Want to connect with others with Splenic B cell Marginal Zone Lymphoma

Posted by April @sabtahis, Jul 24, 2016

There are over 80 different subtypes of lymphoma . This is a slow growing lymphoma.I'd like to know and communicate with any patient if possible.

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@cdwilm27

Hello, I've not written in a long while. Lots happening in my personal life.
I was diagnosed with SMZL in Oct 2021. My spleen was 3 times the normal size, I had terrible night sweats and my H&H was 9.9 and 32. Bone Marrow biopsy revealed cancer cells were present there as well.
I had 8 infusions of Rituximab over the course of 10 weeks. My labs were nearly all within normal limits on December 20th and again on 1/21 as well as my spleen was nearly normal. I did have another BM biopsy in late January which revealed the T-20 cancer cells were gone, but there were some T-19 cells that were present, non cancerous at this point.
I did have a 2nd opinion with Dr Javier Munoz at Mayo on 12/7 and he thought the current course of treatment was correct with Dr. Salganick at Ironwood Cancer center.
My next appointment is 6/28. However I did see Dr. Salganick on April 19th regarding the return of some light night sweats. He stated he did not want to go to the next level of treatment if I could live with night sweats on and off. I agreed with this. Waiting to see what my labs reveal in June.
As for my personal life; my husband of 19 years and I have Legally Separated, sold our home and he has moved to Florida and I am now in a new house in Peoria. I am trying to continue healthy eating, exercising and a Zen attitude. It is strange and makes my head spin when I consider all the changes in my life since the diagnosis in October. However I do feel that I can focus on my wellness in my new environment.

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Sounds like you are an overachiever with a 3x the-normal-size spleen. Mine was only twice its normal size! I was lucky as I never had night sweats and any temperature. I too went through a lot of changes. I started treatments in January of this year, after 'firing' my previous oncology practice that was slow to respond to phone calls, emails and even feed back on my newly discovered cancer. I was treated like one more sick person in their waiting room and everyone, including the staff looked lifeless and uncaring. I drive an hour away to a clinic that is well worth the trip, as everyone is happy, my doc is the head of the clinic, so anything she wants done to me, gets done pronto! I started working from home in January and went back to work 2 weeks ago. In February I put my little house up for sale and sold it within that week, weeks later I hit a large deer or it hit me, if I am being honest, and caused $11,000 worth of damage to my 2 year old car. I moved in March to a condo where I can manage everything better, but I do miss my vegetable, herb and flower gardens, but not the grass cutting and weeding. I turned 70 in May and lead a pretty active life (gym classes, yoga, pickle ball) and intend to keep working until the end of the year. The unknown is whether I will have to have Rituxan treatments until the end of my life and they are costly. If you want to connect to chat, I am up for it. Thanks for listening.

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@kayak4me

Renee,
I've lost track of some posts and replies but wanted to check in and also ask a question of you and the group. I had great results from my bloodwork of late last year, and just had another checkup. Unfortunately, my bloodwork coincided with the trail end of a cold and my numbers were slightly elevated. (I had tested negative for Covid but had sore throat, slight cough, and tiredness.) My ocologist mentioned an ivig infusion, telling me he has a "low threshold" for that procedure. My proteins aren't at scary levels but I could tell he was suggesting I could have the ivig to bolster my numbers. We left it that if I have recurring colds or other symptoms I should have it done. I know that I've been trying my best to live healthy and manage my immune system without any infusions, and that saying yes is acknowledging this is a cancer that I have little control over. (That's a tough realization for me.) However, I realize this is a resource I probably should take advantage of, especially with Covid still lurking. Can anyone offer insights about side effects or other issues with ivif? I am due for my second Covid booster - sounds like side effects are similar to covid shots - I always end up with flu-like symptoms. Beginning to dread that about every issue but think I need to buck up and deal!!! Hope you are well and your health is steady! Laurie

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Laurie, I am new to this communication platform for those of us diagnosed with NHL, SMZL, and don't know what ivig infusion is. I had 4 rounds of Rituxan in January that helped reduce the size of my spleen (was twice its normal size). I have had my 4 COVID shots, Pfizer, as well as 2 rounds, one month apart of "Evushield" a new drug, recently approved by the FDA for cancer peeps like us, that are immunity challenged. Overall, I feel lucky as I have had little or no reaction to the shots.

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@theresad2

I do find activity is great for my attitude and I am glad I am able. Walking and talking with a friend on a nice day is an important part of my self care. Unfortunately my spleen is so enlarged (21 cm) some things like yoga only increase my awareness and concern. I just got clearance to wait another 6 months before I repeat studies so I am happy I can let it go for the summer. It does help hearing how others cope. Let us know how the April visit goes!

