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Re: Just joining - Sybil

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Welcome - a mantle cell misdiagnosis, turning into a CLL diagnosis, appears

frightfully common - we wish you all the best - feel free to discuss anything

you like, we're all here to learn -

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Hi Sybil - it is possible to have two lymphomas at the same time - In the

case of mantle cell vs. SLL/CLL, however, my feeling and my experience is that

often one is mistaken for the other, rather than there being both at the same

time. What you need is a GOOD hematological pathologist. Can you get that where

you are? I believe that the Dr. who runs the lab at New York/Presbyterian is

tops. Her name is Dr. Amy Chadburn. She rarely if ever makes incorrect calls.

If your doctor agrees, and you're interested, I could put you and your onc in

touch with them, you could send a sample and you would know for sure.

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Thank you so much, . If you have contact information for Dr. Chadburn, I

would love to have it. It may be a bit difficult to convince my onc. to

contact her, but I could try. Last November, my bone marrow sample was sent

to an excellent hematopathologist in Ottawa, Dr. Bruce Burns, and he was the

one who first cast doubt on its being mantle cell lymphoma. He didn't call

it SLL, but he described it as a " large B-cell lymphoproliferative disorder

with features of lymphoplasmacytic lymphoma. " My onc., who had originally

diagnosed MCL and given me one CHOP treatment because of the 90% bone marrow

involvement, switched my treatment to Fludarabine because of Dr. Burns'

opinion. But the Fludarabie proved ineffective and he had to switch me back

to CHOP. So then he thought it must be MCL again. Meantime, I requested a

second opinion from the Dana Farber Centre and paid for the consultation,

but it was very disappointing (inconclusive). Now my onc. tends to think it

is SLL, and the bone marrow transplant specialist agrees. But I would sure

like to know for sure.

Sybil

Re: Just joining - Sybil

> Hi Sybil - it is possible to have two lymphomas at the same time - In the

> case of mantle cell vs. SLL/CLL, however, my feeling and my experience is

that

> often one is mistaken for the other, rather than there being both at the

same

> time. What you need is a GOOD hematological pathologist. Can you get that

where

> you are? I believe that the Dr. who runs the lab at New York/Presbyterian

is

> tops. Her name is Dr. Amy Chadburn. She rarely if ever makes incorrect

calls.

> If your doctor agrees, and you're interested, I could put you and your onc

in

> touch with them, you could send a sample and you would know for sure.

>

>

>

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Hi Sybil - Dr. Amy Chadburn runs the hematology lab at New York/Presbyterian,

in my opinion superior even to Sloan Kettering. The number of the lab is 212

746 2442. You might have some difficulty getting through to her, feel free to

use my name, my last name is Balan. - They do lots of consultations from other

locations. - I'm sure there would be charges, but the insurance would

probably deal with it. - Your biggest problem will probably be to persuade your

own

guys to do this, they may not want you to " muddy the waters " . But I can almost

promise that you'll get a definite and fair diagnosis, mantle, CLL, SLL, or

whatever. Good luck.

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Thanks, . Wish I had known about Dr. Chadburn last fall, before I tried

Dana Farber's consultation service! That was useless. I have no doubt that

Dana Farber is an excellent cancer treatment centre, especially for NHL, but

their outside consultation service really sucked in my case.

I will call the lab and see what their normal procedure is for

consultations. If I have to use your name, I will--and thank you so much!

Sybil

Re: Just joining - Sybil

>

> Hi Sybil - Dr. Amy Chadburn runs the hematology lab at New

York/Presbyterian,

> in my opinion superior even to Sloan Kettering. The number of the lab is

212

> 746 2442. You might have some difficulty getting through to her, feel free

to

> use my name, my last name is Balan. - They do lots of consultations from

other

> locations. - I'm sure there would be charges, but the insurance would

> probably deal with it. - Your biggest problem will probably be to persuade

your own

> guys to do this, they may not want you to " muddy the waters " . But I can

almost

> promise that you'll get a definite and fair diagnosis, mantle, CLL, SLL,

or

> whatever. Good luck.

>

>

>

>

>

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