A death sentence just aged 31

I am 31 years old female. Until a few months ago, I thought that life was difficult and was going through depression. Looking back, I do have to wonder what was wrong really. In August I discovered a lump in my armpit. I left it for a few weeks in case it was hormone related and in September I was referred to a breast clinic. They did an ultrasound and could not see anything on the breast but they did a core biopsy to the lymph node. The next few weeks went by full of stress and agony. I attended an appointment to pick up my biopsy results with my partner and the doctor explained that the core biopsy was not really conclusive but was suspicious of some type of lymphoma. I went into a shock as my father had been diagnosed with lymphoma and died from it some 20 years ago. The consultant told me that 'I should calm down and that I was over reacting'....I had the lymph node removed for a proper biopsy.. The lymph node turned out to be 6-7cm..I was meant to be picking up my results on 24/10 but on 19/10 I got a call from the clinic asking me to attend an urgent appointment with a hematologist the following day. They would not tell me the results over the phone, so I went into distress and called my GP who accessed the hospital records and said that the diagnosis was high grade lymphoma. I attended the appointment with the heamatologist the following day who explained that i needed to be ready for chemo. The only question i asked him is how this would affect fertility and he explained that basically I could freeze my eggs as fertility is affected....The rest of the appointment - I can't remember. All I remember is that when I left his office i sat on a bench and called my mum... When we got back home, I was horrified and couldnt stand being indoors so I got in the car to go out again. My phone rang and it was the same heamatologist that I had just seen, telling me that he had a further update from the lab and it instead appeared to be a low grade lymphoma (follicular non-hodgins lymphoma). I felt some relief until I googled more on this when I got home and realised that this type of cancer is not generally curable but treated as chronic condition. In addition 85-90% of those diagnosed with this type of cancer are stage 3 or 4 because it is generally asymptomatic and the life expectancy is about 10 years... It felt like I had been given a death sentence. In the following days, i had more blood tests, a bone marrow biopsy and a CT scan. The day after I had the CT scan the heamatologist rang me and explained that it was clear and that he wanted me to do a PET/CT to look at the tissues more closely. I had the PET/CT and then waited for about 10 days to get all of my results. During this time I felt something hard in my groin which stressed me out - about the size of a lentil.

I picked up my results on Wednesday and the heamatologist advised me that all of my tests including the bone marrow biopsy and the PET/CT were all clear and that there was no real evidence of disease. He explained that the Multi Disciplinary Team at the hospital debated on whether I should have radiotherapy or just wait and see, as radiotherapy could increase the chance of a secondary cancer. Radiotherapy cures 50 -60% of those with Stage 1 so he said that I should meet with the radiologist and consider the prons and cons and decide. Some of the consultants argued that as there is no evidence of disease, I should not be exposed to radiation whilst others said that I should go for it, in case any microscopic cells were missed by the PET/CT scan.

I showed him the small lump in my groin and explained that I was worried about it. He said that everyone including him have lumps in the groin and although he could feel it he did not seem bothered about it, saying that the PET/CT would have detected any cancer cells if present.

I was extremely happy the first day of my results but gradually I am beginning to feel terrified and worry that the PET/CT didn't do a good job and that missed the lump in my armpit. The last thing I would want is to have another scan in the future and be told that that lump is maligant....So i suppose, I am wondering how accurate PET/CT is and would be grateful for any of your advice or re-assurance.... I am stuggling to feel happy and re-assured with anything and it is not because i am not grateful but because I am scared and helpless. My mother was extremely happy when I called her with the results and I dont want to spoil it for her by expressing my concerns...My partner does understand, but only to an extend and generally, I feel that people around me can't understand why I feel so devastated and why I feel that this is a death sentence as it's not curable. It's too much to take in and I can't come to terms with any of it....

I am waiting for my heamatologist to put a report together and I will be seeing another consultant privately to get a second opinion on the type of treatment recommended....But I am living with fear - that the PET/CT was not accurate and that I will live life with a non curable cancer - a death sentence just aged 31....All I want is my life back...I want to be able to do the same things that people of my age do and be able to dream and plan just like I used to be and just like my friends...I feel that everyone around me is just moving on with life and I am being left behind. I should be happy with the diagnosis - Stage 1 and probably curable with radiotherapy and No Evidence of Disease. But why do I only feel fear?

mielboris

  • Hello Mielboris

    I am glad that you are going for a second opinion, i honestly think thats the best thing for you to do.

