Hi again,
I'm not really new here, just rusty. I had a diagnosis of Grade 4 FL about 6 years ago, completed 6 rounds of bendamustine and rituximab just before the pandemic. No maintenence, partly not needed, partly because of severe allergy to rituximab. Mu immunity was and still is very poor, so I'm careful and prefer to be outdoors or masked in crowds. I've had a few infections despite taking care to avoid them.
It's been otherwise fine for the last 5 years until this year. My exercise tolerance is rubbish, even for a 75 year old. I get out of breath walking up the disabled access ramp into Big City Hospital and to the uphill car park at Small Town Hospital. So, I went back to the gym and tried to build a bit of strength and stamina. After several months, I'm getting nowhere with my programme despite effort and now I have a new swollen lymph node in my neck. It was pea sized about a week ago, but now it's a bean.
So, back to my excellent consultant team...
Cecren
Hi again Cecren let’s look for a simple answer for your swollen lymph node in my neck….. I have had the same on and off over the past 10 years post my last treatment but nothing has ever been found.
Thanks Mike! I know this thing can be weird. I guess it's just the combination with my general condition of fatigue which makes me twitchy about lumps. I have a 6 month check due later this Autumn, so that'll be a chance to discuss how I'm doing.
Cecreen
If the lump is changing/growing I would be getting in contact with your team and talk this through……
They may take your appointment forward…… let’s face it, the quicker you get checked out the quicker you can control this be it your Lymphoma and if it’s nothing reduce the stress of thinking about it ((hugs))
Thanks for the hugs! I'm being a bit cagey about it because my husband frets and one twitchy person per household is enough.
I rang the Unit and left a message for my consultant so that any extra stuff could be organised before the scheduled appointment. I feel better knowing they know!
Back to the gardening. And don't you find the prospect of possible more treatment makes you want to tidy your cupboards? Sort of prepping urge...
Cecren
Well, it looks like a relapse. It's strange because the lumps (two now) have increased in size from peas to beans. I think my consultant suspects it has transformed from sleepy old follicular to something more dynamic. I'm knackered all the time, but nothing hurts,
We have a plan, but it;s not like the first time (BR, few side effects), This time it's the full horror story, especially if it's transformed. I feel quite sick thinking about it.
So now, the long diagnostic wait. And trying to sort things out before it all starts.
Cecren
Sorry to hear this Cecren ….. when my second type of T-Cell appeared in late 2013 we had to treat them both at the same time. The new T-cell was very aggressive…… little neck lump in Sep to a brick sized mass in late Nov.
I was told that the 6 cycles of R-EPOCH I was going to have would be very challenging……. Yes I was in hospital for 6 days/5 nights on my 2 IV pumps 24/7 for over 120hrs for each of the 6 cycles but honestly….. I was only sick once and this was due to a wrong food choice (I wanted some take away) and this triggered Pylori, a bacteria that developed ulcers and stomach inflammation. Up until this time I was doing ok with eating - even hospital food!! The 3 pack antibiotics I was given for the HP were horrendous.
But it did the job but as you know I had to go into Stem Cell Transplant to achive long term remission.
Lets look for a successful and smooth journey.
Urgh! Big sympathy for the bonus stomach infection. I never asked how bad it was to treat, so will remember that joy for any future need!
Your R-EPOCH sounds dramatic. All those pumps and the long hospital stay! A far cry from my mundane visits to the Small City Hospital. I'm hoping for a PIC line this time, avoiding the pincushion hands and my little peripheral veins. All the Real Onco Patients in the chemo unit had PICs and I felt a bit underprivileged at the time. Besides, I'd be able to wear jeans again without having to buzz a nurse to fasten them up every time I went to the lavvie.
Cecren
Do remember to use the great services available at Lymphoma Action as they will have the most up to date information about treatments (I just seen your post to the Nurse Team)
Their helpline is open every week day from 10 till 3 on 0808 808 5555. This is a safe place to talk things through and get support.
Well, I'm back to searching for info on developments since my first course. Being a researcher by trade, I always like to get my head around things before they happen, but the info service said to wait till I'd started treatment and then they'd give me info.
Meantime, the diagnostic programme is hustling along nicely. Scan and histology slotting into place. It all took 6 months last time, but I'm in the system now and it's all much smoother. I feel like I'm in an efficient caring process, which is really impressive.
My neck lumps are quite weird - in just 4 weeks they've tripled in size and there are more of them. I wonder if the sleepy old follicular lymphoma has transformed into something more lively? Has anyone else here had that happen?
Cecren
Good to hear that the system is doing it’s thing…… when my second aggressive type of T-Cell appeared (not a transformation but a completely new second NHL) the lump in my neck was growing at a significant rate and it was outstripping the ability of my great Heamatology department to get all the necessary tests done, results in and as I was going to be treated first 2 rare types of T-Cell at the same time, for my case to be reviewed by other field experts including Professor Sean Whittaker. Professor of Cutaneous Oncology at Guy’s and St Thomas’ London…… to be able to have a clear treatment plan in place.
There have been a good number in this group over the years who have had their FL transform into a high grade often DLBCL so let’s see if they are still looking in.
There are a lot of folks on the Lymphoma Action Closed FB group who actually are navigating the exact same challenges at this very moment,
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007