My husband had his first combined chemotherapy with immunotherapy in July with few (so we thought) side effects however last week after having his blood tests in preparation for a second cycle he was called back to the hospital urgently to be told his LFT’s were dangerously high, which is a rare side effect of immunotherapy. His treatment has been cancelled and he is on steroid treatment to bring down the levels, he has also had an ultrasound scan of his liver and has twice weekly blood tests.
This setback has really upset him as his lung cancer is inoperable and not curable so he was really hoping the chemo/immuno would slow down the cancer and now is worried that he may not be able to resume treatment for some time (if at all). Has anyone else had this liver toxicity and if so what happened regarding further treatment?
Hi Grasan sorry your post has not been answered yet. I do not have any personal experience with this myself, but wondered if you wanted to ask the question in the ask_a_nurse forum.
Hi Grasan.
I just come across your post , I wondered what has happned with your husbands treatment, and if a different treatment plan was given ?
my mum started her treatment in June every 21 days / chemo and immunotherapy/ went for blood test Monday and called yesterday today she can’t have her treatment today (Thursday) due to her liver test/. Has been prescribed steroids for a week/ and - blood test Friday and Monday / apt next week with oncologist, am in limbo as they hve not said anything else, other than no treatment for 2 weeks while on these meds. I don’t even kno what’s going to happen now xx
how are you doing / coping xx
Hi
First of all I’m sorry that your mum (and you) are going through this and even more sorry that like my husband the immunotherapy has caused this liver toxicity problem.
B only managed one cycle of treatment before his was stopped but the liver reaction eventually settled after a few weeks. He was on a reducing dosage of steroids (from 12 per day down to 1 per day ) and that took about 4 weeks. His enzymes were quite high initially and I think the length of steroid treatment depends on how high the liver reaction is to begin with.
He had his oncologist appointment last week and restarts combined treatment next week, we explained our worry that it might happen again and the oncologist said that it could but that they would deal with it again with steroids but if it does cause a reaction rather than cancelling all treatment they would just do chemotherapy alone for his next cycle.
I know exactly what you mean about being “in limbo” as we were like that for several weeks and although the immunotherapy team rang us after every blood test and were very reassuring it was worrying that his treatment stopped. His latest CT scan had shown very little change or spread in his cancer which is good so we are staying positive and just hope he doesn’t react again. His oncologist was very keen to keep on with combined treatment because as B’s lung cancer is inoperable he said the immunotherapy with chemotherapy is the best way to slow the spread/growth of the cancer down and give him as much time as possible.
It’s easy to say but very hard to do but stay positive and remember the steroid treatment will soon get her liver back to normal and she can start treatment again. And ask as many questions as you can think of as we found this really helped us understand that although it’s scary having treatment paused it is only while they deal with the immediate problem.
”Every journey begins with a single step and every day is the start of a journey “
Grasan
Hiya Grasan,
i am So so greatful for your reply, but I am also Soo sad your husband is going through this, and you and your family, I am so glad that they hve started treatment again for your husband, it is scary what if it happens again , but your husbands team seem to have it under control, the problem with my mum she don’t ask many questions she just wants the treatment and that’s it, she don’t even see the oncologist they call her (not even on the time they say)
my mums LC sounds the same as your Husband , hers in in her left lung and spots on her adrenal gland, stage 4 they can not cure it they can not operate, but it is treatable, x I just pray that my mums treatment will continue, as immunotherapy and chemo is a great combination to fight this disease,
thank u for replying , I just took my 5 year old To school and as I’m walking bk I’m crying , so this has really helped me xxxx
please do let me know how your husband gets on I would really like to know xxx
lots of love x
It was really helpful to us also when you sent your message as we didn’t know anyone else who had this rare reaction to the Immunotherapy.
Barry has had one face to face appointment with the oncologist but his last one was a video call which he didn’t like as he’s not good with technology so I tend to take most of the phone calls etc and his medical team are fine with this so I am able to ask questions on his behalf and they tell me what’s going on. Would your mum let you help her with asking questions?
Like a lot of people in this awful situation we think of things we want to know and then forget when we are speaking to the lung cancer nurses or the treatment team so now we have started to keep a sort of diary where we write down how Barry has been and any questions we want ask.
His cancer is also in his left lung and has spread to his lymph nodes and is also in the lining of his lung. But he actually looks amazingly well despite this, he even looked fine when he had the liver reaction!!! He’s had a bad chest infection recently which has made him even more fatigued than ever.
I struggle some days emotionally and find it difficult to stay positive. Our daughters are grown up and married and we have a four year old granddaughter and Barry gets quite upset thinking he may not see her grow up. But we have to keep trying to live as normal a life as we can.
Message me again if you want to as I find it helps me just to “talk” via messaging as I don’t cry as much when I’m “talking” in messages and if I do then no one sees me.
love Grasan
Hi Grasan,
thank you so much for your reply it means so much, like Barry situation I have not heard anyone reaction to the liver, it is so frightening cuz I keep thinking what if they don’t give my mum any more treatment, but like Barry my mum still Try’s to live a normal life I just spoke with my mum now she been to Tesco doing her shopping, I have a 5 year old and I pray every night please let my mum be here to see Alexsis (my little girl ) grown up,
It’s the waiting for results and and scans which is the hardest, like your Barry it’s a shock the results this week about the liver as my mum looks great, even when she was diagnosed with this awful disease , my mum has kept all her hair , the only down fall is my mum was tiny before LC - and has lost maybe a stone overall which is so noticeable as she is a tiny person,
has Barry started back on him immunotherapy ? Did the oncologist and his team say they would monitor more closely / more regular blood tests ? Or change the dosage at all?,
ive tried to be positive to my mum I’ve said wel look at it this way mum you got a 2 week extra break / with no treatment so you be on top form , but I can even imagine how she feels,
do you have to work ? I work on the railway that runs drom
kings cross to Welwyn garden city so I have my job I go to every afternoon that keeps me busy and my mind of things,
I feel like crying all the time, I have actually spoke to a councillor through my work , all I want is some one to tell me my mum is going to be ok, xxx
im here is you need to chat xx I will Send you a friend request xxx lots of love
Nicole xxx
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007