Question about remission status

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Hello. I was diagnosed with stage 4 dlbcl triple hit in October 2018. (uterus, bladder, liver, kidneys, adrenal glands, lungs, neck)  The very short version is this: After a year of battling, and 2 relapses ((which included further tumours in my head, face, scalp, shoulder, and groin)  it was finally decided that chemo wasn’t the answer and I had car-t in Nov 2019. This put me into my third remission, Then in September 2020 it was back in 3 more areas. (They didn’t biopsy it this time so I don’t even know if it was the same cancer) I was told that I had ‘less than a year’ left to live and was put into the palliative system. As I wanted to enjoy a last Christmas my consultant agreed I could have some radiotherapy in the three areas (foot, shin and groin). I had this in October 2020 and it put me back in remission. 
As far as I am aware I am still in remission, 3 years later.
This probably sounds like a really strange question but it is about language. As the cancer was initially stage 4, and refractory, do I consider myself to be ‘living with cancer’ or do I consider myself ‘cured’ ?

  • Hi again  ……. living with cancer is my approach.

    You may remember that I was diagnosed way back in 1999 with a different (rare) incurable type of NHL…… and I am just over 8 years out from my second Allo SCT. If SCT had not worked I would have went into palliative care.

    I also was stage 4….. and up until Oct 2015 the longest partial remission I had was about 9 months before I went on to more treatment…… eventually on the 19 September 2016 I was told I was in full remission and NED (No Evident Disease)…… am I cured now that I am 7 years on……. my clinical team will not say this as they basically have no way of confirming this…….. but I live as though I am not going to relapse….. it’s the mindset I have selected and I get on living life to the full.

    According to travel insurance industry….. as I am 5 years without treatment they class me as cured!!!

    What ever you chose between living with cancer or cured get on and live your life and don’t be looking over your shoulder all the time ((hugs))

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • Hello TheHighlander. Thank you for your reply. It sounds like you too have had quite a journey. Yes I live now in the assumption that I will still be here in the future and am now happy for example, to book holidays months in advance. I gave up work in 2020 when I was given the ‘terminal’ prognosis, and am living life as best I can (the cancer and treatment have left me a part time wheelchair user and with chronic pain) I have many hobbies and I volunteer in some Facebook support groups for autistic women (I am autistc). I have taken up art and several other hobbies. Unfortuntely my disabilities mean I can never stop ‘looking over my shoulder’. After I had the car-t in 2019 I had a severe reaction and was in a coma in intensive care for 2 weeks and spent almost 2 months in a hospital 100 miles from home. This isn’t something it is easy to move on from, and I had therapy for ptsd for a few months.
    Now I am trying to get a balance of enjoying my life and having fun, but still being vigilant when it comes to my health. Not always an easy balance! 

  • Yes you have had some challenges….. I won’t put my story on here but you can see it through the link at the bottom of my posts.

    On 18 June 2018 my clinical team discharged me and apart from yearly full bloods and a call from a late effects SCN ……. I get on with life

    I have had post SCT issues but I am doing exactly what my consultant said….. “….go live your life and let’s hope that you don’t needs us again but you have our number”

    You may find it helpful to make a cuppa and have a look at this great paper After Treatment Finishes - Then What? by Dr Peter Harvey as it highlights the post treatment milestones…… I often go back to it when I have a dip.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • I asked my radiation oncologist about language a couple of weeks back.  As far as my lymphoma goes, I'm "in remission" (4 years now).  As far as my lung cancer goes, I'm "cancer-free".

    Both my blood cancer and my solid cancer were treated with curative intent, but it seems like each uses their own language.

  • 4 years Tada

    Once you reach 5 years and look for Travel Insurance and as long as you are not on any Lymphoma treatments the Insurance says you are cured!!!!!!…… but my type of Low Grade NHL is incurable….

    It’s a funny old world ((hugs))

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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