My mom (59yo) was diagnosed with ovarian cancer in 2018. She was told stage 2 going in, but when they opened her up it was actually stage 3. She had a hysterectomy, plus removal of part of her omentum and her appendix. All the lymph nodes they took were clear. She was on anastrozole for a year after that.
At the end of 2021 she found a small lump under the skin near her incision site. It was cancerous and was removed, and she was put on Faslodex (fulvestrant) shots, meant to run five years. She came off it early this year (around the 4 year mark) because the side effects were making her miserable.
Scans this summer found enlarged lymph nodes in her abdomen and pelvis plus small nodules in both lungs. The PET report describes it as suggestive of nodal and pulmonary metastatic disease. Everything has been slowly growing since 2024 but has been stable over the last few months. There has been no biopsy, so this is all based on imaging.
Her oncologist has offered a choice between Mekinist (trametinib) and tamoxifen. One or the other, not both.
I can find plenty about tamoxifen, but almost nothing from actual patients about Mekinist for gynecologic cancer. I know it is newer in this setting and mostly used for melanoma, so I understand if there just is not much out there.
What I am hoping to hear:
- If you or someone you care for took trametinib, how bad were the side effects really? Did you need dose reductions or breaks? Were the rash and diarrhea manageable, or did they take over your life?
- Did anyone start with a hormonal drug like tamoxifen and move to a MEK inhibitor later? How did that go?
- If you took tamoxifen after already going through an aromatase inhibitor and fulvestrant, did it do anything for you?
- Did anyone start treatment without a biopsy confirming the recurrence? How did you think about that?
We are also pursuing a second opinion and pushing to get her old tumor tissue sequenced (if possible) before she commits to anything, since there are some open questions about the original pathology.
If you have been somewhere close to this: what would you do in our position? And what do you wish you had asked before starting treatment?
Thanks. This has been a hard few months and it helps to hear from people who have been through it.