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James Faced Recurrent Hodgkin Lymphoma While Becoming a Dad

James Faced Recurrent Hodgkin Lymphoma While Becoming a Dad

Hodgkin lymphoma and a stem cell transplant aren’t what most people expect to face in their early 20s — let alone Hodgkin lymphoma twice — but that’s exactly what happened to James. He was first diagnosed with stage 2 Hodgkin lymphoma at 22, during his senior year of college at the University at Buffalo. He struggled with weeks of night sweats and intense itching, and his younger brother spotted a tennis ball-sized lump on his neck. Within weeks, James was fast-tracked to Roswell Park Comprehensive Cancer Center, where he started ABVD chemotherapy, determined to finish his finals, graduate on time, and hold onto a sense of normalcy even as his hair fell out and his social life became a blur.

Interviewed by: Nikki Murphy
Edited by: Chris Sanchez

James reached remission after six months of treatment for Hodgkin lymphoma, but life after being declared cancer-free was far more complicated than he expected. He describes feeling like a “shell” of himself in college and then struggling to reenter everyday life. To cope, he numbed himself with alcohol and distanced himself from people while “scanxiety” and fear of recurrence quietly grew in the background. Over time, he stopped drinking, went back to graduate school for his MBA, and built a career in sales that had him traveling across the country. He also met his future wife, and they now have a newborn son.

James B. Hodgkin lymphoma

Seven years later, subtle but familiar warning signs appeared again: a small lump, swollen lymph nodes, and the same relentless itching. Initially, his blood work was clean, and doctors thought it was an infection or mono, but scans and a biopsy confirmed that his Hodgkin lymphoma had returned, likely due to reawakened dormant cancer cells. The timing was devastating: his wife was around 29 to 30 weeks pregnant when they learned he would need intensive chemotherapy and an autologous stem cell transplant, necessitating prolonged hospital stays and a long recovery.

Through grueling high-dose chemo, isolation, neuropathy, fatigue, and the emotional toll of being immunocompromised while preparing for fatherhood, James kept getting out of bed each day, walking the halls, and writing down one thing he was grateful for. About two to two and a half weeks after his stem cell transplant, he was declared no evidence of disease (NED) and cleared to be in the delivery room to meet his son. He calls this experience “phenomenal” and is one of the images that kept him going during the hardest nights in the hospital. Today, he is rebuilding life in Buffalo with his wife and baby, navigating isolation, and working from home. He redefines survivorship as giving back to others through events like Ride for Roswell and Light the Night.

Watch James’ video or browse the edited transcript of his interview below. You’ll learn more about his story:

  • Early Hodgkin lymphoma symptoms like night sweats, intense itching, and a noticeable neck lump should never be ignored, especially when they persist or worsen.
  • Community connections and specialized cancer care at centers like Roswell Park can accelerate diagnosis and treatment, helping patients move quickly from fear to a clear plan.
  • A universal truth in cancer care is that recovery is not only physical; mental health support, including therapy and naming depression or anxiety, can be essential to healing.
  • James’ experience shows that life after a stem cell transplant involves lasting changes like isolation, fatigue, and neuropathy, but also new purpose, including fatherhood and advocacy.
  • He focused on small daily wins and practicing gratitude, even on the hardest days. This helped him keep moving, both literally and emotionally, through intensive chemo and stem cell transplant recovery.​

  • Name: James B.
  • Age at Diagnosis:
    • 22; recurrence, 29
  • Diagnosis:
    • Relapsed Hodgkin Lymphoma
  • Staging:
    • Stage 2 (initial diagnosis)
  • Symptoms:
    • Night sweats
    • Itching
    • Persistent lump in the neck
  • Treatments:
    • Chemotherapy: ABVD, ICE, and BEAM
    • Autologous stem cell transplant
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma
James B. Hodgkin lymphoma

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


Transcript of James’ Interview
  1. Introduction and first diagnosis
  2. My first symptoms during college
  3. The path to my first cancer diagnosis
  4. How quickly my symptoms escalated
  5. When the word “cancer” entered the conversation
  6. Fast-tracked care and community connections
  7. Hearing the first diagnosis and college impact
  8. My ABVD chemo regimen and finishing college on time
  9. Social life, drinking, and being a shell of myself
  10. Remission and the seven years between
  11. My second diagnosis and recurrence
  12. Intensive treatment: ICE, BEAM, and stem cell transplant
  13. The birth of my son and the timing of my recovery
  14. Recovering from a stem cell transplant with my newborn child
  15. Isolation, immunity, and my new routines
  16. Survivorship, scanxiety, and giving back
  17. Encouraging other men to seek help
  18. My message of hope

Introduction and first diagnosis

My Hodgkin lymphoma diagnosis and where I live

My name is James. I was diagnosed for the first time in 2018. I have had cancer twice. The first time I was diagnosed in 2018, it was the end of my senior year of college at UB with Hodgkin lymphoma. It was stage 2 at that point. I went through chemo, came out the other end, and recovered. Fast forward seven years, and it came back in September 2025. This time, the treatment was a lot more intense, but it was the same diagnosis.

