. Thomas Olencki, and was scheduled to meet with him later in March. At my
appointment, Dr. Olencki informed us that I had a tumor the size of an orange in my lymph nodes
located between my lungs, as well as two small tumors on my right lung.We never imagined that we
could get worse news than the brain tumor news, but we did. Although numb from the news, my
doctor advised us of our limited options, telling us that surgery to remove the tumors, at this point
was not an option, but that surgery should be my goal. He said that to get to surgery (or even get a
surgeon to consider surgery), my tumors would have to at a minimum been stable (preferably
shrunken) and show no evidence of growth or spreading for a significant period of time.
I sought a second opinion and confirmed that my treatment options were limited. I elected to undergo high-dose
Interleukin-2 ("IL-2") treatment at The James. But I could not start IL-2 treatment until after I had completed
radiation treatment on my brain. So I went through 12 rounds of radiation, at first cruising through without any
issues, but quickly deteriorating as I went through my final few rounds and side effects set in. I was extremely
fatigued and, yes, the hair finally fell out (it did grow back!).
I then began IL-2 treatment, which required me to be
admitted to the hospital for about a week, home for a week,
back in the hospital for treatment for a week, and then home
and off of treatment for 8 weeks. This cycle constituted 1
round of treatment. During each week in the hospital, my
goal was to obtain a maximum of 12 doses per week. At the
end of each 8 week period, I would have CT scans of my
chest, abdomen and pelvis to determine if I obtained any
response to treatment.
As for IL-2 treatment, my doctor warned me of the side effects and advised me that they were going to be aggressive
with my doses of IL-2 based upon my age and otherwise good health. Without fail, during every round of treatment,
I experienced practically every known side effect of IL-2, including vomiting, diarrhea, extreme chills, high fevers,
low blood pressure, loss of appetite, skin rashes, etc. Treatment kicked my butt, and that is putting it nicely.

After my first round of treatment, CT scans revealed that my tumors had shrunk by almost 30%! We could not
believe it! It was the best possible news we could hope for at that time. I then proceeded on to my second round of
IL-2 treatment, during which I again encountered all of the severe side effects described above. But also again, I
responded to treatment and CT scans after my 2nd round of treatment showed that my tumors had shrunk another
10%! I then went through 3 more rounds of treatment, each wearing me down and beating me up a little more and
more. CT scans after my 3rd, 4th and 5th rounds showed no significant shrinkage, but most importantly, did not
reveal any growth or spreading!

After 5 rounds of treatment over approximately 13 months, I met with a thoracic surgeon to discuss the possibility of
having surgery to remove any remaining tumors from my chest and lung. The surgeon was reluctant to perform
surgery, and it wasn't until my oncologist walked him through my entire history and provided evidence that my
tumors had been stable for over a year and had even shrunk, that he reluctantly agreed to perform surgery.
So on July 2, 2007, approximately 16 months from my initial diagnosis, I underwent
successful surgery to remove the remaining tumors from my chest and lung and my
tumors were sent off to pathology for analysis. On August 2, 2007, my oncologist notified
me that the pathology report indicated that the remaining tumors removed from my chest
and lung were 100% necrotic (dead)!!! He told me that I was officially considered to be in
clinical remission with no evidence of disease! It was unbelievable! I did it! I survived! It
was a true miracle!
Since then, repeated MRIs of my brain and CT scans of my chest, abdomen and pelvis continue to show no
reoccurrence and no evidence of disease.

Miracles can happen. I am living proof. Stay positive, pray and always believe that you will survive! The power of
prayer and positive thinking is endless. Nothing is impossible with God! And, always remember, in the words of the
late great Jim Valvano, former college basketball coach and founder of The V Foundation for Cancer Research,
"DON'T GIVE UP, DON'T EVER GIVE UP!" (Click here to see Jimmy V's motivating speech announcing the
formation of The V Foundation for Cancer Research)
March 9, 2006
July 4th, 2006
July 2007
August 2007-Officially Cancer
Free
The War Against Melanoma Foundation
1478 Sunflower Street Lewis Center, OH 43035
Email: info@thewamfoundation.org