On 6/21/2009
family wrote:
hi all,
i trying to get info on anyone who has got treatment ,and/or transplant for ricters transformation.
unfornately for this disease very little information available.
my mum had cll then got ricters so we all want to get more info on treatment used, and hospiltals used and outcome.
please if u can help i would be very grateful as i could hepl alot.
tks.
Hello,
My husband was dx in 2003 with CLL. His wbc was progressing steadily but he was asymptomatic and did not need treatment. (W&W)
About a month ago, he developed severe pain in his abdomen that caused us to go to the ER. A CT scan revealed a severely enlarged spleen with multiple lesions and high LDH levels. The onc. ordered a PET scan that was highly suggestive of a Richter's transformation
A biopsy was too dangerous so the doc. arranged for my husband to begin R-CHOP the next day. He's completed 3 treatments and is responding well. The spleen has shrunk and his blood work is "normal" with no sign of CLL. He's had very few problems with the treatment.
The onc. will do another PET scan two days before the 5th treatment and then we will discuss post treatment options. My husband is 56 and has never had treatment before the R-CHOP so we're hoping for a "good" remission.
Some oncs. recommend a stem cell transplant after the first remission while others wait for relapse. Apparently this decision depends upon a variety of considerations based upon the individual patient. We will discuss options with the onc. after the PET scan results and latest blood work is done.
What treatment is your mom receiving for the Richter's? Was she previously treated for the CLL before the transformation? Does she see an oncologist with experience in CLL and transformations? Is the onc. connected with a major cancer center?
Hope this helps a little.
Stella