Some of you may remember I posted a few weeks ago that I was on a break from the trial drug trametinab for recurrent low grade serous ovarian cancer.
I had been taken off the trial because my echocardiogram had revealed that my ejection fraction had dropped from 60% to about 50%. I was off the trial for about 4 weeks but I am pleased to report that my EF returned to 62%. My most recent CT scan also showed that the cancer was still stable so I restarted back on the trial
at a lower dose.
I have been having ongoing issues with my breathing which I felt was deteriorating. I was referred to a respiratory consultant at a specialist centre. After reviewing my most recent scan they felt the most likely cause was my right pleural effusion which they gestimated to be about 2 litres.
I was waiting to be seen by the pleural team when I ended up at my local hospital with upper back ache and pleuritic pain. I was admitted for a CTPA after my blood D-dimer was found to be slightly elevated.
The good news I did not have a PE but they did have me in for a pleural tap last Tuesday. They drained off about 1300 ml of fluid. Normally the fluid is sort of amber coloured but mine was creamy in appearance. An infection was more or less ruled out as I have no temperature and feel relatively well. They think it could either be something called Chyle which would mean my lymph system is leaking into my pleural cavity or it could be cholesterol deposits which sometimes happens in old recurring pleural effusions. I have had one on the right for 6 yrs.
I am currently waiting on the lab results to come back, which takes about a week. I am seeing my oncologist tomorrow as on 2 weekly follow up at the moment. Not sure yet if this will have any implications for my treatment.
From my recent hospital visits I have realised that having a bilateral pleural effusion is rare and having milky fluid is rare. My breathing is much improved and I am not coughing as much. I am meeting with the pleural team next Monday I hope we have the lab results back by then.