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Medical Forum / Diseases and Disorders / Cancer / April 2004

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lymphoma

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stew - 08 Apr 2004 03:55 GMT
Well got more information on what I have
Lymphoma NHL   Large B Cell today the Dr
said he wanted me to have a Bone Biopsy aned a new CT
for stageing purposes said it would not change the treatmrent
but he did say as it satnds right now I am a II E not sure what that
means but said if the CT comes back with more it would change and if the
bone marrow biopsy came back positive it would change but at any rate
the prognosis is good first CHEMO treatment is set for next wednesday
five drugs will be used and the duration is six months three week
interveals and might streach into nine months.  Well I am not sure what
all the drugs are or the amounts I will recieve yet but here is the list
any one can help I would appreciate it.  

rituximab                                trade name  rituxan

vincristine                              trade name  oncovin
 
doxorubicin hydrochloride      trade name  adriamycin

syekloe foss fa mide              trade name  cytoxan


presnisone  trade names    apo-prednisone, deltasone, orasone,

Frank (aka) "stew"
J - 08 Apr 2004 11:23 GMT
> Well got more information on what I have
> Lymphoma NHL   Large B Cell today the Dr
[quoted text clipped - 20 lines]
>
> Frank (aka) "stew"

Hi Frank,
("E" stands for extranodal and means that the cancer is found in an organ or
tissue other than the lymph nodes).
Stage IIE: Cancer is found in an organ or tissue other than the lymph nodes
and may have spread to one or more lymph nodes on the same side of the
diaphragm. from http://www.stayinginshape.com/3osfcorp/libv/c08.shtml

Cytoxan  cyclophosphamide is an immune system suppressant
http://www.medicinenet.com/cyclophosphamide/article.htm

Prednisone is a steroid that treats inflammation
http://www.medicinenet.com/prednisone/article.htm

I don't know what the combo is called.
Most of it seems to be under C-Vamp except the rituximab here
http://www.cancerbacup.org.uk/Treatments/Chemotherapy/Combinationchemotherapyregimes

If you point at each acronym on the left side, a little window opens up and
lists the ingredients.
or you can look them up individually.

Maybe Steph will know what the combo is called ?
J
stew - 08 Apr 2004 13:47 GMT
>> Well got more information on what I have
>> Lymphoma NHL   Large B Cell today the Dr
[quoted text clipped - 44 lines]
>Maybe Steph will know what the combo is called ?
>J

Thank You
Now the waiting game for the Bone Biopsy
and CT Scan

Again Thanks for all you help

Frank (aka) "stew"
Steph - 08 Apr 2004 16:10 GMT
> Maybe Steph will know what the combo is called ?
> J

CHOP!
stew - 08 Apr 2004 17:16 GMT
>> Maybe Steph will know what the combo is called ?
>> J
>
>CHOP!

Yes   CHOP
But they added an R now something to do with the white blood cells at
least that is what i believe my ONC stated

Frank (aka) "stew"
J - 08 Apr 2004 22:10 GMT
> >> Maybe Steph will know what the combo is called ?
> >> J
[quoted text clipped - 6 lines]
>
> Frank (aka) "stew"

Yes, thanks Frank,
that UK page didn't show rituximab in their CHOP and I"ve since found
that it's called R-CHOP or CHOP+R
http://www.lymphomation.org/chemo-CHOP.htm
http://www.medicinenet.com/script/main/art.asp?articlekey=31671
http://www.medicinenet.com/rituximab/article.htm Rituximab

So I guess I can't always rely on the UK web page for chemo combinations,
but I'll find another....
and looks like Steph's CHOP includes Rituximab .(LYCHOP-R)
J
stew - 08 Apr 2004 22:11 GMT
>> >> Maybe Steph will know what the combo is called ?
>> >> J
[quoted text clipped - 18 lines]
>and looks like Steph's CHOP includes Rituximab .(LYCHOP-R)
>J

Yes That would be an affirmative
CHOP+R

Frank (aka) "stew"
stew - 08 Apr 2004 22:54 GMT
>> >> Maybe Steph will know what the combo is called ?
>> >> J
[quoted text clipped - 18 lines]
>and looks like Steph's CHOP includes Rituximab .(LYCHOP-R)
>J

Forgot
THanks J for the posted URLs
they rellly helped me out  kept my mind at ease
thank you, thank you

Frank (aka) "stew"
LarryM - 08 Apr 2004 13:21 GMT
Let's hope for a negative bone marrow biopsy.  That will complicate
things a bit - bumps it to stage IV I believe.

