Interview 16
Non-Hodgkin’s lymphoma diagnosed in 1997 after finding a lump in his neck. ‘Watch and wait’ policy adopted. Later treated with various chemotherapies, a stem cell transplant, and a radiolabelled monoclonal antibody. Now offered a cord blood transplant.
He presented a lump in his neck to his GP, who also detected lumps in his groin. He was referred to a haematologist who biopsied one of the lumps. This showed that he had follicular non-Hodgkin’s lymphoma, which he was told was uncommon in his age group, and the consultant sought a second opinion. The diagnosis was confirmed and a policy of ‘watch and wait’ adopted rather than starting treatment. He was unsettled by being told he had cancer but that he didn’t need treatment. So for four years he just had a consultation every few months.
After four years the lumps in his neck and groin had grown and were causing discomfort so his consultant decided to give him oral chemotherapy monthly (CMD). During this treatment he was informed that his test results had been reviewed by another specialist who thought his disease had progressed further than originally thought. So he was put on more aggressive intravenous chemotherapy three weekly for three months (CHOP) followed by high dose chemotherapy (BEAM) and a stem cell transplant. This put him into remission.
Eighteen months later he noticed the lumps were regrowing so he was put on chemotherapy again (FMD and rituximab), which didn’t seem to work. He was then put on rituximab alone, which worked for a while, and then a radiolabelled monoclonal antibody (Zevalin) that also seemed to work, since which time he has been well, although the lumps are regrowing again.
He has recently been offered a cord blood transplant, which involves transplanting matching stem cells from the umbilical cord of a newborn baby. The risks are high and he has a difficult decision to make.