Who I am beyond cancer

So I do sales and have been in sales for a couple of years now. I work from home, which has been very flexible with having a newborn. I recently became a dad about ten weeks ago. My son was born on December 2nd, so just a couple of weeks after I finished my last treatment of chemo and my stem cell transplant. I was in the hospital with my wife, holding my newborn. So things went pretty quickly. Outside of all this, I enjoy golfing and supporting the Buffalo Bills and Buffalo Sabres, because I am from Buffalo, New York. There is not much to do here other than support sports, as there is always snow outside.

My first symptoms during college

Early Hodgkin lymphoma symptoms in college

I started waking up in the middle of the night, having sweats, a little drenched. I kind of just brushed it off as maybe I was battling an illness or something. Then it started getting to a point where I was experiencing itching on my legs and my arms, really aggressively. I was starting to have scars, and I thought, “This is probably not normal.” I stayed pretty healthy, and I worked out; I kept myself in shape. But my younger brother noticed a huge lump on my neck. I always thought it was maybe just an inflamed muscle or something I pulled. I never honestly really looked into it too much, but when I finally looked at it, it had grown to probably the size of a tennis ball. That is when I knew that it was not normal, and I had to get that checked out.

The path to my first cancer diagnosis

The first thing I did was go to my primary doctor. I showed them the lump and said, “Hey, I’m not sure really what this is.” They looked at it and said, “We recommend that you do a scan.” I think it was a CT scan first, and then it ended up being a PET scan, and then an overall biopsy at the end. After the first scan, they told me, “We recommend you go to Roswell Park,” which is our cancer hospital in Buffalo, New York, to get this checked out. Things moved pretty quickly. Within a couple of weeks, I was at Roswell for an appointment with the lymphoma team. From there, just based on the sheer size of my neck and how it looked, they immediately ordered a biopsy, which is when they figured out that the tumor was cancerous.

How quickly my symptoms escalated

From the time of the night sweats to the diagnosis, it was about two weeks, so it moved pretty quickly. I think the sheer size of the lump definitely scared my primary doctor to the point where I was getting an appointment with Roswell within a couple of days.

That lump had not just grown over two weeks, though. I looked back at pictures because I was curious: how in the world did I not see this? In all the pictures, there was something there. I just never noticed it. It was the craziest thing. I do not know how I never noticed it or how I was never aware of it, but it had always been there. I just never focused on it until my brother called it out. Then it became very apparent that it was not normal.

When the word “cancer” entered the conversation

When I was recommended to Roswell, deep down, I started to get some fear about whether this was cancer or not. If you are at your primary doctor and they are not able to give you an answer on something, and they are directing you to a cancer doctor, that is usually when fear starts to creep in, and you get a bad feeling about it. That is when I thought, “Oh, this is not good,” because I had gone to my primary for other things, and usually they had an answer. When they do not have an answer, and they are directing you to someone like a cancer doctor who might have an answer, it is never a good feeling.

It was about two weeks of blood work and scans before the full diagnosis. They did blood work first, then a CT scan and a PET scan. I think all of that happened within a week. Based on the scans, they scheduled a biopsy for the following week, and then I had my follow-up with my doctor a day or two later, where they essentially told me, “This is cancer, and we need to get you started on treatment right away.”

Fast-tracked care and community connections

I am very lucky. We have a lot of connections in the community, which is great. One of my neighbors works at Roswell, and I was living at home at that time while still in college. My parents immediately called them, and they were able to get me in really quickly, because I know at times it can be drawn out. I was very fortunate.

Hearing the first diagnosis and college impact

How I processed a Hodgkin lymphoma diagnosis at 22

It is tough when you are 22 years old and in college. You have finals going on, and all your buddies are talking about going out to the bars and living a normal life. You are sitting in the waiting room, and the doctor is telling you, “You have Hodgkin lymphoma, stage 2, and we have to get a port in your chest and start chemo for the next six months. This is your plan; this is the layout.” Every plan you have just goes out the window. 

As a senior in college, you are trying to think about your career: what am I going to do after college? Where am I going to work? Next thing you know, it is, “Okay, how am I going to survive and get through this so that I can have a career and have a life after this?” It was depressing and really tough. But I tried to be positive each day. 

When you are in a hospital, you see people in much worse situations. I tried to have some gratitude that at least there is a cure for my situation, versus some people who have terminal cancer. I tried to consider myself the lucky one, that my body just had to go through a little pain for six months, and then I could come back on the other side stronger and ready to attack life again.

