As with many of these video series, I find this one interesting because it provides some very up-to-date information about FL and one expert's opinions on that information. (That doesn't mean it's new information, which is OK, too. It's nice to now the stuff I already know is up to date.)
The series features Dr. Friedberg talking about newer treatments in Follicular Lymphoma, but what I find most interesting is the video called "59 Year Old With Relapsed Follicuar Lymphoma." In the video, Dr. Friedberg gives a case study of an FL patient.
Now, I've watched enough Call the Midwife by now that I could almost certainly deliver a baby by myself. And I've read enough about FL that could guess an expert's recommended treatment.
So I watched the video and made my guess.
Here's what we know (copied from the Targeted Oncology website):
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Case: A 59-Year-Old Man With Symptomatic Follicular Lymphoma
A 59-year-old man presented to his physician with a 10-lb weight loss and chronic night sweats for the past couple of months. He complained of intermittent fatigue but is able to maintain his current exercise regimen.
H & P
- PE: enlarged bilateral axillary lymph nodes; enlarged spleen, palpable
- CBC: WBC, 12 X 104 /L; platelets,103 X 109 /L; Hgb, 9.2 g/dL
- LDH: 400 U/L
- Excisional biopsy showed grade 2 follicular lymphoma; CD20+, CD10+
- Bone marrow biopsy; 60% involved
- PET/CT showed widespread lymphadenopathy and a large splenic mass measuring 10 cm
- Diagnosis: Stage IV follicular lymphoma
Any other amateur oncologists want to give this a shot?
No information on his previous treatment, so I went with Bendamustine + Rituxan.
I was wrong, as you will see if you watch the video. I won't tell you what the actual treatment was.
The lesson here? I'm not a doctor. I make that clear on the blog, and I always remind anyone who emails or tweets me for advice. The best thing you can do when you have concerns is to talk to yur doctor.
I could still deliver a baby, though.
1 comment:
I was diagnosed 3/2017 at age 56. I was very sick, lost 20 or so pounds. I had all the symptoms, but no night sweats. My oncologist in Indiana prescribed bendamustine/ retuximab. I went to MD Anderson and my dr there prescribed xxxxxx and xxxxx. I’m using x’s because it’s the same as this patient and I didn’t want to ruin it in case you haven’t seen the video. It’s almost 32 months and I am still feeling great. I was in CR after the second treatment. I had 6 regular treatments and only 2 of the xxxx maintenance treatment that md Anderson recommended. I had figured if it comes back I’ll just deal with it then. I love staying up to date on all the great innovations that come along. And thank you Bob for really keeping it simple for us!
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