|Is checking central nervous system critical?
Mar 2, 2001
Dear Dr. I was recently diagnosed with NHL (B, large cell.) My CD4 is 200 and viral load hovers around 8,000. The LYmphoma was found in a node under my arm and CT scan doesn't show any other signs of the disease. I have no other symptoms. I will be having a gallium scan later this week. My doctor did not order a spinal tap or brain scan because there didn't seem to be an indication that the lymphoma was in my central nervous system. Is this a safe assumption? Should I press her to do further tests to be sure? I will be starting CHOP next week. How important is it to get my viral load down further? I am presently on 3 drugs.(Zerit, Ziagen, Epivir) should I be pushing to add another drug or is this a bad time to make changes? I look forward to your opinion. HM
Response from Dr. Dezube
Dear HM: A spinal tap is part of the staging evaluation for HIV-related lymphoma. It should be done! I have performed a spinal tap on virtually 100% of my patients. The transient discomfort associated with a spinal tap pales compared to missing the diagnosis of spinal fluid involvement. In HIV-negative patients, such a spinal tap is typically not done. You also need a bone marrow examination. In addition to CHOP, I on occasion administer chemotherapy into the spinal column if the bone marrow is involved with lymphoma, if the tumor demonstrates evidence of the EBV virus, or under a few other circumstances. Now is NOT a good time to juggle your antiretroviral medications. If you have a side effect, you won't know if it's due to the chemotherapy or due to the anti-retrovirals. Also, although a viral load of 8000 is not optimal, it is also not all that high. So in short, complete the staging (bone marrow and spinal tap) and get 6 cycles of CHOP. Good luck. Please tell your oncologist that she can call me if he had questions. BD.
Dad diagnosed with lymphoma
- Itchy Testicles After Sex With Sex Worker Sign Of HIV AIDS
- Itchy Testicles After Touching Open Wound Sign Of HIV AIDS
- Painful Red Spots After Receiving Oral Sex Worried I Have HIV
- Can You Drink After Chlamydia Medication?
- How Long Does Fluconazole Stay In Your System?
- Vaginal Discharge Viral Infection Complications
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.