My ABVD chemo regimen and finishing college on time

My treatment was the ABVD regimen. It was chemo every other week, so essentially twice a month for six months — twelve treatments total. Each treatment lasted anywhere from four to five hours. The chemo was a drip with four different kinds of drugs being dripped into your system.

At first, I did not have a port, so it was going through my veins. I do not recommend that, because it was excruciating. Eventually, I did get a port because I could not keep doing that.

I still went to class. I would do chemo, then rest up for a couple of days. The first couple of rounds of treatment were not as bad for me. I was able to do my finals, graduate on time, and walk across the stage, which was great. I did it a couple of days after treatment and was not feeling great; my hair was falling out. But I still made it a priority to walk across the stage. It was something I wanted to do and something to be proud of. It was definitely tough.

Social life, drinking, and being a shell of myself

Looking back, I do feel like I missed out on parts of the college experience. At that time, I was drinking a lot. I do not drink anymore; I am four years sober and have been sober for a while now. I would still go out, which I would not recommend. I would go out every once in a while and feel like s*** most of the time. I would not feel great. 

My social life still existed, but mentally, I was never present. I was physically in places, but I was never actually there. I was a shell of myself. I was in pain a lot, with a lot of joint pain. I was constantly exhausted. I would sleep for days at times. I did not have an appetite. I tried my best to get out and be a part of life, but I just never felt the same.

Remission and the seven years between

Hearing “remission” and post-treatment depression

Hearing “remission” after six months of treatment was huge. When you are in that battle for six months, you start to accept that maybe this is your life moving forward. It becomes the same cycle: you start to feel better after chemo, and then you are back in there again. 

When I heard “remission,” I was just so thankful, because you always fear that your scans will not be clean. I was grateful and happy, but at the same time, I did not know how to live life. I struggled coming out of being cancer-free. I did not acclimate back into normal life well at all. I was abusing a lot of alcohol to numb myself, just being transparent. It was one of the things that made me feel okay and safe. I distanced myself from a lot of people. People do not talk about it much, but you can get really depressed after treatment. There is a lot of fear and anxiety that comes from being cancer-free, because you still have to go back for scans, and there is always the fear of recurrence.

Eventually, over time, I distanced myself from alcohol and was able to start building a life back up for myself. I went back to grad school and got my MBA. I got into a career I love that lets me travel across the United States. I met my now wife, and we now have a beautiful son together. I was able to get married. A lot of great things happened from getting past this. Obviously, it came back, but those things are still great, even though I had to fight it again.

My second diagnosis and recurrence

Signs and symptoms of Hodgkin lymphoma recurrence

Before the recurrence, I was traveling a lot for work. Sometimes I get sick from being on planes. After one trip, I came back home and was not feeling good. Being seven years clean, I did not think it was cancer. I thought I had just caught something on the plane. But it lasted for a couple of months, to the point where I started to get a little lump, and my lymph nodes were swollen. They were not as big as last time, but they were swollen and noticeable in my neck, which definitely alarmed me. Then I started to get that itching again that I had when I was first diagnosed. That really alarmed me.

I went to Roswell. They did some blood work, and my blood work came back clean, which was a relief. They put me on some antibiotics, but nothing really helped. I still had the lump on my neck and was still not feeling good. They eventually said it was mono. They did a scan. Apparently, something I was not aware of then, mono can at times cause dormant cancer cells to reawaken. If your treatment did not work right away, sometimes you have very tiny dormant cells that just exist. Apparently, the mono reawakened those cells. When they did a scan, they saw that. They did a biopsy and confirmed that my cancer had indeed returned.

The emotional impact of a second cancer diagnosis during my wife’s pregnancy

My wife and I had just gone on our babymoon. We went out to Colorado and then to Vegas. We were traveling before the baby came. It was really tough. My wife was pregnant, sitting across from me, and I was in the room while the doctor told us the cancer had returned. 

Instead of an easier regimen of treatment, though the last one was tough, this new treatment plan was very intense. To hear that, knowing we had a baby coming, knowing that I would be spending nights at the hospital instead of just going in for day treatments, and facing a stem cell transplant on top of that, it was tough. It was extremely disappointing to hear. I was filled with a ton of fear, and we did not really know what to do at that moment. It was a really dark moment for us as a family.

She was about 29 or 30 weeks pregnant at that point. She was getting close.

Intensive treatment: ICE, BEAM, and stem cell transplant

My ICE chemo, BEAM chemo, and transplant timeline

The plan was ICE chemo and then BEAM chemo with a stem cell transplant. I would start with ICE chemo. ICE chemo meant three to four days in the hospital, where I would get treatment around the clock. Then I would have two to two and a half weeks to recover, and then I would be back again at the hospital overnight getting the same chemo.

After the second round of ICE chemo, if my scans came back clean, I could proceed to the next phase, which was BEAM chemo. If they did not, I would have to do ICE chemo one more time. Thankfully, after two cycles of ICE chemo, I was good and moved on to BEAM chemo.

