High Grade Diffuse Large B Cell Non Hodgkin Lymphoma

FormerMember
FormerMember
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My name is Alex, i'm 21 years of age and i have been diagnosed with stage 2B High Grade Diffuse Large B Cell Non Hodgkin Lymphoma. It came at a rather unfortunate time, as i was just beginning my finals. The tumor was located in the nasopharyngeal area. During the prediagnosis period, i couldn't breath from my nose and could barely swallow. I went through 8 R-CHOP sessions, all of which were handled rather well, with little close to no side effects. After my 6th chemotherapy session, i had undergone a ct scan and an MRI which at the time didn't raise any suspicions. The final outcome had been reinforced by the positive impact of the PET scan, which showed no evidence of disease. However, i was advised to follow a radiotherapy treatment to further consolidate the full remission status. I have read dozens of articles, trying to identify the starting point that allowed this disease to manifest. 

Prior to being diagnosed, i was a rather despicable human being. I was depressed and lonely. This "self-induced solitude" had led me to some pretty dark places, both mentally and physically. I would stay home all day, play video games and eat junk food, while my university colleagues were paving roads for their professional and social success. Despite having spent  an enormous amount of time with myself, i still couldn't find the roots for all this self-loathing and insecurity. At that time, i was weighing 160 kilograms, which was the main reason i wouldn't get out of my apartment. Aside from the physical appearance, i could barely walk without my back and legs hurting. 

A year later, things started to change. I decided to take matters into my own hand and made some drastic changes. Eating healthy and attending uni were on the top of my list. As time went by, things got better. Made a few friends along the way, ditched them in the meantime (roughly in the same period i was undergoing chemo), graduated and started a master's program. I have lost nearly 50 kilograms in the past 14 months, which is one of the systemic symptoms from having lymphoma. It didn't raise any suspicions from our side until the other symptoms started manifesting (night sweats, fever).

The full remission status didn't bring me much joy. I talked to  many doctors, and the outcome for this disease seems strongly related to a doctor's past experiences with similar patients rather than logic and reasoning. To give you an example, when i was first diagnosed, my hematologist told me it's 90-95% curable. Later on i found out that their meaning of the word "curable" is often  replaced with terms such as treatable/manageable/partial remission/full remission along the way. The second hematologist i had encountered in the hospital told me it's a chronic disease, which will never go away completely. It will recur someday, whether it's in 5,10, 15 or 40 years. The hope is that your death would occur by natural causes or other diseases, which puts the cancer apart as a potential culprit for your life expectancy. After finishing chemo, my parents went to a radiologist who told them that, in my case, cure is a possibility. Just a POSSIBILITY.  Further questions were raised when the committee from the same hospital denied my case for radiotherapy treatment. Apparently it wasn't needed, despite the doctor having told us that it's a necessity. With that being said, we went on to search for a second opinion. The second doctor, who is one of the most respected radiologists in Romania, accepted our case and today i have 14 sessions out of 25 completed. The secondary effects are quite obnoxious, as my throat is constantly sore and i can barely taste anything.The back hair has started falling out again, which is great (backlash from my chemotherapy treatment). The emotional tension regarding the use of the word "cure" has not been positively reinforced by this radiologist, as he said that people with this type of cancer live under a cloud of uncertainty when it comes to potential curability. I tend to believe him, since he's been in this branch for more than 40 years. 

I have also come upon some evidence regarding male fertility and C-HOP chemotherapy. Apparently there's an 80% chance for men to remain infertile after being given this aggressive treatment. I'm a bit worried about these statistics, despite being only 21 years of age. I don't wanna exclude the possibility of having kids from such an early age. It doesn't seem right. I haven't been notified about this risk before starting chemo either. During this period i was debating with my therapist whether God exists or it is merely a trivial interpretation for something we have yet to comprehend. Ironically enough, before being diagnosed with this disease, i had always wanted to adopt. It seemed like a good choice for someone who envisioned a solitary life. 

Is cancer a punishment? Was it God's will to send me a lesson upon which i can reflect? Questions that cross my mind every day. All i know is that cancer found aegis in my emotional instability. Whether or not it's my fault for triggering the disease. 

Do you believe this disease is curable? I have seen other articles that suggested that recurrence may lead to other types of cancers, such as Leukaemia, which is far worse. 

I could use some answers. No matter how painful they are. I've been on a rough patch for quite a while now. Changed me a lot. And not in a good way.

