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.
Thanks Mike, Moomy
Glad it’s not just us. I’ll ask about a portline, in case it reoccurs.
Been sat here for a couple of hours, for some reason they had his chemo for today all ready at a different hospital 15 miles away. They or we have no reason why this happened.
But been assured it will be with us shortly.
Bloods taken yesterday at home, all fine though they forgot to do one important one so he has had another blood test today for that.
Organisation seems worryingly lacking.
Hi Nick, we all hear you, we all have had odd, non logical things happen to all of us.
Never did have any major problems due to the lack of resources or organisation in our NHS, yes lots of waiting. But did always check settings and levels when chemo pumps were being set, especially near the end of a shift and during night shift.
When I was in hospital in January with yet another chest infection a young junior doctor came in to put in a new Cannula. A few seconds after he started I had to stop him. I spent a 5 minutes talking with him as his hands were like jelly and would have been better staying at the other side of the room and throwing the Cannula at me lol
He eventually got it in but the blood!! it was carnage - but they have to learn.
All part of the learning curve unfortunately, as Mike has said we have all had an experience that defies logic sometimes
John
We once had a horrendous day when daughter was due a half hour infusion, (Gemcitabine) we were there ready at 9.30am, and were eventually let out at 10.30PM! I began to cook dinner by 11 pm, we were both starving! That was also the day she came out from having a cannula inserted with about half a dozen dressings on each hand as the person trying to get it in was pretty inefficient!
For the Christie that was the worst day ever, it was when they were trying a new admission system, and obviously getting it very wrong. Her take home meds weren’t ready either, were sent by taxi early the following morning, and were wrong in spite of her notes saying, plus us also saying ; they have to be liquid. However, once they knew and apologised, the replacement ones were sent really quickly, also by taxi.
her consultant was appalled and ensured nothing like that ever happened again to any of his patients!
Hugs xxx
Moomy
Hi Nick,
yes, once I’d got dinner into the oven we both just stood in her kitchen and hugged! It made a very late night, luckily I don’t sleep late so was up ready to take in the meds as they arrived. It had been a sort of trial run to see if the new system might work. (No, it didn’t!)
It never, ever happened again! We were back to the old department and to the two nurses who could ‘get blood out of a stone’, as daughter declared, they were so good at getting a cannula into place!
Hugs xxx
Moomy
Elliot has had 2 rounds of chemo but has a cough and cold, and due to very low neutrophils they are keeping him in for 48 hours for monitoring and anti-biotics.
They checked his nodes tonight, the consultant said the 6 x 5cm one under his arm feels like it has gone, and the 3 x 4 cm ones on collarbone have reduced, but a new occipital one at lower back of ear / skull has emerged (sadly). I was feeling fairly positive about the interim PET scan but with this new growth area I know it is going to be a so-called positive scan rather than a negative one, which is not good.
Devastated as you would expect the chemo to have the same general effect throughout the lymph system, as the largest one which she said felt like it had gone. Yet a new area has emerged. How does it kill a large tumour node yet allow a new one to grow?
Hi Nick, as Moomy has said it does sound strange and a few of us have experienced strange things which sometimes are unexplainable and not lymphoma and on occasions the are no answers. Lets hope this is one of those situations as speculation will only drive your anxiety which no doubt will be high, a step at a time.
John
I think his HL was on the verge of moving up from stage 3 at diagnosis, as the first PET scan showed only 3 areas of disease, but his LDH moved from 636 to 1200 in 2 weeks during that initial investigation time, which certainly suggests transformation of the disease.
Its strange as the 3 areas where it identified HL seem (to physical touch) to be responding well (spleen is no longer palpable, and neck side and armpit reduced and absent).
I don't really understand these blood tests, but his LDH which always concerned me, reflects tumour burden so it was clearly escalating at this point, yet all his other results were ok, and his CRP was just 2 and ESR just 5 which reflect very little inflammation and are basic but widely used prognostic markers.
So it was on the verge of escalating I believe. Not sure what the plan will be now.
Why is the chemo so effective in one node 6 x 5 cms over two treatments, yet a large new one emerges and it seemingly has no effect on it. There might be other areas of course therefore, where it has spread.
Good that the original areas are reducing but not good about the new area.
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