I already had a port in my chest and still do, but for BEAM chemo, they needed to put another port in with thicker tubes and wires sticking out. Before I even did BEAM chemo, they harvested my stem cells. They put me on medications that allowed my stem cells to move into my bloodstream. I spent two days having my stem cells harvested. I would go into a clinic at Roswell from about 7 a.m. to 1 p.m., be hooked up to a machine, and they would harvest and freeze the cells. After they harvested enough, I was admitted to Roswell for seven straight days of chemo.

That was the BEAM chemo. I did not fully realize while I was going through it — and I am happy I was not — but the regimen itself is very intense. It completely wipes your system and your bone marrow clean. At the conclusion of that chemo, they reinfuse your stem cells that were frozen back into your body through a drip.

This was a lot different from just going in every other week for a couple of hours. This meant putting the rest of my life on hold. I could not work. I had to have a caregiver after this. My wife, who was pregnant with our child, was driving me to all my appointments. I had to go every day. I was on a ton of meds. The stem cell transplant is no joke. I was in good shape, but going through that, I had complications. I had to go back to the hospital because I started to have a fever. I had to spend a couple of days there getting blood transfusions and platelet transfusions. I had to get multiple of those. It was very tough on the body and mentally, too.

Balancing treatment and preparing for fatherhood

Managing all of that while preparing for a child was challenging. Every day, I tried to be positive. I would try to find one thing to be grateful for each day. 

There were a lot of long nights at the hospital, and you can get into a dark place when you are by yourself with your thoughts and things are not going well. You are losing your hair, your eyebrows are gone, your eyelashes are gone, and your skin looks dead. I was just trying to stay positive each day. I would get out of bed every day and try to walk for miles around in a circle on the unit, or on the treadmill in the hospital wing. I tried to do some workouts. I tried to always eat. I tried to really talk to the nurses and get to know them.

There is no perfect way to handle going through something like this, but I think having a positive mindset is extremely important, especially when your physical body is going through so much. You have to be strong mentally, or it is really easy to give up.

The birth of my son and the timing of my recovery

Being in the delivery room after my transplant

My wife gave birth after they declared me NED this time. It was about two to two and a half weeks after my stem cell transplant that she gave birth. I was able to be in the room for that, which was a phenomenal experience.

Our team of doctors did an amazing job getting all my treatments scheduled. I was very lucky that I did not have to do a third treatment of ICE. If I had, I would not have been able to be in the room for the delivery of our child. It worked out. I got my stem cell transplant, and I had to recover, but I was cleared by the doctors to be in the delivery room and at the hospital. At the end of the day, it was amazing because that was one of the things that was keeping me going throughout all my treatments. I had a picture of our baby from when he was in my wife’s womb, and I had it on the nightstand. I would look at that every night, and it definitely helped get me through everything.

Recovering from a stem cell transplant with my newborn child

Physical and emotional side effects after my transplant

The recovery was tough. There are a lot of side effects I never realized I could go through at a young age. I sometimes have neuropathy in my hands, which causes me to drop things. I was making my wife a bagel a couple of days ago, and I just dropped it and could not explain why. I have dropped iced coffees. I have heard that it is a common side effect that can go away, but early on, it was mostly fatigue. I did not want to get out of bed. Some days, I would just lie in bed, and it hurt to get out of bed.

Sleeping was hard. I could not sleep. I had nightmares and night terrors. I would wake up thinking I was at the hospital because you get woken up every couple of hours for blood work. It was tough. You also cannot see anyone. With a stem cell transplant, you have to isolate yourself because you do not have an immune system. It wipes out every vaccine you have had since you were a child. I was essentially just living within our walls unless I was going to the hospital for checkups. That is tough.

On the newborn part, that keeps you busy. It is one of the greatest feelings ever to be a dad, especially after getting through what I went through. Having my wife’s support throughout all of it is incredible. She was pregnant and my caregiver, which is insane to even think about. It should be the other way around. Unfortunately, these were the cards we were dealt. I had an amazing support system.

Today, I am about 91 days out from my stem cell transplant. My hair is starting to come back in, which is great. I am starting to feel better. But it is something I will have to live with for the rest of my life. I will have to make choices about things I eat, things I put in my body, and take my health a lot more seriously. It does not just go away once you are cancer-free. This is something you live with for the rest of your life.

Tips for recovering after a stem cell transplant

I would say, try to get up each day and do something for your body. It is really easy to get into a mindset where you are just going to rest. Rest is good, do not get me wrong, but you can get into a mindset where you do not get out of bed, and that becomes the norm. I have seen with myself that pushing yourself each day helps, whether it is walking up the stairs a couple of times, walking outside and getting some fresh air, or walking the dog. Just try to get on your feet and get out there. It is tough to just sit in bed and be in pain all the time. My recommendation would be to stay active.