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I know about being uncomfortable with the enlarged spleen. Mine was twice its normal size & my cancer doc said it was all the way down to my belly button. Yes, things like Yoga (any position on the stomach) and doing Spin classes were out of the question, but of interest I was able to do Body Pump classes, yet found going upstairs or hills to be difficult because my lungs could not draw a dep breath. After 4 rounds of Rituxan, the spleen reduced considerably in size in February but here it is June and I think it is growing back, so perhaps I need more infusions? My cancer doc stated then that if my numbers swung back up, or remained static she would order 6 rounds of Rituxan, rather than another 4.

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@theresad2

Hi, I am 68 years old and was diagnosed with SMZL in November of 2019. I have been watching and waiting since then. I feel okay and my labs are not too abnormal but my spleen has steadily increased in size. I am more than willing to ignore it but my oncologist is increasingly urging Rituxan because of the spleen size, although he admits it is a judgment call. Anyone with SMZL gone through this decision making process? I realize I am fortunate to have options, but I am very reluctant to leave the watch and wait period until absolutely mandatory. I'd like to consult an oncologist who focuses on SMZL but as rare it is, I'd be happy to find an oncologist who focuses on any marginal zone lymphoma. Any other SMZL patients found particular studies of interest to SMZL? Contrary to conventional wisdom, my blood work has improved since I put aside my vegetarian diet and began adding meat, poultry and eggs to my diet. I try to use this diagnosis as a reminder to appreciate and enjoy what abilities I do have each day. Thanks to those who share.

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At age 69 I was diagnosed with SMZL November 2021. And for 10 years I had been pescatarian diet, but now eat meat to help improve my blood counts, as I was anemic, etc. I had 4 rounds of Rituxan in January of this year and it dramatically shrunk the spleen, but I have not had anything else since then. However, I have had all 4 COVID shots, Pfizer, and also 2 rounds of Evushield which is a shot that helps to boost the immunity of cancer patients and others with immunity challenges. There seems to be a common thread that the SMZL occurs later in life and hits those of us that were active and healthy? Thank you for listening

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@pkh

Hi….am grabbing all the info I can on this SMZL. Rather daunting I think.
I see a couple of you are getting 2nd opinions, where? And are you doing the treatment
First?
I have been advised by my hematologist to wait to start any treatment after I get another
CT scan and labs done, probably after 1st of year.
I do not have any bothersome symptoms other than My energy level is not where I would like
It to be. Am a 68 yr old, fairly active female, grandmother of 4 active grands.
Some think I should get another opinion at Mayo, Rochester. I have doctored with a consulting
Dr from Utah and a retired hematologist from Rochester who have both concurred on the diagnosis yet one wants to start treatment the other is wanting ‘wait and see’……I am a little confused.
Can anyone give me heir experience in diagnosis and 2nd opinions or even 3rd opinions?
Any info is greatly appreciated. 💁🏻‍♀️

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I was diagnosed by oncologist #1 in November of 2021 and 'fired' that cancer practice after weeks of frustration of their inability to return a phone call or see me for weeks. I now travel 1 hour each way to see a lovely oncologist in Baltimore, who is the head of a cancer clinic and she reconfirmed the first doc's diagnosis, and I love my current specialist. She saw me days after Christmas, where I asked her if she would be my primary doc and she found room to see me immediately & her team set up all of the appointments & we rolled! My first round of Rutixan was Jan 7, followed by 3 more rounds total, the spleen shrunk quite a bit and my blood cancer levels went drastically down. I do feel like the spleen might be trying to enlarge a bit? (Or maybe my fear in my head). My spleen was twice its normal size and down to my belly button almost, couldn't do normal stuff like lay on my stomach to do Yoga exercises, walk up a flight of stairs without feeling winded or dizzy, etc. I have had little or NO reaction to the Rituxan treatments, they put me on Predinisone for a week prior to the first treatment to get my body in "fight" mode.

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@cdwilm27

I am receiving my treatment from Ironwood Cancer center in Phoenix, AZ. I'm 70 yr old female and I would call myself active as well. Before this diagnosis I was determined to lose my Covid weight and was either biking 7 miles, walking 3 miles or working out in the gym once a day. I did manage to lose 25 lbs prior to my birthday in June. That is when I started having night sweats and saw my MD in mid-August. She ordered lab which was abnormal and referred me to an MD at Ironwood. My oncologist ordered more labs, a neck to knee's CT with contrast and an bone marrow biopsy to determine my SMZL diagnosis. I contacted Mayo at that time for 2nd opinion, I was give a mid December appt. I started my Rituximab treatments on 10-14. My weight was continuing to drop but now seems to be stable. I took a 2 week Thanksgiving break and then started the treatments again on 11/29 and will end on 12/20. I do feel much better than I did when I originally started. the treatment. Some of that may be due to the fact that I have accepted the cancer diagnosis and trying to enjoy my life, 3 children and 4 grandchildren despite the diagnosis. I hope this information is helpful to you.

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70 year old female too, grandmother, very active lifestyle, haven't retired from full time job yet (December this year), and diagnosed in Nov 2021. My weight had started to drop prior to treatments, because the spleen, which was 2x normal size was impacting my ability to eat normal meals and going to the bathroom a lot too. Hope you are still doing well.

