Round III

PBL said:

Very sorry

to read your latest news, Max. I assume it must have been caught early, if it is based on a routine CT in the absence of other signs or symptoms. Will be looking for your updates, hoping for the best.

PBL

I am fortunate to be in a Lifetime Followship Clinic, and go annually for a CBC and assessment from an NP, including touch exam.   My CBC was 100% normal, and she detected nothing tactically, but heard rales (grating breathng sounds) in my lungs.   Referred to x-ray, then to a CT.   The CT was thoracic (only), and saw a fairly large node, right axillary.   So neck and pelvic area not checked, but most lymphomas begin in medial region or chest-axillary, which thhis scan covered.  Therefore, hoping Stage 1.   Now I have a matched set -- my biopsy 11 years ago was of the left axillary .

Based upon the node size and my medical history, very likely malignant.   As I said, I hope to have a biopsy scheduled by next week, will update.

Not everyone at my Cancer Center is put in lifetime followship, only people with statistically significant chances of recurrence.  I advise it for everyone if it is available to them.

Since the discovery is only one node, and not a cluster, I am thinking not NLPHL again, but something more like a large-B NHL.  Las Vegas always liks my numbers.

I am 100% calm and ready to be dragged out of patient retirment and back in to the fight, if required,

max

Lym999 said:

Sorry to Hear

Max,

 

I am sorry to hear about your recurrence. I noticed you have been at this for a while now and seemed to have done plenty of research. My Lymphoma was the Diffused Large B-Cell from a chest node near my right lung. It then spread into my lung and Spleen and had a major effect on my overall breathing. It had grown so fast that it had covered nearly my whole lung along with my Bronchial tube in a matter of no time. The fact that it had been located on both sides of the Diaphyam made me stage 3 automatic, but as you probably know with Lymphoma the stage in most cases isn't a great factor.

I will say this that R-chop cleared most of my lung in just one treatment. I still of course had to do 6 treatments in total but it was nice to be able to breathe again. It had been hard to even sneeze or yawn because it had been so bad. You sound like you are very early in the process and that is very good!

Did they show you your Ct scan? I know mine was very visible in the lung.

 

John

 

Lym, I have not yet seen the CT, since it has not yet been posted to MyChart.

I had a lot of breathing issues during chemo (which was 10years ago), but because of lung toxicity from either the Bleomycin (a drug in ABVD), or extreme stomach acid, or both.  I did not last time have known tumors in the lungs, and none have been noted over the phone to me this time.   I have about 20 % loss of lung volume from fibrosis.

The oncology center sent me to my pulmonologist due to rales, not because of any felt node, and he then ordered a CT, after seeing my X-ray, which he regarded as suspicious.   The thought then was that perhaps I had lung cancer, because I had a node discovered a few years ago that had to be tracked two years, wbut which was judged benign.   In a way, I am much luckier to perhaps have lymphoma again than lung cancer, because the survivability of lung cancers are way less than for nearly all lymphomas.

PBL said:

Let's not

get ahead of ourselves...

Seriously, though, if it is indeed taken early in its course (BTW: When will they fit in a PET scan?), and considering the current trend toward less toxic treatment, you might just be able to do without a new port.

Here's hoping for the best!

 

You are totally correct on all points, PBL.   {{ IF }} it is just one node, radiation will likely be a viable option, with perhaps an infusion or two as adjuvant.   I have written here for years that, if an option, I would steer AWAY from SCT or other horrid therapies, at least initially.

John, my onc wrote the order for my port removal the day he announced to my wife and I hat I had N.E.D., so it has been gone over ten years now.

Evarista said:

Ugh...

Here's hoping that your doctor is wrong!  But if it is indeed a relapse, wishing you a safe and speedy recovery.  And should you have the great good fortune (misfortune, more likely) to get PICC lines instead of a port, hit me up for tips on how to live with them fairly painlessly.  Best of luck going forward.

-Evarista

I met with the surgeon this morning.   He showed me the nodes -- there are more than one.

The largest is 5.2 CM long, 2.5 CM diameter.   Looks like an uncut dill pickle....

Excise Thursday morning.   Thank you to all....   I'm not going to write here again until Friday.

Rocquie said:

Max. . .

 . . . you are in my heart.

Rocquie

That's about the best place a person could be in this world, R