I may have low grade lymphoma or it could be from inflammation

Posted by lact @lact, Mar 3 1:35am

I’m very frustrated, during a MRI on my lumbar spine they found an enlarged retroperitoneal lymph node, I was sent to have a CT scan then a PET scan. I was then referred to an oncologist, I was told that I may have low grade lymphoma or maybe it was inflamed because of inflammation from my arthritis in my spine.
I was sent to have a needle biopsy but there was no clear path for a needle biopsy. I was next sent to a surgical oncologist who determined that he could not do the biopsy by laparoscopy either, the other option is too invasive at this point. I feel fine, my bloodwork is all normal. I am on the watch and wait plan, CT scan and bloodwork every 3 months.
So, basically I’m trying to figure out how to live not knowing for sure if I do or don’t have lymphoma!

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@loribmt

LOL. You’re right. That was a lot of biopsies. Cute story with #13. While chatting with the team who would do the biopsy that day, I joked that this was #13, a Baker’s Dozen and asked if this one was special and on the house?
Without skipping a beat the NP quipped, “Nope, but today we toss in a free colonoscopy!” “Interested?” 😂
I settled for my traditional post-op package of Lorna Doone Cookies. 😁
Joking aside, the biopsies served a vital role in diagnosing/treating my leukemia, along with monitoring progress of treatment and success of my bone marrow transplant.

I wish you only the best of news on your upcoming biopsy. Of course there’s that anxious period of waiting we lovingly refer to as Scanxiety. ☺️ From experience, the results weren’t always what I ‘wanted’ to see, but they gave my doctor a clearer direction for the next step that has me living a normal, healthy and active life at 71 after AML/BMT 6 years ago.
With your adrenal glands showing signs of inflammation does your internist feel that could be related to any prior treatments you had for breast cancer?

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Your story is so encouraging to me. I am 70 and just want an answer so I can go forward with my life. My internist said yesterday the adrenal infarct last week was due to my high platelet count. She did say the chemo I had for bc could cause leukemia years later. I could’ve gone all day without hearing that!
I told my husband I was feeling very anxious about the biopsy. He said well it’s going to provide answers. My internist said we can’t just keep throwing medication at the problem. I might’ve mentioned that my previous oncologist (who treated my breast cancer) didn’t seem to think the biopsy ‘would give that much more information’. But 2 drs feel differently.
Doesn’t help that I’m a retired RN who at times has a little bit too much information for my own good!

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@drawlings0803

Your story is so encouraging to me. I am 70 and just want an answer so I can go forward with my life. My internist said yesterday the adrenal infarct last week was due to my high platelet count. She did say the chemo I had for bc could cause leukemia years later. I could’ve gone all day without hearing that!
I told my husband I was feeling very anxious about the biopsy. He said well it’s going to provide answers. My internist said we can’t just keep throwing medication at the problem. I might’ve mentioned that my previous oncologist (who treated my breast cancer) didn’t seem to think the biopsy ‘would give that much more information’. But 2 drs feel differently.
Doesn’t help that I’m a retired RN who at times has a little bit too much information for my own good!

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Having a medical background does put you in that position of knowing too much for your own good! 😅 I get it! Sometimes ignorance can be bliss. But it also gives you a great insight of knowing to trust and work with your doctors for your best health.

Whether or not the previous chemo you had might be behind leukemia now, it doesn’t change the fact that the chemo bought you 17 healthy years that otherwise would have been lost to you and your family. My health teams made me aware of the potential risks for later too, however, it’s a chance I was willing to take. Without the chemo I’d have been a goner 6 years ago. Frankly, life holds no guarantees anyway. So if we can buy precious time, take my adult money! ☺️

I trust you’ll let me know how the biopsy goes?? Joking aside, I’m here anytime you need a sounding board. Hugs

Knowing that you are a retired RN, what would you be telling a patient right now?

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Lori thank you SO much! It’s great being able to talk to someone. And yes of course I will share my biopsy results with you.
As a nurse I would hopefully be telling a patient basically the same thing my Dr told me yesterday. She kindly reminded me that the biopsy will provide information so I can start feeling better.
I feel pretty awful today unfortunately. Went for a short walk earlier & it about killed me. I hate feeling weak and unable to do things. I am used to working out, walking, being active. Not feeling up to it is also making me depressed! Not sure if I told you (sorry to repeat myself at times) but my hemoglobin is very low. So I know the anemia is making me feel this way.
Anyway, hopefully this, too, shall pass. Hugs back to you!

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@drawlings0803

Lori thank you SO much! It’s great being able to talk to someone. And yes of course I will share my biopsy results with you.
As a nurse I would hopefully be telling a patient basically the same thing my Dr told me yesterday. She kindly reminded me that the biopsy will provide information so I can start feeling better.
I feel pretty awful today unfortunately. Went for a short walk earlier & it about killed me. I hate feeling weak and unable to do things. I am used to working out, walking, being active. Not feeling up to it is also making me depressed! Not sure if I told you (sorry to repeat myself at times) but my hemoglobin is very low. So I know the anemia is making me feel this way.
Anyway, hopefully this, too, shall pass. Hugs back to you!

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Ya know, one of the hardest things to do is listen to your body. (Next to asking for help!!). Especially when you’re an energetic, independent used to being super active. That’s why getting to the root of the issue and finding the cause of the anemia is so important.