My dx was stage II NHL Large cell aggressive.  Your chemo, CHOP, it
can whoop it though!  

Plan for a hair pulling demonstration on the 18th day after your first
chemo!  I recommend throwing a tantrum at a customer service counter
somewhere, then just start pulling it out.  Whatever you ask for,
you'll likely get!!! ;-) hehe!  Or that person will just freak out!

If I recall, the cytoxin is a drip, the vincristine is a little push
(syringe), and the adria is a big push - and it makes you pee red!
(The kids would love that one!)  The prednisone is taken orally and it
tastes like crap!  That on top of the fact that one of the other drugs
(adria maybe) will make food taste like.....uggghhhh!

You're up for what I termed the "Chemoman Triathlon!"  I completed it
on day one of my first chemo treatment!  (uggggh!)  
http://www.gotcancer.org/store/cafe_detail.php?item=9217705
After that, I found that Emend worked best for me.

Check out www.lymphomation.org - if a good info/resource site for you.

I imagine the prognosis will be good though - the chemo sucks, but it
makes for good stories when it's all said and done!  But you can beat
this one!

TIP - get a little notebook - a journal to write stuff in, as you will
be overwhelmed with info and will forget lots, especially if you
become a "chemo brain" like I was!  Put your questions and sutff in
there - take it to every doc appt you have.

Hang in there!

Larry

>Well got more information on what I have
>Lymphoma NHL   Large B Cell today the Dr
[quoted text clipped - 20 lines]
>
>Frank (aka) "stew"

--
Larry
www.gotCancer.org - Laughing in cancer's face!
J - 08 Apr 2004 14:45 GMT
> http://www.gotcancer.org/store/cafe_detail.php?item=9217705

Larry, stop this.
You posted once and I asked the team about it and it was deemed to be spam.
Two people reposted it (again) at someone else's request.
I'm asking you to stop now.
You can approach cancer centres and ask them if they'd be willing to sell
them in their stores.
I don't know you from (as they say) a "hole in the wall" since I cannot find
any posting history prior to your posting this website.
Cancer centres an/door the American Cancer Society can check you out and
endorse you as a contributor.

If you post this website again (and/or repeatedly), the team will likely send
complaints about you.
If you post just once a month, I might overlook it.
Thanks
J
LarryM - 09 Apr 2004 05:02 GMT
J,
I'm sorry if I ticked you off with my post.  It wasn't meant to do so.
I was just trying to reply to Stew with a few answers about his
Lymphoma diagnosis and planned treatments.  I shared some of what it
was like for me duing my treatments.  I did post a link to the shirt I
had designed.  I thought it was appropriate - chemo related.  So yean,
the link was promotional, but I didn't think of it as spam.  I thought
Stew might get a kick out of it.  I wanted him to keep his sense of
humor through all of this, because it won't be easy.

I'm no spammer.  I'm no poser either.  I'm just a guy who survived,
who's trying to make a difference.  www.mullhouse.net/bb - that's my
personal website's message board.  Anyone who wants to check me out as
being legit is quite welcome to visit.  You'll find some pictures of a
skinny bald guy up there - posts about my ANC and HGB values - just
how painful a big shot of neupogen can be - pictures from fund raising
events like the Lympoma & Leukemia Society's Light The Night Walk -
how much I hate chemo side-effects - you name it - it's all there.

I'd like to ask a few questions about your reply if you don't mind.
I'm not challenging your post - I'm a straight shooter - I'm just
curious and would like to know more.  If you wish to reply offline via
email, larry@mullhouse.net is my personal email address.

>You posted once and I asked the team about it and it was deemed to be spam.

Who is the "team?"  This isn't a moderated newsgroup, so I'm wondering
what that's about.

>Two people reposted it (again) at someone else's request.

Can you explain what you mean by this "reposted" statement?  I posted
my original "I laughed in cancer's face" message.  I never saw it
reposted by anyone.  Maybe it's been a while since I've been on
newsgroups and I'm just clueless.

>I'm asking you to stop now.

So no URL's to my site in any messages?  Ok.   It'd have been helpful
if you had stated why - as in the FAQ.  I wasn't sure why you were
upset.  I did reload the news group and I found a FAQ posted about 6
wks ago.  I read the "no advertising" stuff there.

