IS this grade and stage a wait and see type? It is in the bone marrow and various spots in the body and the nodes. pet scan and bone marrow confirmed. whats next?
Hello Sosad,
I understand your user name. Welcome to the board. What has your doctor said to you about your diagnosis? He/she is the person to ask. I can share my experience with you which is I was diagnosed with Transformed Follicular NHL in August 2006. I was told it was stage III, grade III. Because the slow growing had transformed to faster growing, I was given treatment right away. I had 6 rounds, 21 days apart of R-CHOP. I then got scanned every three months and am now having them every four months.
When were you diagnosed?
Blessings,
Jane
Hi sosad - like to add my welcome to the boards as well. Or as we refer to it....The Reluctant Members Club. No one ever thought we'd be joining either but here we are.
I've been dealing with NHL since 2001 and never asked the Stage or the Grade - don't know/don't care....I've given my docs the order "fix me!" and so far, each of the 6 times they have (to greater or lesser degrees). Now I'm trusting that this upcoming 7th round in the ring will do some fixing as well. Stages.....grades....geez they sound ominous! And in most cases won't mean a thing as far as treatment protocol goes. The stages/grades basically are just describing in "medical-speak" of which side(s) of the diaphragm and whether organs/bone marrow are involved.
So as for what's next - could be anything from being in a monitoring mode (no treatment but regular check-ups with your doc) to any one of a number of active treatment protocols. But as Jane said, this is something to ask your doctor about and then the 2 of you come to a decision.
No matter what, we're here to help you along the journey. May I get you a cup of coffee? Maybe some cookies? (We have a virtual kitchen here - open 24/7/365. Always someone around the table to sit with and just share whatever's on your mind..)
Sharon
About a month ago. Had a node removed and came back follicular type..pet scan showed it outside nodes in groin, diaphram and head area. also had bone marrow test and it comes back positive. waiting to go to specific cancer center like MD Anderson and see specialist and get plans. Dont have an appointment for a couple more weeks. so I am on pins and needles. I was just told by testing docter that its stage 4 cause it spread and its in my marrow. I guess its Grade 3 because of the cell type? Is this considered aggressive or just how cells are structured? Just wondered if its ever a wait and see type or if I will get chemo etc. right away? thanks for input.
So Jane, is your in remission? Hope so..
Yes, Sosad, I'm currently in remission on what is called the "watch and wait" plan. I'm hoping I stay this way for a good long time. Your normal in your feelings of being on pins and needles. A cancer diagnosis is a slap in the face to say the least. However, with follicular lymphoma there are many treatment options and new ones are being found. Most doctors, I think, treat it more like a chronic illness.
We're here for you and will walk this journey with you. Come as often as you like to read, post, vent, or whatever because the light is always on and the coffee always fresh as are any goodies.
Blessings,
Jane
How about diet? My friend thinks I should be on a special diet as she read some docors testimonial on line. I know some foods are bad but realistically does diet really change your outcome or length of living?
Hi sosad,
I know exactly how you are feeling. I was DX in May 08 at the age of 45. I have fNHL Stage 4 w/pretty heavy involvement in my bone marrow & it is thru out my body. I had all the tests as well as a second opinion. When my doctor could not get me into a trial he started talking about w&w. Well I was shocked to say the least! I thought no way! Why would anyone EVER choose that! Well after months of tests, appts, & discussions I finally decided to go on w&w. It was the right decision for ME. My white counts have been dropping & last I checked they were back in the "normal" range! I do fight off some fatique & I do have swollen nodes but I can deal w/that. As you will learn, there can be many side effects to the treatments. I am very comfortable on waiting until I HAVE to start treatment. Who knows maybe while I am waiting they will find a cure! As your dr might have already told you that your own immune system can sometimes effectively fight this battle for you. That is exactly what is happening w/me right now. Everyone has to search & find the answers for themselves but I did want to share my story so that you can hear from someone who made a conscious decision to go on w&w, even though my hubby wanted me to start treatment right away. I know this is a very difficult time for you & I hope you start feeling better soon & get some resolution about what direction you need to move in. When I was first dx I was in what I would call a VERY DARK place but I am much better today! It took months to get here! The people here on this board really helped me w/that so use us as a sounding board whenever you need to!
Good Luck!
Vickie
Hi Sosad,
How are you doing today? About food, I'm not sure that food is a cure all, but I certainly see food as medicine for the body. I believe that the more wholesome foods you eat the better your body will function. I like to eat lots of fresh fruit, much easier in summer than winter, but I do try nonetheless. Also, fresh vegetables. If not fresh fruit and veggies than frozen not canned. I don't trust canned foods and funny, neither does my dentist.
