My 14 year old son has just been diagnosed after biopsy.
Originally he had a small raised single under arm lymph node on and off for a few months, but just before Xmas it seemed to increase a lot and become tender, so took him to GP who offered "wait and watch" or refer to hospital, I opted for the latter. We were seen the following day but physical examination confirmed the single node and blood tests revealed nothing.
But a follow-up scan of the underarm node 5 weeks later on 27 January also revealed concerns with another swollen node in his neck nearby on his collar bone. Both about 3-5 cms. Small nodes less than 1cm also in groin, and a small one in chest according to CT scan. NO abdominal adenothapy (?) found on CT scan, though spleen enlarged with echoic (?) lesions. Biopsy confirmed it was Hodgkin's Lymphoma when we saw specialist in the week, but I am worried sick to the point I cannot function easily.
I guess its clearly at least Grade 3 as nodes now swollen on both sides of diaphragm, though the specialist did not tell me which stage it is, only that she feels we have a "very good chance of curing it". But my son was present so perhaps she was bound to keep us positive.
Awaiting PET scan now which could reveal it is at an even worse stage (Stage 4) if it picks up more cancer, which PET scans often do.
He has been referred to Birmingham Children's Hospital - we have an appointment next week - where he will get excellent treatment I am sure, but I feel everything is so slow, and over the last month it seems to have changed from perhaps a Grade 1 (single node underarm) to potential Grade 4.
It is terrible to watch as he seemed so well, loving his football etc, but now has a nasty cough and cold which may or may not be related. He still seems well apart from the cough and cold.
I know HL in some ways is a good cancer to get (if you can ever say that), but Stage 3 or 4 prognosis is often reported as relatively poor. Some people say that nearly all teenage HL can be cured or put in remission, only that the Stage will dictate length of chemo these days, not so much prognosis. Other reports suggest 95% of teenage HL have a 5-year survival rate, overall. Anyone else have experience of Stage 3 or 4 HL in children?
I just wish I could swap places with him, I feel so low - if someone literally offered me the choice of being decapitated right now to free him of it, I would do it with absolutely no hesitation. (PS I am not suicidal, just feel so low). I can't show weakness or have a cry as he is with me all the time, yet the future for him just feels so grim right now.
Ah I thought it might be a US thing.
Thanks again, sincerely.
In my very long experience of having my lumps and bumps I can honestly say that the medical professionals will indeed give the areas a good press and manipulation. I did once ask that very question about releasing cells and the answer I have given was what I was told.
I only check once a week, and the only reason I press into his armpit now is that that is the only way you can feel that one, which was biggest.
The consultants certainly have a good feel of them.
Of course like anything, still treat any area of the body with care.
I’ve watched daughters consultant manipulate her palpable nodes to check on them over some years, he never ever said anything negative about feeling nodes and he’s one of the UK’s top haematologists so I suspect that might not be anything to worry too much about. However, too much or too often ‘fiddling’ may well cause inflammation which may well add to any problems and in any case, will make the area of node and surrounding tissues sore. And of course, John’s post reiterates that Lymphoma is indeed a blood cancer and therefore the cells are circulating throughout the body, with potential to settle and cause problems anywhere!
Oddly, over her long illness, her haematologist did realise that when happy and having a really fun time (on a music tour - she’s a professional brass player) the palpable nodes he could feel did reduce. They joked together about ‘laughter being the best medicine’! It unfortunately didn’t mean an end to her long illness or the treatments she needed to get rid of the beast!
Hugs xxx
Moomy
Elliot starts his second round of chemo today and then has his interim PET scan end of April.
He had a problem with his central line splitting which has delayed this 2nd round by a week. He had an operation to remove the split one and insert a new one on the opposite neck side on Friday. They tried to originally insert it on the left side but couldn’t bend the sheath around the lymph node near his collar bone.
It would have helped if the surgeon had read the notes regards the location of his enlarged nodes, because at the first operation they inserted so far on his left side before abandoning that attempt and inserting it on his right side. Now the right hand side one has split, they have gone in on the left, and they managed ok this time.
Fun !!
Good morning Nick, oh I think lots of folks will have stories about PICC and Hickman's Lines.
I had one PICC in for 4 months and then Hickman's for each of my transplants and both of these had to be changed for various reasons.
At three in the morning the night before my second Stem Cell Transplant I was down getting a new line in as the original one just stopped working and it had to go in as all my conditioning had been done and the transplant just needed to be done the next day - yes fun.
Hi Nick,
maybe this is a time to ask about a ‘port’? (Portacath) as they are not often suggested but once in, can simply remain just under the skin.
Hugs xxx
Moomy
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