>You can approach cancer centres and ask them if they'd be willing to sell
>them in their stores.
>I don't know you from (as they say) a "hole in the wall" since I cannot find
>any posting history prior to your posting this website.

Ok, that was my first post here.  I thought I'd share a story of
surviving.  It was how I went from cancer patient to cancer fighter.
I've read plenty of posts on message boards, forums, newsgroups, etc,
of people suffering, dying.  It's damn hard to take sometimes.  Not
long ago, I read a post about a girl who used the id JustSophie.  In
15 minutes, I went from meeting her to her dying.  I cried.  Sixteen
year old girls aren't supposed to die from cancer.  That made me think
- why not post a story that's positive.  People need hope, they need
inspiration.  I kinda thought that a post about a guy who went on the
offensive, after having been put on the defensive just to save his
life, I thought it'd be a good read.  And I wanted people here to see
the site.  Yeah - the cancer community is the target market, but I
just wanted them to see it.  I'm proud of it.  And maybe I can inspire
someone to do something similar, something positive, to be involved in
fighting cancer.  That's better than any sale.

>Cancer centres an/door the American Cancer Society can check you out and
>endorse you as a contributor.
>
>If you post this website again (and/or repeatedly), the team will likely send
>complaints about you.

Just curious - where would complaints be sent to?

>If you post just once a month, I might overlook it.

So it's ok to post, but just not too often???  I posted *just once*
and you "deemed it to be spam."  My second (or maybe my 3rd) post,
which was a reply to Stew - a guy I can relate to because he has a
very similar dx to my own - and you're ready to call the dogs in after
me!   ;-)  

I'm not trying to start a fight - I just want to be clear on what's
what.  The faq states "strictly prohibitive".  Obviously you do not
want me to actively promote, and I can abide by that.  I don't wish to
cause trouble.  I want to help - just like you are.  I just want to do
my part to fight cancer the best I can.  My posts here won't include a
URL to the site, nor will I promote it.  If there's a place for it on
the FAQ, under the resources URLs listed, it'd be cool to have it
included there.  If not, that's fine too.

I guess the raising money thing is just what I do.  Heck, today I
helped Komen w/the Drive for a Cure.  In a month, its the Relay for
Life walk - done it before, but never as a survivor!  Then it's time
for "Larry's Lymphomaniacs" to team up for the Leukemia & Lymphoma
Society.  And I'm sure I'll be running again by the time the Race for
the Cure comes to town again.  So I get it instinctively I suppose!  

Call me "dude for a cure" if you like!  ;-)  

--
Larry
www.gotCancer.org - Laughing in cancer's face!
Alayne - 09 Apr 2004 09:53 GMT
> J,
> I'm sorry if I ticked you off with my post.  It wasn't meant to do so.
[quoted text clipped - 97 lines]
> Larry
> www.gotCancer.org - Laughing in cancer's face!

Hi Larry,

I've just had a quick peep at your web-site and must say that I was rather
impressed, I haven't the time right now to take a longer look (too busy
packing my motorbike for a rally!) but first impressions are that you faced
your battle with a ready smile and a positive attitude - and I applaud you
for that (although your "haircut" wasn't a "patch" on my husbands! - he had
30 zaps of radiotherapy and carried a second hand jig-saw style (with
several pieces missing!), sadly "Brian the Tumour" was more of a man than he
was, but it is good to hear a survivors story.

Hugs

Alayne
LarryM - 09 Apr 2004 17:20 GMT
>I've just had a quick peep at your web-site and must say that I was rather
>impressed, I haven't the time right now to take a longer look (too busy
[quoted text clipped - 8 lines]
>
>Alayne

Thanks for the complement Alayne!  So far, it's putting a big smile on
my face and I hope it's doing the same for others out there!

I don't want to go off topic on Stew's thread, but I'd like to say I'm
sorry to hear about your husband.  Sounds like you two kept your
spirits up, esp when I read the word play on "Brian the tumor!"

