new to group / unusual diagnosis

FormerMember
FormerMember
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Hi all, my husband was recently diagnosed with follicular lymphoma. What's weird is that in 2015 he was diagnosed with Post Transplant Lymphoproliferative Disorder (PTLD) and had Rituximab, followed by R-CHOP, and then was in remission for 31 months. Over the holidays he started having night sweats and some lymph node pangs, so we thought he had relapsed, and we were preparing ourselves for a bone marrow transplant. They couldn't find an enlarged lymph node anywhere to biopsy, and he had a failed biopsy, but then in March he had a surgical biopsy and they diagnosed FL. The oncologist said it has nothing to do with the PTLD and is a completely different, new lymphoma. So we're confused, wondering if we should get a second opinion. It just seems kind of random and unexpected, and we don't want to proceed as if one thing if it's actually a relapse. And we didn't understand why FL isn't eligible for bone marrow tx, but PTLD is. But at any rate we're preparing to start Rituximab next month and are just in general confused.

But he tolerated tx very well before, worked all the way through, so we're staying positive and I'm hoping to meet more people to get a feel for what we can expect. 

Thanks and nice to meet you all

  • What kind of transplant was it ?

    Off the top of my head FL is not curable so stem cell transplant is kept for last gasp if all else fails

  • Hi and welcome to this corner of the Mac Community.

    Your husband and yourself have been on a bumpy ride. What type of Lymphoma did he have first and what type of transplant did he have?

    There are people with FL who have had a Stem Cell Transplant but each case is taken on an individual case.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • FormerMember
    FormerMember in reply to Doh

    thanks so much! It was a living donor liver transplant

  • FormerMember
    FormerMember in reply to Thehighlander

    Thank you

    The first time around it was Post Transplant Lymphoproliferative Disorder, and his was of the Non-Hodgkins type, although they classify PTLD's differently apparently than general population Lymphomas. 

    Ok, I guess I was hoping that there was still an option out there if other tx doesn't work.

    I'm hoping that since he was a responder to Rituximab and Chemo and tolerated it well that it will work again. We're not sure yet if they are going to begin treatments or wait. One thing that is different this time is that there has been no lymph node enlargement or really noticeable symptoms or progression between scans. We were just on high alert for a relapse since he's been in remission for 3 years so any twinge was concerning for us. With the PTLD it advanced quickly from first noticing problems to having really enlarged lymph nodes. So I guess we are observing the "indolent" aspect of this.

    How/when do you decide to do treatment?

  • For me I had a different type of NHL. Diagnosed back in 1999 but the big guns were first used in late 2013 as my condition went out of control. My type of Cutaneous T-Cell Lymphoma (A Skin Lymphoma) was basically like a very bad skin condition for 14 years (hit my community name to see my story) so my story is rather unusual.

    I am intrigued that they say SCT is ok for PTLD but not FL - why?

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • FormerMember
    FormerMember in reply to Thehighlander

    wow thanks, this is all so interesting how different and unusual everyone's situation is, I will read yours.

    I guess I was making an uninformed assumption re the SCT, - I just know that when he was first talking with the oncologist about a relapse and we asked about treatments, she said, I will just refer you to the transplant center for SCT, but then when the biopsy came back as FL, she just said, Its not curable, we treat it like a chronic condition, so I thought that meant the SCT was off the table. It felt to me like, Oh crap we don't have any options, but I am learning from reading all of this that the maintenance tx and the tx to push it back actually seem to be pretty effective. I feel slightly less scared... Worried 

    thank you all for replying and please suggest any other resources for reading about FL specifically thank you!

  • This LINK will take you to Lymphoma Action - have a look.

    Yes, some types of NHL are indeed seen as a chronic health condition and that was how my type was seen for many years.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • "How/when do you decide to do treatment?"

    Personally, I would be volunteering for Watch and Wait at this present time.