The other thing is to try to find one thing to be grateful for every day. I think that is the most important part: your mindset. I would write down in my notes what I was grateful for each day. That would give me some strength to get out of bed, and from there, I would attack the day. Gratitude is a big part of it.

Isolation, immunity, and my new routines

Living in isolation after my transplant

The biggest challenge for me has been isolation. I do sales for a living, so before my diagnosis, I was hopping on planes and going out to meet customers. Now I am working from home every day, which is phenomenal for spending time with my son and my wife, but I cannot really go out and do the things I used to do. I cannot go to dinners or see people as I used to. I have to be really cognizant of my health and wear a mask whenever I am out and about. These are my new ways of life, at least for the foreseeable future.

You have to stay busy because every day feels like you are living the same day, and that gets taxing after a while.

What isolation means day-to-day

In terms of what isolation means, I actually built a gym in my basement because I will not be able to really be around anyone for a while, so I have been working out there. Isolation is essential until my counts — my blood counts and my system — stabilize. I cannot get vaccines until six months out. Usually, around that point, which will be around May, I should be able to start returning to a new normalcy. When I travel, I will still have to wear a mask, but I will be able to go out more.

For now, I can pick my spots. If I go grocery shopping, I can wear a mask, or if the store is empty, I can keep my distance from people and really make sure I wash my hands and do not touch my face. Truth be told, I do not really have an immune system this early on; it is still developing. If I get anything, what might be a common cold for someone else could be something that lands me in the emergency room. That is the last thing I want to happen at this stage.

On the lighter side, I have a newborn, so I can stay in and help out as much as possible. That is the excuse. It is the newborn and me; we are in the bubble together. The newborn is getting all his vaccines before me, which is pretty insane. My wife loves having a reason to keep visitors away. She has a nice excuse. She has been really happy about that because if that was not the case, I know family would be trying to come over, and it would be a zoo. It is nice to have this time for our family to focus on us and not have to deal with all the chaos that comes with having a newborn.

Survivorship, scanxiety, and giving back

What survivorship means to me

Survivorship for me is about giving back. It has always been my belief that when you get something or are able to get through something in life, you are supposed to give it away. I hope that the experience I had — the pain I went through and being able to come out on the other side — can offer hope and inspiration to someone new who might be going through this and is not sure what to expect. It is a lot to take on mentally when you are told you have cancer. If my message and story can help inspire someone and give them some hope and strength to get through this, then I hope they carry their story and message on to someone else. That is how a fellowship and community are built: people sharing their experience, strength, and hope, and inspiring others that they, too, can get through this.

Without that, it is just a dark place if you do not have folks on the other side sharing their stories and giving you hope. Survivorship is always about giving back. I am active in the Ride for Roswell, which is a cancer bike ride we do every year. That is something I am a part of. This year, they are doing a Light the Night event for lymphoma awareness, and I am going to be the speaker for that event. These are all things I am very excited about. I think it is important to give back when you can, and thankfully, I made it through on the other side, where I am in a position to do that.

Scanxiety and mental health support

There is definitely a lot of anxiety, and I am talking to a therapist about it. I think it is important to take care of your mental health. It is not a weakness to admit that you need to talk to someone and seek help. 

I would recommend that anyone going through something like this consider therapy. I would be shocked if someone did not have PTSD or anxiety after hardcore chemo and seeing the impact and effects it has on your body. I am working through the anxiety, but I have a good support system and a lot of loving people in my corner. I think with time that can ease a bit, and I can become more comfortable in public and get my confidence back. 

Encouraging other men to seek help

Advice for men on mental health and therapy

Mental health affects everyone, whether you are a man or a woman. It does not just affect you; it affects all the people around you. It is really important to recognize that and get help if you need it. There is no shame in getting help for mental health. I can promise you that if you get help, it improves other aspects of your life: your relationships with your family, your kids, your spouse, and your work relationships.

If you are struggling, get help. It took me a while to get to this point. I was always against seeing a therapist, but after seeing the impact therapy had on people close to me, I was willing and open to give it a shot. I have seen benefits from it so far. It is a good tool to have in your toolkit when it comes to recovery. Making sure you get help, being honest, and being open about what you are going through, and not being afraid to share your experience and encourage others to be open too — that is important.

My message of hope

How to stay hopeful through cancer treatment and recovery

My message of hope would be: do not give up. There are going to be really bad days in treatment and even in recovery, but hold on to the small good things every day. It could be waking up and feeling a little less sore, being able to stomach some food that you could not during treatment, being able to go for a walk, being able to work out a little bit, or being able to enjoy your favorite food again. Try to hold on to the little things people take for granted every day. When you are going through treatment, a lot of that gets taken from you.

