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9 Replies Last post: Nov 10, 2009 12:39 PM by Victoria  
Victoria   4 posts since
Jun 4, 2009
Currently Being Moderated

Jun 4, 2009 11:48 PM

Husband Newly DX W/ blastic plasmacytoid dendritic cell neoplasm (anybody heard of it?)

Hi All

Well it all started with back pain. My Husband 39 thought he had pulled a muscle in his back helping a friend tear down a shed. He went to his primary and was sent home with pain killers. The next week we called the doctor because  the pain had moved into his chest and he said he was having trouble breathing they said "go to the ER" The ER doctor told him that sometimes back pain can radiate into your chest "here's some more pain killers". another week goes by and the pain in his chest gets worse (excruciating) so off to the ER we go. hours & hours go by and test after test show nothing. The pain was so bad the pain killers were wearing off after about 20 min. Finally 13 hours later he was sent to a room on the oncology floor (ironically that was the first available bed) 2days later they do a Bone Marrow Biopsy because all 3 of his counts are low (don't worry yet the doc said) We waited a couple of days and the doctor said he was worried about Lymphoma but were going to send the biopsy to Johns Hopkins for further testing. He was admitted Friday April 17th , on April 28th (my -b-day) The doctor told us he had NK Cell Leukemia (Natural Killer Cell) but Johns Hopkins was going to test further. We got sent to University Of Maryland Medical Center in Baltimore that night. UMM did their own BMB and told us the cancer cells were dead (from the Prednisone) given to him for the chest pain which by the way relieved his symptoms immediatley. So anyway the official diagnosis is Blastic Plasmacytoid Dendritic Cell Neoplasm , which is VERY RARE and according to the Internet not curable and usually presents with skin lesions (my husband didnt show any) There are very few cases reported and not very good outcome, I tried to study it on the Internet because the doctors cant really tell me anything cause they don't know ( they are going by the other cases)  He is doing EPOCH Chemo and has just finished up his 2nd round. He does 96 hours every couple weeks.The plan is to do at least 6 rounds and then a BMT.  He is doing very well  the only side effects he has is his hair loss and sometimes headaches from the spinal taps. I have only found 1 new case which is actually very close to where I live . He got diagnosed in Nov and has already had his BMT  they are treating him for leukemia ,they say they are treating my husband for lymphoma (I forgot to mention that my husbands was only in his bone marrow) We think we caught it very early. Anyway I would really like to find out more info on this if anybody has heard of this and anything else you would like to tell me

Thanks for listening

Vicki

Tex   3,869 posts since
Apr 3, 2009

I don't even know where to point you.  We do have a lot of forums here.  Let me ask a couple of questions.  Is this actually a blood cancer?  Is it a myeloproliferative disorder?  Is it a blood condition or something else?

 

You did say he's being treated for leukemia, is it a leukemia or are they just using a treatment protocol that is used for leukemia?  If so, what kind of leukemia?  You also said they said they're treating him for lymphoma?

 

I dunno.  This is pretty confusing.

 

Any more info you could offer would help us direct you to the appropriate forums where you might be able to get some support from people at least dealing with the same thyp of things you are.

 

Blessings

Tex   3,869 posts since
Apr 3, 2009

Well, I'm really sorry I don't know what to say here.  It seems that with only marrow involvement treating it as a leukemia would have been the preference.  I'm not trying to cast doubt on your docs here.  I'm just trying to show the level of my confusion.


I'm also guessing if they're calling it NK that it must affect both the lymphocytes and some of the other white cells as "NK" covers more than one type.  I've been posting here over four years and don't remember a case like this.  But we're a group of blood cancer patients, caregivers and survivors here.  At least you might find some meaningful company.


Wish I could help,


Blessings

khenry   134 posts since
Apr 23, 2009

Wow Vicky, I have never heard of this disease.  Rare diseases are difficult in finding information.  Because they are rare, there are not many studies out there yet.  Hang in there, you will get answers just keep asking questions like what does that mean....And where can I go to find out.

Kristen

DEE11   536 posts since
Mar 26, 2009

Vicki have you tried looking up NORD.. national  organization of rare diseases ?.. good luck to you and your husband i wish i could of been more help

frustrated   1 posts since
Aug 27, 2009

I am also frustrated by the lack of information on this diagnosis.  My mother (age 64 now) was diagnosed in December, and no treatment plan has been established.  She was dx w cloroma 5 years ago and underwent three sessions of 72 hr. chemo.  Actually due to complications with the chemo, she was unable to complete the third session, so I guess she just did the first two. We then had a couple of years without symptoms, but the discoloration returned and she chose radiation on the effected area.  It again returned and she was finally given the bpdcn dx in either Dec 08 or Jan 09.  She suffers from joint pain that moves from one area of the body to another, has sinus infections and throat problems often as of late, and has complained of back pain for a long time now.. She is of the mindset that these conditions are unrelated to the cancer. She tells us that the back pain is a pinched nerve, joint pain is arthritis, and she just has a sinus infection which must be viral as antibiotics don't help.  She was placed on prednisone which did work for a very short period of time on the swelling of the joints.  I am feeling very hopeless that if something/some treatment isn't started asap she will not live much longer.  I can not remember the last time she had a good day.  Vicki, if you could share with me the treatment plan that your husband is receiving and how it is going I would much appreciate it. According to mom, the dr. told her to "just wait and see". So, she hasn't been back to the oncologist since January  as I understand it.

Frustrated

MARY5   1 posts since
Nov 7, 2009

DEAR VICKI,

   I AM WRITING TO YOU IN REGARDS TO THIS LETTER . My Brother age 47 was diagnosed with blastic plasmacytoid dendritic neoplasm back in sept at the washington cancer institute, in wash.d.c. he had a turmor come up on his collor bone.

went to wci had a needle biopsy that told us it was lymphoma. so then did a open biopsy and that told the kind  of lym. which u c above he had a pet scan and he had it all over his body shoulder, ribs right elbow left angle, even his testicle. he has gone though 2 treatments of chemo oh yes he also had it in bone marrow and spinale fluids. at first treatment we saw the turmor going away he also had nots as large as 1 in come up on his skin and they are gone by the eye.he just came home tonight for a break of chemo he did have a fever and a tiny blood clot in his lung when he went back for 2nd time so that delayed his chemo he will have 2 have a bone marrow transp when he goes in remission,{god will help with us}he had 7 siblings and none of us match one brother match 24% not good so now nih has gone to the bone mar bank to start looking.his attidude was good until this week when he found out none of us match .he has lots of friends that want to see if there a match we like to set up something at the fire house were he is a member to see if some one can come there to take the blood or swipe to see if they are a match but we dont know how to get started.nih said they will send us some infro.he had his spine fluids tested on tuesday and they were neg. thanks to god.here are the chemo agents they are using

CYCLOPHOSPHAMIDE

DOXORUBICIN

DEXAMETHASONE

VINCRISTINE

METHOTREXATE INTRATHECAL

CYTARABINE

CYTARABINE INTRATHECAL

METHOTREXATE

VICKI I WISH YOU AND  YOUR HUSBAND GOOD LUCK AND YOU HAVE MY PRAYERS WITH YOU BOTH, MARY

PRAYING FOR A COMPLETE REMISSION

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