Shannon’s Story: Finding Remission After a Fast Moving Lymphoma Diagnosis

Diagnosis

I was diagnosed in February 2023 after going to my local GP with a swollen neck. I had been feeling off since Christmas, with fatigue and then vertigo. An ultrasound arranged by my GP identified a DVT in my jugular vein.

Within a week, the swelling became worse and I was transferred to Perth. An emergency CT scan showed lymphoma in my chest. Getting a biopsy was difficult because the lymphoma was causing fluid around my heart, which meant I could not be given an anesthetic.

I was started on steroids to reduce the mass, and a PET scan was used to identify the best lymph node to biopsy. When the biopsy was finally done, around 90% of the lymphoma in that node was already dead. An interim diagnosis of DLBCL was made, but there was no subtype at that stage.

I was very unwell by then and chemo was the only thing that could make me better. I started DA R EPOCH just three days after the biopsy.

Treatment

I am currently on my fourth cycle of treatment.

Since starting treatment, the subtype has been identified as Primary Mediastinal B Cell Lymphoma, or PMBCL.

I am now in 100% remission.

The treatment has involved ongoing blood tests, hospital admissions and a lot of travel between home and Perth.

Being Away From Home

I come from a small rural community, so the distance from home has been one of the harder parts. Being in hospital in Perth, along with ongoing blood tests and readmissions, has meant a lot of travelling.

I have not been able to work since my diagnosis.

Family and Community Support

I have 3 children and an amazing husband who has looked after me so well. Our local community has also been incredibly kind and supportive.

Having that support around us has made a huge difference, especially while dealing with treatment away from home.

Finding Lymphoma Australia

The lymphoma nurse was fantastic when I was first diagnosed. She gave us lots of information about Lymphoma Australia and also helped us with how to talk to the children about my diagnosis.

I have used the Facebook groups, website information and support from a lymphoma care nurse. That combination of practical information and personal support helped make the early days feel more manageable.

Advice for Someone Newly Diagnosed

One of the most important things I would say is to keep communicating with your doctors and nurses. Always let them know if something is worrying you. Do not assume something is too small to mention.

I would also suggest drinking plenty of fluids and looking after your mouth hygiene during treatment. And one practical thing I learnt is not to wait until constipation becomes a problem.

Looking Forward

My diagnosis and treatment happened very quickly, and there were times when I was extremely unwell.

Being away from home, unable to work and needing ongoing hospital care has been difficult. But I have also had strong support from my husband, children, community, medical team and Lymphoma Australia.

Now, while I continue treatment, I am in 100% remission and focused on getting through each cycle with the support around me.

 

 

Support and information

Contact Lymphoma Australia Today!

Please note:
Lymphoma Australia staff are only able to reply to emails sent in English language.

Useful Definitions

  • Refractory: This means the lymphoma does not get better with treatment. The treatment didn’t work as hoped.
  • Relapsed: This means the lymphoma came back after being gone for a while after treatment.
  • 2nd line treatment: This is the second treatment you get if the first one didn’t work (refractory) or if the lymphoma comes back (relapse).
  • 3rd line treatment: This is the third treatment you get if the second one didn’t work or the lymphoma comes back again.
  • Approved: Available in Australia and listed by the Therapeutics Goods Administration (TGA).
  • Funded: Costs are covered for Australian citizens. This means if you have a Medicare card, you shouldn’t have to pay for the treatment.[WO7]

You need healthy T-cells to make CAR T-cells. For this reason, CAR T-cell therapy cannot be used if you have a T-cell lymphoma – yet.

For more information on CAR T-cells and T-cell lymphoma click here. 

Special Note: Although your T-cells are removed from your blood for CAR T-cell therapy, most of our T-cells live outside of our blood – in our lymph nodes, thymus, spleen and other organs.