It is important to celebrate small wins and not get too far ahead of yourself. It is a day-by-day process. If you take it day by day, celebrate small wins, and make the most out of s** situations when they come along, it puts you in a favorable position to conquer this.

At the end, I do not think there is anything more I need to add. That is my story.


James B. Hodgkin lymphoma
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“I Knew It Was Back”: How Amanda Knew Her Hodgkin Lymphoma Was Back

“I Knew It Was Back”: How Amanda Knew Her Hodgkin Lymphoma Was Back

A cancer relapse in college was never part of Amanda’s plans, but it became the defining experience of her junior and senior year. Diagnosed with stage 4 Hodgkin lymphoma as a junior in high school, Amanda went through grueling treatment and reached remission, only to later face a relapse as a junior in college at Baylor University. 

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

In the months before her relapse was officially confirmed, Amanda noticed an alarming 15-pound weight loss that she couldn’t explain, and this led her to suspect that the Hodgkin lymphoma had come back, even though her bloodwork looked spotless. Although her oncologist initially reassured her, she still pushed for a scan. She later opened a MyChart notification in the middle of a college final and her heart sank. After the final, she read the words “likely relapsed disease” out loud to her mom over the phone, describing a moment of shock that quickly turned into survival mode.​

Amanda P. Hodgkin lymphoma

Amanda’s Hodgkin lymphoma relapse also meant confronting big medical and life decisions. She chose to switch from an adult hospital to a children’s hospital where she felt more seen as a young adult, pursued second opinions at MD Anderson Cancer Center, and completed one round of egg freezing before starting more intensive treatment. Her treatment path included immunotherapy, chemotherapy, and an autologous stem cell transplant, and she now has immunotherapy maintenance every three weeks.​

Recovery after her stem cell transplant was brutal — weeks of mucositis, nausea, passing out from dehydration, and readmission when a seizure-like episode raised suspicions that she was also experiencing neurologic issues. Amanda describes the first 100 days post-transplant as the longest and hardest of her life, but she celebrated small but meaningful victories like walking laps around Target and finally tasting food again.​

Amanda’s Hodgkin lymphoma relapse has reshaped how she sees herself and her future. She returned to Baylor, danced at the famous Pigskin Revue just months after needing a walker, and now views exams and deadlines through a different lens: “If I can get through a stem cell transplant and fully recover from it, I can take my Spanish final on Friday.” She is committed to sharing her experience to offer other patients something priceless: hope.​

Watch Amanda’s video and read the edited transcript of her interview below for more on her story, and click here to read about her first Hodgkin lymphoma experience.

  • Listening to your body matters: Amanda noticed rapid, unexplained weight loss and trusted her gut to ask for a scan, even when her bloodwork looked normal
  • Self-advocacy is essential: Her insistence on further testing led to the detection of her Hodgkin lymphoma relapse in college, and her doctors ultimately supported her choice, emphasizing her autonomy
  • Treatment plans can evolve: Amanda moved hospitals, pursued second opinions at MD Anderson, tried immunotherapy first, and then transitioned to chemotherapy and a stem cell transplant when needed
  • Community and connection — in Amanda’s case, family, friends, peers with similar diagnoses — can offer grounding and hope in a time when so much feels out of control
  • Meaning-making beyond treatment: Amanda now uses her experience to support others, from answering messages from patients in transplant to contributing to advocacy efforts like the Give Kids a Chance Act

  • Name: Amanda P.
  • Age at Diagnosis:
    • 20
  • Diagnosis:
    • Hodgkin Lymphoma
  • Staging:
    • Stage 4
  • Symptom:
    • Sudden, unexplained weight loss
  • Treatments:
    • Immunotherapy
    • Chemotherapy
    • Autologous stem cell transplant
Amanda P. Hodgkin lymphoma
Amanda P. Hodgkin lymphoma
Amanda P. Hodgkin lymphoma
Amanda P. Hodgkin lymphoma
Amanda P. Hodgkin lymphoma
Amanda P. Hodgkin lymphoma

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.



My name is Amanda

I am originally from Dallas, Texas, but currently live in Waco, Texas, and I was diagnosed with stage 4 Hodgkin lymphoma in May of 2021 and then again in December of 2024.​

My cancer experience to date

I first had a bunch of different symptoms in my junior year of high school, which led to the diagnosis when I was just finishing my junior year. I went through six months of chemo and was in remission, but then, when I was a junior in college, I had a scan that showed my relapse. 

