Eleven weeks post-transplant and a small tumor has sprouted where the previous ones have grown. Not good news but not a complete surprise as relapse happens about 40% of the time with lymphoma.
This means a change in my treatment plan. I’ll be tapered off some immunosuppressants, which will allow the new immune system to come online faster. The challenge will to balance the GVL (Graft Verses Lymphoma) effect with the GVHD (Graft Versus Host Disease). The first attacks the cancer, the latter can attack everything else and has to be carefully managed.
We will be talking with a specialist this week and weighing additional options with the excellent staff at CBCI. They are among the best in the nation at what they do.
Cancer is a civil war. Tactics change as the battle changes but the goal is always the same: a meaningful life where every day counts.