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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Progression Of Mantle Cell Lymphoma

What is he progression of mantle cell lymphoma? My 74 year old husband had only 2 treatments when the oncologist determined the treatment was not working...his platelets were 72 and his WBC was 358,000. They basically told him to go home and die. That was a month ago. He has become steadily weaker. He has an appetite, but cannot eat much at one sitting. He has edema in his feet. He is now complaining of a pain in his upper right quadrant; somewhere around his under arm and radiates to the back of his shoulder blades.We are totally clueless.
Tue, 18 Nov 2014
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Pulmonologist 's  Response
Thanks for your quetion on HCM.
Mentle cell lymphoma is one of the most aggressive tumour known till day.
It is resistant to chemotherapy and rapidly worsening in days only.
In your husband's case as he is having right sided back and chest pain, I think he is developing malignant effusion. So better to rule out this by chest x ray.
If effusion than pigtail catheter insertion will help him symptomatically.
So get done chest x ray and pig tail drainage. Also discuss end of life issues with him. This will give him more support.
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Suggest Progression Of Mantle Cell Lymphoma

Thanks for your quetion on HCM. Mentle cell lymphoma is one of the most aggressive tumour known till day. It is resistant to chemotherapy and rapidly worsening in days only. In your husband s case as he is having right sided back and chest pain, I think he is developing malignant effusion. So better to rule out this by chest x ray. If effusion than pigtail catheter insertion will help him symptomatically. So get done chest x ray and pig tail drainage. Also discuss end of life issues with him. This will give him more support.