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Living with cancer· Appointment prep

Appointment sheet: Inflammatory myofibroblastic tumour (IMT)

One page to bring and write on: your details, the questions for Inflammatory myofibroblastic tumour (IMT) plus your own, the words you may hear, what to bring, the treatments the standard of care names, and room for the answers and agreed next steps. What you type stays in this browser. Print it or save it as a PDF. New to all this? Start with the first 60 days. Orientation, not medical advice.

Tick the questions to print

All of this cancer's questions start ticked. Untick what does not apply; ticks are kept in this browser. .

Your own questions

Shared with the prep pack, so questions you add there appear here too.

Print or save as PDF

Use (or Ctrl+P, Cmd+P on a Mac). To keep a copy, choose Save as PDF as the destination in the print dialog. Only the sheet prints; the controls stay on screen. Your typed notes print where you typed them; empty fields print as ruled lines to write on.

Appointment sheet

Inflammatory myofibroblastic tumour (IMT)

Prepared with OnCo (onco.cc/prep/inflammatory-myofibroblastic-tumour/). Orientation, not medical advice; your team knows your case.

My details

Name
Date of appointment
Hospital and clinician
Who is coming with me

What I know, what is unclear, changes to discuss

Saved in this browser
What I know so far
What is unclear to me
Changes since last time

My questions

14 on the sheet
Newly diagnosed
  1. 1.What is my exact diagnosis, stage, and grade, and which tests established them?
  2. 2.Which biomarkers have been tested on my tumour (for example ALK immunohistochemistry and FISH or RNA fusion panel, ROS1, NTRK, PDGFRB, RET fusions in ALK-negative tumours, Inflammatory markersas systemic markers, Site and resectability), and what were the results?
  3. 3.Which subtype is my cancer, and does that change the recommended treatment?
  4. 4.Is germline (inherited) genetic testing recommended for me or my family?
Resectable
  1. 5.For my situation (resectable), which of the standard options do you recommend and why?
Unresectable, recurrent or metastatic, ALK-positive
  1. 6.For my situation (unresectable, recurrent or metastatic, alk-positive), which of the standard options do you recommend and why?
  2. 7.Am I a candidate for Crizotinib, Alectinib, Lorlatinib or related drugs, and what side effects should I expect?
Unresectable, ALK-negative with other fusion
  1. 8.For my situation (unresectable, alk-negative with other fusion), which of the standard options do you recommend and why?
  2. 9.Am I a candidate for Entrectinib, Larotrectinib, Imatinib or related drugs, and what side effects should I expect?
Any stage
  1. 10.Are there clinical trials I could join, for example of Crizotinib, Lorlatinib, Repotrectinib?
  2. 11.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
  3. 12.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
  4. 13.I read that “How long to continue ALK inhibition in children with complete response, and whether surgery after response can allow stopping”. How does that affect my plan?
  5. 14.I read that “The fusion-negative minority: RNA sequencing to find drivers”. How does that affect my plan?

The words I may hear

  • RACE for Children Act: A US law that makes drug companies test new targeted cancer drugs in children whenever the drug's target matters in a childhood cancer, instead of letting them skip children because their cancers are rare.
  • Gene fusion: A gene fusion is two genes broken and joined together, creating a hybrid protein that can drive cancer.
  • Rare cancers: Rare cancers are those with fewer than about 6 new cases per 100,000 people per year.

Tests and results to bring

Biomarker results to ask for: ALK immunohistochemistry and FISH or RNA fusion panel, ROS1, NTRK, PDGFRB, RET fusions in ALK-negative tumours, Inflammatory markers (anaemia, raised CRP) as systemic markers, Site and resectability.

Scans and tests linked to this cancer: Comprehensive genomic profiling, RNA sequencing & expression profiling.

Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.

The treatments I may be offered

From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.

Answers and next steps

Saved in this browser
What I was told
Agreed next steps, dates and who to call