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Thursday, February 21, 2013

Tumor growth again

Yesterday, Susan’s unscheduled MRI showed increased tumor in her left frontal lobe and some swelling overall. Her neuro-oncologist had been concerned that her sudden seizures two months ago might be an early sign of tumor growth, so that hunch proved true.

She’s had some worsening symptoms over the past weeks – right hand tremor, cognitive and physical weakness, and a day of flu-like vomiting. Earlier this week I noticed right-side weakness, slower movement, and a shuffling walk. Tuesday night I did an amateur neuro exam and confirmed her right side had a weaker grip, arm and leg numbness, and a slightly drooping smile, so I started an email chat with Dr. Nghiemphu.

When Susan started vomiting yesterday morning, the doctor wanted an MRI right away and made the arrangements while we made tracks for UCLA. The growth this time is undeniable but doesn’t seem fast-moving, which brings some comfort.

We’ve known for some time that her Grade IV GBM diagnosis also has a component of Oliglodendroglioma, a less-aggressive, Grade III brain cancer. We don’t know which cell type is more prevalent; but her tumor has behaved like an Oligo – still incurable, but slower-growing and responsive to treatment. With that, Susan starts another chemotherapy known as PCV that’s been effective with some Oligo patients. It’s a hopeful step.

Yesterday was a long, eventful day for us. Susan is tired. The news wasn’t altogether unexpected and is no more welcome; but we have the peace of God, his presence and guidance, and the care of the best medical professionals we know. We continue to thank God for his many mercies on our journey.

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