Since then, I have done immunotherapy, a few rounds of chemo, a stem cell transplant, frozen my eggs, and now I am currently doing an immunotherapy maintenance treatment.​

Life between my diagnosis and relapse

It is really a lot of the same, getting back to the same, and trying to just live my life as best as possible. I am still a Young Life leader at Lorena High School, and I am still a Tri Delta at Baylor. It has been a lot of super fun things during homecoming and semi-formal and different events like that, which have been a blast.​

A highlight was definitely what we call Pigskin, which is a super niche Baylor thing where we sing and dance on stage. All of the sororities and fraternities do it, but it is a competition in the spring, and the top eight get to go back and then perform at homecoming, and I was able to be a part of the homecoming performance, which was super fun and super awesome. That has been a really big highlight, along with spending a lot of time with friends and family; my little sister just went to college, and I recently got to visit her, so a bunch of exciting things like that.​

How I knew the Hodgkin lymphoma was back

I knew I had relapsed before any doctor, any scan, any blood work. I had noticed in early November of my junior year — so just a year ago now — that I had been losing weight, and I know my body very well. I do not lose or gain weight very easily; it takes a lot for me to be able to lose weight, and my weight just does not fluctuate.​

Noticing that I had lost almost 15 pounds out of nowhere was definitely a big teller. I could tell by looking in the mirror that my clothes were not fitting right. I went to my oncologist about it and asked, because that was really just about my three-year mark. I was going in for blood work, and they said, “Let’s see how this goes,” and that came back completely normal.​

He said, “If you are still a little on edge about it, if you are still a little nervous, we can schedule a scan,” and it was literally a couple of days later that I said I wanted the scan, so that was scheduled. During that whole time, I did not want to tell people that I was nervous or that I knew; I would say, “We will see what happens; we will see what the scan shows,” but deep down I had a gut feeling, and I knew it was back.​

My relapse was confirmed during a college final

How I found out it had officially come back is a really funny story — not funny at all, but a little bit. I was at a final for my communications class; we were doing our final presentations. I had just finished presenting, got back to my seat, and opened up my laptop, and I saw that I had gotten a notification from MyChart. This was a Saturday, may I add.​

I remember it so vividly. My heart sank, my heart was racing, but again, in class, I could not show it. My friend had driven me to class that day, a good friend but not a close friend, so I could not really tell her what was going on. I remember getting in this girl’s car and driving home, being absolutely terrified; I literally could not breathe.​

When I got home, I called my mom and said, “Okay, I have the results; I am going to open those up and read them out loud to you.” I went up to my room, sat on my bed, opened up my computer with my mom on my phone, and literally just read, “Likely relapsed disease. These tumors in these places; they are four centimeters by five centimeters, and there is one here and one here and one here.”​

I did not cry at first; I was in shock, and so was my mom. We were like, “Are you kidding me right now? This is what we are reading?” Eventually, I was like, “Okay, now what?” and she said, “I am on my way; I am driving there right now.” My dad was at the ranch house, or hunting lease, a little over an hour away, and my mom was in my hometown about two hours away, and both of them immediately got in their car and drove down here, which was very kind.​

For those couple of hours, I was just here. I brought my laptop and walked across the hall to my roommate’s room, looked at them, and said, “It is back,” and that was when I started crying. The rest of that day was spent in my roommate’s bed, talking through what the next steps were.​

I called my old nurse because she had ended up leaving at that point. I called her, and she said, “It is going to be okay; it will be okay,” and I said I needed to contact my doctor and that I did not have his personal cell phone number. She said she did, and she would call him. Then he called me and said he was so sorry, that I was not supposed to find out like this, but it was back, I did have cancer again, and we were going to do this chemo regimen.​

He said it was probably December 14th, so we were ten days from Christmas. He said, “I will let you have Christmas, but on December 26th, you are coming in for a biopsy, and we are starting chemo before New Year’s.”​

The rest of that day, my parents came, and it was really hard to see them. The rest of the day, I was in survival mode. I booked a hair appointment and said I was bleaching my hair and going platinum blond because I did not care how damaged my hair would be anymore. I had spent the last three years growing it out to the length it was, probably here-ish, and I did not care anymore; I was going to bleach it.​

I booked a hair appointment for, I think, either the next day or the day after that. I had a Christmas party that night, and I thought, if I am not coming back to Baylor next semester, I am going to this Christmas party. I went to the Christmas party hours later, which, looking back, is kind of crazy, but I do remember pretty much every single hour of that day very vividly. That is how I found out; there were a lot of tears, but after the initial shock wore off, I think I bounced into survival mode so fast.​

How much I understood about relapsing

It had always been a thought in my mind. I had a really bad habit of saying, “When my cancer comes back,” instead of, “If my cancer comes back.” That was a “me problem,” not anyone else’s problem. My doctor had told me that if it was going to come back, it would happen within the first two years, and after I hit the two-year mark, I thought I was home free.​

I thought I was chilling and we were good. When it came to the three-year mark, seeing my doctor and all those things, and me having to ask for the scan for my own well-being, they really did not expect it at all. They were just as shocked as I was, maybe even more, because of how well I had done over the last three years.​