Take care and I'll see you on the group.
--
Larry...the patient formerly known as Lympho Larry!
Rose - 09 Apr 2004 13:03 GMT
I applaud Your courage, sense of humor, and your fight against Lymphoma.
Keep it up. and I found nothing WRONG with your post. Rose
J - 09 Apr 2004 13:30 GMT
> I applaud Your courage, sense of humor, and your fight against Lymphoma.
> Keep it up. and I found nothing WRONG with your post. Rose

Do you understand what a newsgroup Charter is?
http://www.cancersupporters.com/asc/charter.html
What is strictly prohibited on this newsgroup?
Commercial advertising is prohibited.
J
Rose - 09 Apr 2004 13:44 GMT
I feel in this case you jumped on Larry for no reason. He was only
trying to help and give a humorous side of "his" ordeal. I realize that
there are many spammers and nit-wits that come in here to sell their
stuff or to just be a pain in the a.s, But you cant keep every person
who wants to voice "their opinion" censored. I have been reading the
wonderful and helpful job you have been doing but in this case IMO you
are wrong to have said that to Larry. Rose
LarryM - 14 Apr 2004 16:36 GMT
J,

I looked for a reply on both the NG and in my email.  I was sincere in
my questions and discussion on the topic.  The original message is
quoted below.

To the point, the most confusing thing is that the charter says no
advertising but you say that you might be willing to overlook a
promotional gotCancer.org post as long as it's only once a month.  

I've been thinking, what about a subheading abbreviation for those of
us who are legit in our promotion for cancer related sites?  Spammers
will blast out their V.i.a.g.r.a. ads regardless of any policy that
you may promote.  The posters/readers just have to deal with that.
That's just how a public newsgroup has to operate.

What if a new subheading is added, like [AD]?  I could post my monthly
newsletter, for instance, using it.  Those who don't care - they can
ignore it or they could easily killfile it.  

Anyone who has spent the time to read the group will see that [AD]
would be used for cancer related ads.  It wouldn't matter if it's me
or Genentech or my mother-in-law who wants to advertise that she will
knit you a cap for your bald head - we're all promoting cancer related
goods that most of the cancer community would likely find of interest,
to some degree.  

Personally, I think that would be a better solution that suits us all.
If that's not favorable, I suppose I could do something like posting
with the subject "April Newsletter from gotCancer.org".

What do you think?  I welcome input from anyone else who has read this
post.

I believe in what I'm doing, as to date, regardless of rules and such,
I've gotten a lot of support - from complements to purchases.  I even
have some great contacts who are willing to help out as well, with
ideas and in promotion.  That goes right back to my desire to make the
site "for the cancer community, by the cancer community."  We are the
people who have been touched by cancer - who better to help make a
difference!

I look forward to any responses, especailly yours J,

Larry

Just because I'm a survivor
doesn't mean I have stopped
fighting cancer!

>J,
>I'm sorry if I ticked you off with my post.  It wasn't meant to do so.
[quoted text clipped - 93 lines]
>
>Call me "dude for a cure" if you like!  ;-)  

--
Larry...the patient formerly known as Lympho Larry!
J - 14 Apr 2004 18:12 GMT
> J,
>
[quoted text clipped - 5 lines]
> advertising but you say that you might be willing to overlook a
> promotional gotCancer.org post as long as it's only once a month.

That offer is withdrawn. And thank you for confirming that you have read the "no
advertising" part of the Charter.
http://www.cancersupporters.com/asc/charter.html
J
stew - 09 Apr 2004 20:05 GMT
>Let's hope for a negative bone marrow biopsy.  That will complicate
>things a bit - bumps it to stage IV I believe.
[quoted text clipped - 57 lines]
>>
>>Frank (aka) "stew"

Larry
Why did they radiate you after CHEMO?
I was told no RADIATION can you explain?

But also as I said my treatment is CHOP+R
I am lost, stillcared and mad as all get out but just wanted to know
about the Radiation.

Frank (aka) "stew"
LarryM - 09 Apr 2004 21:10 GMT
>Larry
>Why did they radiate you after CHEMO?
>I was told no RADIATION can you explain?

Yeah - my oncologist was a sneaky one - told me the same thing, until
I was done w/the chemo!  BTW, I did 6 rounds of Rituxan too, along
w/the CHOP.  My CD20 was variable, but slightly positive, so they
figured why not.

Do read this carefully so that it makes sense, because I may not
explain it that well.

My lymph nodes that were hot on the PET scan - just had one cluster to
take care of - they were 2-3x normal size.  At the end of the 4th
round of CHOP-R, another CT showed they were much smaller, but still
slightly abnormal.  After 2 more rounds of CHOP-R, they got a smidge
smaller, but not much.  Now, that was a good sign, as it's seen as
they were almost normal after 4 rounds.  I believe they like to get in
two doses of chemo once everything is back to a normal size, so ti was
felt that rounds 5 & 6 were those.  Had there been a big change
between #4 and #6, I would likely have had two more round of chemo.  