  • Good morning , first you will never be seen as annoying on these forums xx

    I for one can not answer your question but there may be others on the forum who can help with their experience.

    You could put a question to our 'Ask a Nurse' but it will tale 2 working days to get a reply. 

    Some medical professionals need to experience sitting on the patients chair at times :( 

    The "I am no longer myself" thoughts are so real. For me I have changed rather dramatically - and for the good! I see life to be for living, to be appreciated. I have ditched wasteful activities and pastimes that I would have put a lot of time into. I now concentrate my time to family and friends. I did do this before, but was not good at being a sociable person. I worked in Education for a long time and I could get angry with the antics of 16+ year olds and this developed stress and the lack of sleep......... but that has all gone now.

    So I see my last 5+ years as a life development and a wake up call ((hugs))

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • Hi, one thing I learnt was that medical staff can be variable and like the rest of us depends on how you interact with them, some days open and chatty, others reserved and playing the system, however the good ones are normally good all the time, so may be you caught her at a bad time or moment. As for blood tests and relapse, as you state they are a tool to help steer towards a diagnosis but in no way can they be used to confirm relapse as markers can rise for many reasons especially LDH. 

    I have known a handful who have relapsed over the years but sorry cannot recall the circumstances. back to the scan perhaps a call to your specialist nurse to ask can they let you know once the report has been seen by the consultant, so you have peace of mind, it usually works.

    John 

    we all know this is a roller coaster ride, where we ride blind, never knowing where the highs and lows are
  • FormerMember
    FormerMember in reply to johnr

    I just had my MRI results. They came back clean! 

    Though it's a relief to hear that, i still have a long way to go. Apparently i'm gonna have to repeat the MRI experience every 3 months, until i hit the first year mark. Then every 6 months. There's a high chance for it to recur in the brain considering the close proximity of the primary tumor to the brain (nasopharynx, right at the base of the skull). Hopefully it won't recur there. Or anywhere for that matter.

    Hope you're all doing good.

  • Hi and it is so good to hear from you and I would always take good news to be a ‘result’ and something to build on and move life forward with.

    Scanxiety is a real thing and does need to be controlled but when that letter comes in you will most likely hit that big red stress button.

    But you can do nothing to control these times so enjoy every day that comes along, do happy things and be very kind to yourself and the family and when the letter comes in don’t over stress yourself and go to each MRI and results to be a good result.

    ((hugs))

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • FormerMember
    FormerMember in reply to FormerMember

    Yes i do have mine.My nail color changes.i RECIEVED 2 DISES OF DA EPOCH R AND R CHOP ONECE THEN FOR RADIOTHERAPY  YHIS COMING 8TH OF MAY.

  • I had diffuse large B CELL non hodgkins lymphoma I relapsed 8 months after Rchop the next line of defense is a stem cell transplant I had

    the Autoglouse  stem cell transplant using my own stem cells the Allogenic uses a donors stem cell I told my brother i would

    crawl on my stomach to the hospitol if could get out of doing the transplant That was 11 years ago at that time i was 52

    my oncologist is a very aggresive aproach to killing cancer I was stage 3.5 no bone marrow involvement you can do it I'm

    still here and I thank God every day I'M here and luckey i got the curable kind you have big odds in your favor.

    redwhite57

  • Hi , I see this is your first post so welcome and good to hear you are doing well.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • FormerMember
    FormerMember in reply to Thehighlander

    Hi there. My brother has the Double hit. His first 4 day chemo is on Wednesday. He had the First one day chemo session 3 weeks ago but now is being stepped up. I’m worried about side effects I know everyone is different

  • Hi Sammy this is an old thread even though red white 57 posted at the beginning of the month, its better that you start your own discussion about your brother, that way others who have had double hit may see your post and reply.

    The other point is that double hit, grey zone and similar diagnosis are rare so the will only be a small number who have had this experience, when you do post if you can share which chemo regime he is on that would be helpful so that people who have experienced it can share. 

    As for your worry about side effects, yes everyone is different and not everyone suffers with severe side effects, if he does find he struggles then advise him to talk to his team as they know all about side effects and can offer advice on how to best manage it, as can we share how we coped.

    here to help when we can John

    we all know this is a roller coaster ride, where we ride blind, never knowing where the highs and lows are
  • FormerMember
    FormerMember in reply to johnr

    Thanks I’ve started a new thread. I’m glad you guys are here to navigate me through this x