Brian’s Story: Living Well After Stage 4 DLBCL

Diagnosis

On Sunday 6 February 2022, I went into hospital believing I had a kidney stone. After a quick CT scan, I was advised it was not a kidney stone, it was a tumour.

The tumour was pressing on the ureter, blocking the drainage from my left kidney and causing the kidney stone symptoms. A quick procedure to insert a stent to save my kidney set the ball rolling. There was some delay before I could have a PET scan due to patient numbers, however once that was completed, it was on to having a biopsy. Due to the nature and location of the tumour, it was necessary to have a laparoscopy to take a sample.

On 1 March 2022, I was advised by my haematologist that I had stage 4 DLBCL. Not knowing much about cancer, but enough that stage 4 was uncomfortably close to a dropping off point, I said, “that doesn’t sound too good.”

My haematologist advised me that I needed to focus on the recovery rate, which was around 70%, and not the diagnosed stage.

Treatment

My haematologist then asked if I would be interested in taking part in a trial to test new drugs along with the RCHOP chemotherapy drugs.
I accepted and made an immediate start on a 6 cycle, 3 week treatment plan.

At the 3 month point in treatment, another PET scan revealed the cancer had almost disappeared. While I will never know whether I was on the test drugs or placebo, I feel certain I was on the test drugs. Either way, if it helps find a better way forward for others, then I am happy.

After a further scan at six months, I was declared to be in remission and have remained there since 31 August 2022.

The stent in my ureter was removed after three months. Kidney saved.

Symptoms and Side Effects

I had no symptoms except that I was tired. At the time, I put this down to being part of the recovery process from the knee replacement I had a few months prior to diagnosis.

Support

Within hours of receiving the diagnosis, both Lymphoma Australia and Cancer WA contacted me in person and by phone with information and support for both me and my family – Invaluable.

Lymphoma Australia has been a huge help with resources, including booklets which cover every aspect of my particular cancer, references for further research, and contact telephone numbers to speak with trained personnel on all issues. Webinars have also been most useful.

As WA was in shut down with Covid and visitors were strictly limited, my haematologist offered to speak with my family by phone. I have a daughter in Melbourne, and he was able to answer their questions and step them through the processes involved.

Support from my medical team, Lymphoma Australia and Cancer WA, family, friends and neighbours was amazing. I never felt alone.

I had friends in NZ, who I had lost contact with over the years, call and re-establish our relationships. I was also very fortunate to have a friend who had been through two mastectomies provide support and advice on her experience, which prepared me for what may happen, bearing in mind that each person reacts differently in similar situations. A friend who had suffered an accident which left him a paraplegic also provided support. Both were invaluable.

Family, Work and Everyday Life

My daughter from Melbourne was able to relocate to Perth and work from our home while keeping an eye on me during the day, when the rest of the family went to work. This provided some sense of normalcy around the place. I was very lucky that her employer in Melbourne allowed my daughter to work from Perth for five months.

Advice

The things that helped me through were:

  1. Support from my medical team, Lymphoma Australia, Cancer WA, family, friends, neighbours and people I did not even know.
  2. Following medical advice.
  3. Exercise.
  4. Positive attitude.
  5. Belief I would win.
  6. Listening to music that I liked, classical and pop, full of life and energy.
  7. Laughing. I watched hours of comedy on TV.
  8. Communicating with others.
  9. Keeping my mind active through drawing, reading and puzzles.
  10. Sleeping when my body felt like it.
  11. Listen to your body.

Life in Remission

I have remained in remission since 31 August 2022. I consider myself to be the luckiest man alive and credit it to a team effort. Incredible support, positive attitude, following the direction set, taking advantage of opportunities and exercise all helped me.

I am currently working as a school traffic warden and a casual mail sorter with Australia Post over the Christmas period.

I am also planning Christmas in the snow next year. Life is great.

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.