I take cod liver oil pills daily, oops, need to remember to take them today. My internist believes getting antioxidant vitamins is best through food rather than supplement so I'm trying to do that. Also, I limit the amount of fast foods I eat and junk food. Don't misunderstand, I haven't eliminated them, just reduced it big time. However, if I want something sweet, I'd rather bake it from scratch myself so there aren't any icky oils or fats in them or preservatives. I figure with having fought lymphoma, my body has enough to do without fighting off food preservatives and such.
Now, in the beginning I got real radical in changing my diet and felt awful. Too much change too fast and too much anxiety about it as well. So I chose to find a balance and that is working for me. Has it made a difference in my health, I don't know. I like to think it has and maybe that is the factor. Who knows. However, I think it can be proven that our bodies do get assaulted with junk from refined foods and some of us can fight it off and some of us can't.
I hope this all made some kind of sense. If not, take what you want and leave the rest. It is "food" for thought and nothing more.
Know that we're here for you on this board. I hope to hear from you soon as to how you're doing.
Blessings,
Jane
Hello
I have been newly diagnosed with almost the same but was never given the option of watch & wait! How can that be? I begin R-CHOP chemo monday and i'm so not wanting this!
some background:
i am a very healthy 55 year old who had a very VERY bad back ache. Long story short, MRI found 2 tumors squeezing my spinal cord (one reason why i could not walk so well), my T-9 vertebra was crushed (reason why i could not stand up straight), and cancer present in several more thoracic and cervical vertebrae; had back surgery Sept.29 2009 (1 day before my B-day) and have had every test you could imagine looking for a primary site but the CT/PET scan & bone marrow biopsy revealed many other sites (shoulders, pelvic bones, femur, left ribs, sternum). Have finished 15 days of radiation, port in place--but w&w was never mentioned and i would rather do that if it was/is possible. How do you feel? How have your check up been? Can the patient ask for this as an option? My parents live in fear that i will "refuse" treatment. i do not want to be in pain but i do not want to live a life of chemo sickness either.
sorry all this may sound naive but i just never have had this level contact with doctors before. As i said, i am rarely ill. can you or someone talk me thru what's about to happen to me?
Hi Beth and welcome! So sorry you've had to come seek us out but we're here to help you along your journey.
Your anxiety at the upcoming chemo is perfectly normal....we've all been there. To chemo or not to chemo...that is the question. It depends on the location and involvement. If there are few nodes, pretty much just hanging around in areas not causing problems then w&w seems appropriate - no symptoms, nothing much going on.....just keep an eye on the little beggars.
But in your case sounds like they were/are pretty much all over the place, causing you spinal (and other?) issues that effect your quality of life and maybe even your overall health and well being. Chemo ain't a bad option here and you may be surprised how quickly the pesky nodes will melt away and you'll feel better - it will be worth it.
R-CHOP, while not a total walk in the park, in pretty well tolerated by most folks - me included. I hada total of 9 R-CHOPS (3 rounds for 3 different occurances of DLBC NHL). I've also had R-CVP, oral Leukeran, Rituxan alone, ESHAP and Zevalin in treating this doggone disease (I've been at this since 2001).....and I'm still here to tell the story! I'm nothing special, no Supergirl, just a wife, mom, and g'ma who's a worker bee. So if I can do this - you can too!!
If you want to know a little more of my story, you can check out "the journey continues..." on the Living with....non-hodgkins forum.
Don't fear the chemo, it's not as bad as we think it's going to be. The unknown is the worst part.
Come on over to the NHL forum if you'd like - you're probably going to have a lot of q's as you begin your chemo. Lots of folks who've walked in your shoes and who can help you through this.
Peace and blessings
Sharon
Hi Beth. So sorry you find yourself here among us, but we're here to support you in every way we possibly can, and I, for one, found it (and continue to) find the support offered on these forums irreplaceable. I have a similar story, and to shorten it up, I was diagnosed by my physician with Sciatica due to pain so awful I could barely walk, suffered for two and a half months before I had an MRI which landed me immediately in the hospital. After four days of testing and biopsies, etc., and steroids, I was pain free. I also had tumor involvement with my spine, but from there our treatment varies. Three days out of the hospital I was receiving RCHOP treatments and after each I had five days of 100mg Prednisone followed by a Nulasta shot. June 30th of this year was my last RCHOP session and I just underwent a CT/PET which came back with continued improvement, which is so very encouraging. I agree with Sharon that it seems your doctors want to get a quick jump on this as from your explanation, it seems to be in many various locations. I, personally, did not have a problem with the chemotherapy. Your doctors will offer offsets for various complications of chemo, i.e., meds for nausea, etc. If I may offer a suggestion, try to arm yourself mentally for the changes you will endure with and after chemo so you're not blindsided. We're here to answer any questions to the best of our experience, and to offer you hands to hold. Maybe you could view the treatment as a good thing....going after and killing the monster within. I wish your the very best and again, know we're here for you.
Kgirl