So, for the time being, give yourself grace to get through this. I know how frustrating, and actually quite frightening, it is when your blood doesn’t have enough oxygen. I had AML and by the time I was properly diagnosed my hgb was 4.7. Talk about dragging my biscuits around. 😅 Well, at that point I was barely ambulatory. But, better living through chemistry and my amazing doctors, I pretty much feel like I’m in my 20s again. So hang in there, listen to your body and also, ask for help when you need it!! 🤗

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@loribmt

Not being able to get a firm diagnosis-not just cancer- happens more than you might think. As advanced as some of our medical testing is, there are still situations where it’s challenging, whether solid tumors, blood cancers or lymphomas. Blood cancers can sometimes be especially difficult with the different subtypes instigated by varying mutated genes. There can be subtleties between subtypes making the underlying disease hard to differentiate.

Honestly, from my perspective, it’s really comforting that you have the highly specialized doctors at Northwestern taking this seriously. Fingers crossed, your situation may turn out to be inflammation as you’re suspecting. But if not, to have a dedicated team that is monitoring you with followups, is priceless! And don’t diminish a low grade lymphoma in comparison to someone else’s case. Cancer is cancer and large or small, it strikes fear in the bravest souls! It’s how we handle the diagnosis that gets us through the worst of times.
So, give yourself some grace while you work through things. Finding an activity such as art, sewing, writing, where your hands and mind are focused, allows for some incremental healing. Subconsciously, your mind is still ruminating on the ‘lack of diagnosis’ while the activity allows you the opportunity to refocus and escape! Little by little, daily, as nothing new develops, your negative thoughts get put on the back burner. Soon enough you’ll realize you’ve gotten through an entire day without even thinking about what has you addled right now. ☺️
So let’s change your thoughts of being IN limbo to doing the “Limbo Rock“ Remember that song by Chubby Checker? 😂. How’s that for an earworm?

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I have started a journal, it gives me somewhere to vent my frustrations! I don’t see any doctors again until first week of June so I have a little reprieve, kinda nice after so many appointments the last three months. I am looking for a therapist I think that will help.

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@lact

I have started a journal, it gives me somewhere to vent my frustrations! I don’t see any doctors again until first week of June so I have a little reprieve, kinda nice after so many appointments the last three months. I am looking for a therapist I think that will help.

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Journaling is a wonderful coping tool! I bet you’d love this discussion started by a fellow mentor a few years ago, @gingerw.
Journaling https://connect.mayoclinic.org/discussion/journaling-the-write-stuff-for-you/

It’s nice you have a little longer leash between appointments for now! I was reveling in that myself this year. I take that as a sign of graduation and a positive step towards freedom. Plus, several of my doctors, whom I’m sure lost sleep at night because I tested their brain power, are happy for the reprieve. 😂

Finding a good therapist can be really helpful to work through stresses, thoughts, coping… Hopefully you find someone who clicks on the first try. Have you tried yoga or Tai chi?

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@loribmt

Journaling is a wonderful coping tool! I bet you’d love this discussion started by a fellow mentor a few years ago, @gingerw.
Journaling https://connect.mayoclinic.org/discussion/journaling-the-write-stuff-for-you/

It’s nice you have a little longer leash between appointments for now! I was reveling in that myself this year. I take that as a sign of graduation and a positive step towards freedom. Plus, several of my doctors, whom I’m sure lost sleep at night because I tested their brain power, are happy for the reprieve. 😂

Finding a good therapist can be really helpful to work through stresses, thoughts, coping… Hopefully you find someone who clicks on the first try. Have you tried yoga or Tai chi?

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So agree with you in therapy! I was in therapy over 15 years and it proved invaluable to me.
You tickled me saying you tested your dr’s brain power. We must do this bc it’s being an advocate for ourselves & our loved ones. If drs cop an attitude about that then it’s a sign to move on. And, of course being a nurse can be annoying to some of them. 😂
But overall I’ve been lucky and feel like they work with me as a team.
Thanks for the info on journaling. Will look into it!

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@drawlings0803

Lori thank you SO much! It’s great being able to talk to someone. And yes of course I will share my biopsy results with you.
As a nurse I would hopefully be telling a patient basically the same thing my Dr told me yesterday. She kindly reminded me that the biopsy will provide information so I can start feeling better.
I feel pretty awful today unfortunately. Went for a short walk earlier & it about killed me. I hate feeling weak and unable to do things. I am used to working out, walking, being active. Not feeling up to it is also making me depressed! Not sure if I told you (sorry to repeat myself at times) but my hemoglobin is very low. So I know the anemia is making me feel this way.
Anyway, hopefully this, too, shall pass. Hugs back to you!

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Good morning, @drawlings0803 I was just going through my notes to check in with you this morning after your biopsy yesterday. The results won’t be available for a week or so but how was your experience with the biopsy?

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Hi Lori!
Thanks for thinking of me. The biopsy experience was great. I was so glad I had it done in the hospital by an interventional radiologist. I had a little versed before the procedure which was great. I felt slight pressure, but it wasn’t bad at all.
So glad it’s over & now just have to wait for results.

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I was recently diagnosed with cLL and a Mass on my Uterus…
It is slow growing so no medication or treatment at this time. I have been struggling with chills, some pains etc is this normal??? Thank you my name is Pat

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