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@kayak4me

Hello Sally! It’s so important to be able to talk with others about SMZL especially since it’s fairly rare.

My spleen is holding to its size at diagnosis and I cannot help much with drug regimens or surgical questions, but I think it’s important for our community to stick together!

I can hear the concern in your message. It took me some time to come to grips with the fact that I have a cancer - often referring to my doctor as my hematologist, not oncologist. Eventually I got over that 😉

My newest issue is watching my IGG proteins and after bloodwork in July may get an infusion to boost those #s to better support my immune system.

Write any time you want to chat. Wishing you well and hoping for encouraging news for you!!
Laurie

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I confess I don't know what "IGG" proteins are? And why they are a concern for you? I did get two rounds of an injection from my cancer doc, it is a new drug approved by FDA to help boost immunity in cancer patients like us - it is called "Evushield". You might check into that? Thanks for reaching out.

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@sally2022

At age 69 I was diagnosed with SMZL November 2021. And for 10 years I had been pescatarian diet, but now eat meat to help improve my blood counts, as I was anemic, etc. I had 4 rounds of Rituxan in January of this year and it dramatically shrunk the spleen, but I have not had anything else since then. However, I have had all 4 COVID shots, Pfizer, and also 2 rounds of Evushield which is a shot that helps to boost the immunity of cancer patients and others with immunity challenges. There seems to be a common thread that the SMZL occurs later in life and hits those of us that were active and healthy? Thank you for listening

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Good to read your input Sally. It does seem that many of us were living a healthier than usual lifestyle and I went through a period of searching for alternative treatment that would at least put this in remission. I do think this is a long journey and I will go through many moods with it. At this point I try to focus on appreciating every day. In a sense, I am lucky to have this diagnosis so early. I have years (hopefully) to remember, everything is impermanent. My mantra is accept, adjust (do what you can to help yourself) and repeat (know you'll be at this cycle again). The big reminder is the spleen of course, impossible to ignore, but I take great solace that I do not view this as a tumor. This valiant organ is struggling against the odds every day to help me, doing it's best. Having watched my father die of esophageal cancer, I know full well the horrors tumors can present. A compassionate view of my spleen helps me diminish the fear a bit. The encouragement and inspiration I read here is definitely helpful! Thanks for sharing.

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@sally2022

Sounds like you are an overachiever with a 3x the-normal-size spleen. Mine was only twice its normal size! I was lucky as I never had night sweats and any temperature. I too went through a lot of changes. I started treatments in January of this year, after 'firing' my previous oncology practice that was slow to respond to phone calls, emails and even feed back on my newly discovered cancer. I was treated like one more sick person in their waiting room and everyone, including the staff looked lifeless and uncaring. I drive an hour away to a clinic that is well worth the trip, as everyone is happy, my doc is the head of the clinic, so anything she wants done to me, gets done pronto! I started working from home in January and went back to work 2 weeks ago. In February I put my little house up for sale and sold it within that week, weeks later I hit a large deer or it hit me, if I am being honest, and caused $11,000 worth of damage to my 2 year old car. I moved in March to a condo where I can manage everything better, but I do miss my vegetable, herb and flower gardens, but not the grass cutting and weeding. I turned 70 in May and lead a pretty active life (gym classes, yoga, pickle ball) and intend to keep working until the end of the year. The unknown is whether I will have to have Rituxan treatments until the end of my life and they are costly. If you want to connect to chat, I am up for it. Thanks for listening.

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Hi Sally,
I'm glad you were able to find the right oncology practice, well worth the drive I'm sure.
I have to go back to my oncologist 6/28 for follow up. I will have labs done prior to this appointment which will determine next steps. Overall, I am feeling great. I'm just hoping there is not disappointing news regarding my labs. I have a summer full of small trips planned and I really don't want to change anything if possible.
Where are you located?
I miss my old home which had an open fence to a greenbelt and lots of animal/bird sightings. However I don't miss the stress of living with my husband. My new home is much smaller, but much easier to clean and lots of friendly people nearby.

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@theresad2

Good to read your input Sally. It does seem that many of us were living a healthier than usual lifestyle and I went through a period of searching for alternative treatment that would at least put this in remission. I do think this is a long journey and I will go through many moods with it. At this point I try to focus on appreciating every day. In a sense, I am lucky to have this diagnosis so early. I have years (hopefully) to remember, everything is impermanent. My mantra is accept, adjust (do what you can to help yourself) and repeat (know you'll be at this cycle again). The big reminder is the spleen of course, impossible to ignore, but I take great solace that I do not view this as a tumor. This valiant organ is struggling against the odds every day to help me, doing it's best. Having watched my father die of esophageal cancer, I know full well the horrors tumors can present. A compassionate view of my spleen helps me diminish the fear a bit. The encouragement and inspiration I read here is definitely helpful! Thanks for sharing.

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How long ago were you diagnosed? Thanks

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