So I was at a point where CHOP-R wasn't making much difference
anymore, but I was still showing as slightly abnormal.

Now he starts talking about radiation - which I wanted no part of once
I read about "radiation enteritis" - a choronic problem of the
digestive tract.  He felt that radiation might be able to shrink the
nodes a bit.  

I met with two radiation oncologists who really broke it down for me.
I was gonna be treated on a top of the line Varian accellerator, using
what's called IMRT - intensity modulated radiation therapy.  They felt
that the dose was low enough and targeted enough that I wouldn't have
any chronic enteritis.  I decided to do the treatments.

They were right on the money too.  I didn't have any enteritis, not
even short term, which was more of a possibility!  That was the
easiest 17 treatments I ever had.  Kinda like getting x-rays at the
dentist, except that it took longer, I was on my back and I got three
little tattoos for the experience!

In the end, my follow up CT showed no change.  That means no cancer -
just some scar tissue left behind.  So, maybe the radiation wasn't
needed, but statistically, it seems to better odds of a having a
"rematch!"

>But also as I said my treatment is CHOP+R
>I am lost, stillcared and mad as all get out but just wanted to know
>about the Radiation.

Stew, if you want, I'll be glad to talk to you on the phone - tell you
all I can about what I went through.  Anytime - just let me know.
I've got a gazillion cell phone minutes to burn!  Drop me an email and
we can swap numbers - larry@mullhouse.net.  Or we can just do the
exchange here too.  I'm open to all channels.

--
Larry...the patient formerly known as Lympho Larry!
Steph - 10 Apr 2004 04:49 GMT
> >Larry
> >Why did they radiate you after CHEMO?
[quoted text clipped - 55 lines]
> --
> Larry...the patient formerly known as Lympho Larry!

Most patients who get chemo and radiation find the radiation is the easy
part............
Steph - 10 Apr 2004 04:48 GMT
> >Let's hope for a negative bone marrow biopsy.  That will complicate
> >things a bit - bumps it to stage IV I believe.
[quoted text clipped - 67 lines]
>
> Frank (aka) "stew"

Some patients get CHOP then radiation
stew - 11 Apr 2004 03:43 GMT
>> >Let's hope for a negative bone marrow biopsy.  That will complicate
>> >things a bit - bumps it to stage IV I believe.
[quoted text clipped - 69 lines]
>
>Some patients get CHOP then radiation

If my ONC would tell me to do that I would antthing to get rid of this
terrible stuff.

Frank (aka) "stew"
larrym@-N0-SPAM-gotCancer.org - 11 Apr 2004 18:10 GMT
>>> Larry
>>> Why did they radiate you after CHEMO?
[quoted text clipped - 12 lines]
>
>Frank (aka) "stew"

I forgot to make a point that only ONE cluster of lymph nodes were
positive on the PET scan.  Typically, I don't think radiation is used
to treat lymphoma, unless it metastasizes somewhere.  Don't quote me -
I may be wrong but I've read that in a few places.  Since I had just
one area to treat after my surgery, that's what they aimed for.

--
Larry...the patient formerly known as Lympho Larry!
Steph - 11 Apr 2004 18:36 GMT
> >>> Larry
> >>> Why did they radiate you after CHEMO?
[quoted text clipped - 21 lines]
> --
> Larry...the patient formerly known as Lympho Larry!

It varies very much from treatment centre to treatment centre.
stew - 11 Apr 2004 19:32 GMT
>> >>> Larry
>> >>> Why did they radiate you after CHEMO?
[quoted text clipped - 23 lines]
>
>It varies very much from treatment centre to treatment centre.

They do surgery also?
I never knew they did surgery on it either, I am so lost at this point.
I thought all they did for lymphoma was either  CHEM or Rad didn't think
they did surgery.

Frank (aka) "stew"
Steph - 11 Apr 2004 21:03 GMT
> >> >>> Larry
> >> >>> Why did they radiate you after CHEMO?
[quoted text clipped - 30 lines]
>
> Frank (aka) "stew"

Surgery is a very uncommon part of the treatment of lymphoma, except for
biopsy purposes.

Take a look at
http://www.bccancer.bc.ca/HPI/CancerManagementGuidelines/Lymphoma/default.htm
BC has one of the most highly respected lymphoma groups in the world
 
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