    I was referred to hospital for an ultrasound because my liver function was not normal and they wanted to look at my liver.

    The day after  i was called from my doctors surgery to say that they wanted me to go for a CT scan as they said that the cyst on  my kidney had got significantly bigger    First i had heard that i had a cyst on my kidney  This was found by pure chance.

    I went private for the CT scan as i was worried and found it difficult to wait.  The so called cyst proved to be a tumour  malignant  and i had to have my left kidney removed

    The consultant said that it had been got in time as it had been contained to my kidney

    Do not wait if you are anxious or worried as im sure you are  -  go for a second or even third opinion -  its your life and your body.  I am annoyed with the fact that my so called cyst was first diagnosed in 2008 and no one informed me about it.   In fact annoyed is not the word.  I am furious.   I asked my doctor why was i not told in 2008 about this and she said that in most cases a small cyst never goes anywhere but unfortunately in your case it did.   Gobsmacked!! what else can i say.

    Im still struggling with all of this because i only found out about this in august and had the op in sept.  My emotions are all over the place one minute im saying at least they got it and the next its why wasnt i told in 2008   if i had of been would it have made any difference     could removing my kidney have been avoided.    I cry and i smile   im up and im down.    

    My first consultation with a consultant left me feeling as if he was talking to an animal he was very ignorant and curelly blunt.  I managed to change my consultant as there was no way that i was going to go through this with his attitude and demeanour.

    If you feel you cant talk about this difficult time in your life you know there are always people here who will listen    and understand because we are going through this tough time too, and yes i do think that unless someone has gone through this experience they dont understand.

    Sorry to rant on but i just want to let you know you are not alone   we are always here      sure look at the time now    its nearly two in the morning,  Since i have come out of hospital i find it very hard to go to bed at night    im still all over the place.

    Listen take care and im sending you one of my big hugs    filled with love

    M

  • Hello Mielboris,

    I'm sorry you're going through a difficult time coming to terms with your situation. Most people on here do...that's what we all have in common even though our individual circumstances are different and I'm sure you'll get a lot of encouragement and empathy along the way.

    My slant on the idea of a 'death sentence' it is that we are all born with one but it's often only when we are diagnosed with a serious illness, or perhaps a loved one is, that we remember and it comes as quite a shock...literally, we can be in shock for a while and it can change the way we see things forever after. This doesn't have to be a bad thing though as once we have accepted life doesn't last forever we can appreciate it more and this is useful as none of us know for sure how long we've got or what will be the death of us. If you've suffered from depression you know how bleak things can seem even when really there's nothing so much wrong...well in my experience things can be the other way round too - you can have much to feel bleak about but still feel the joy!

    One of the reasons cancer research is so important is because there are so many things even specialists and scientists don't understand yet about how to spot it and stop it and how it's going to behave (or misbehave!) in different people's bodies. While they're doing that it's up to us to take care of our own and each others state of mind and I hope you soon find the support and inner strength you need.

    Angelinthemaking

  • Thank you both for the answer. I am really sorry to hear that so many people are in the same or worse situation that I have been.

    You are right - everyone is born with a death sentence and there is not a good age for cancer...But I struggle at 31 to accept that it's happened to me and my attitude has been throughout that this illness is not for me. Perhaps I am in self denial, or my faith in God gives me comfort.

    I suppose I am a bit calmer today than what I was a few days ago...I do wonder however, how accurate a PET/CT is and would be grateful if someone could advise.

    I am getting all of my medical records together and will be visiting an onco-hematologist privately for a second opionion.

    I don't know what i should do with the radiation that has been suggested...The doctors seems to be contradicting themselves and everyone says 'do what is best for you' but in the end of the day I am not an expert....

    They say that according to the blood test, bone marrow biopsy, the CT scan and the PET/CT scan having removed a 6cm lymph node there is no evidence of disease but should consider radiation as pre-caution. And the say after I had the PET/CT I felt a lump in my groin which did not light up on the scan...I am not in disbelief but to be honest what's bothering me is that lump and i did ask the consultant to check it out - which he did - but was confident about the PET/CT scan...Should I do a biopsy privately?

    mielboris

  • Hi sorry i know its a while ago just wondering how your doing as ive got similar symptoms