My blood work was spotless. The first time I was diagnosed, my blood work was a mess, and my blood work being in pristine condition this time also made them not really think that relapse was a possibility. When it came to telling me about the diagnosis, I read it through MyChart and then was able to get a phone call after telling my nurse I had found out. She did not even work there anymore, and I said, “Hey girl, this is what is going on; I need you to contact my doctor right now.”​

Finally, he called me and walked me through what he would consider the next steps, which ended up not even being what we did. He was very much like, “This is what we are going to do; this is when we are going to do it,” and walked me through the whole thing within hours of getting the diagnosis.​

Why self-advocacy matters so much

Every person knows their body best. Nobody can tell you how you feel; you know how you feel. I could tell my doctor all day that my body does not fluctuate in weight, but they could sit there and say everyone’s weight fluctuates, that I was fine, that ten pounds is nothing, and that I should be happy or thrilled that I was losing weight without trying.​

In reality, most girls my age would probably be jumping up and down at that, but I was literally terrified. Not even because weight loss was the first symptom for me in the beginning, but because I knew a lot about my kind of cancer. With Hodgkin, a really big first symptom is weight loss — unintentional, within a couple of months, losing somewhere in the double digits.​

My doctor was really great in letting me choose what I did in order to have reassurance. He said, “If you want a scan, we can get you a scan. I can tell you that you do not need one, but it is ultimately your choice. You are the adult in this situation; it is your body.” His giving me that autonomy was really kind.​

How my second diagnosis felt different from the first

They were very different feelings. The first time I was diagnosed, I was naive; I did not know what the future held. I did not know what I was going to go through or how it was going to affect me. I did not know how chemo felt, I did not know how I would look bald, and I just did not know.​

Because I was so unaware, I got to live in this bubble of, “I do not know, but we will see.” That is not the case for everyone; a lot of people hear “cancer” and are immediately scared, but my doctors at the time did a really good job of reassuring me that I would be okay, that I would be fine, and that we would get through it. I was very naive and unaware of what I would go through the first time.​

The second time, I knew exactly what was going to happen. I know how much chemo sucks, I know how painful the grow-out hair phase is, I know what it feels like to not have an appetite and how awful mouth sores are. Because I already knew, I was filled with more dread and fear, especially with the stem cell transplant looming over my head.​

I had been told pretty much since day one that if it ever came back, I would get a stem cell transplant, and having that looming over me brought a lot more dread and fear the second time around.​

Why I switched hospitals after relapse

Originally, they had told me I was going to start chemo pretty much immediately, and then as soon as I hit remission, I would have a BEAM auto stem cell transplant. They said I would get a biopsy to confirm it was, in fact, the same type of cancer, get my port placed, be admitted, and do chemo.​

I had been saying for a long time, as a 17, 18, 19-year-old going to the adult hospital, that I hated it. I despised that place; there are lots of bad memories there. Everyone there is generations older than me, and I did not really feel seen or understood. There were a lot of things my doctor would not really think about, like how the chemo would affect my pulmonary function 40 years down the line, because most of their patients are already 60, 70, 80 years old and are not going to live another 40 years, so that is not where their head goes.​

I had said from very early on, especially after meeting so many friends online at children’s hospitals, that if I ever relapsed, I would move hospitals, go to the children’s hospital if I still could, and start from scratch. A mix of bad memories, PTSD, anxiety surrounding my old hospital, and wanting a different perspective this time around led me to switch to the children’s hospital.​

I got a whole new care team, a whole new hospital, and a whole new set of nurses. A lot of my care team from the previous time had left, so it was really just my doctor still there, and I was already going to have new nurses and a new PA. Switching was not the biggest change, and looking back, I am so glad that I did.​

Immunotherapy, second opinions, and my final treatment plan

Those doctors said, “No, slow down. You have time. Hodgkin is thankfully a very slow-growing disease.” I was able to do two rounds of egg freezing and now have 12 eggs in a freezer, which is super great and something I am really thankful I had the opportunity to do.​

They said, “Let’s not jump to chemo if we do not have to yet; let’s start with something that might work first,” so we started with immunotherapy. I did a couple of rounds of that and ended up getting secondary opinions at MD Anderson, bouncing between the children’s hospital and MD Anderson.​

Unfortunately, at MD Anderson, I was in the adult wing, and I was bouncing between the two — doing hometown treatments at children’s, going to MD Anderson, which made the final call on all treatment protocols. I did immunotherapy for a bit; it worked, but not as well as we wanted, and that scan was really hard.​

We immediately jumped into the chemo regimen that my doctor had wanted to do previously, but luckily, I only had to do two rounds of that. Then I was in remission and able to go into my stem cell transplant, which I had done at MD Anderson because they had a slightly different regimen. Now I am back at the children’s hospital, doing my immunotherapy.​

It has been a lot of bouncing around, different decisions, and different opinions; we went back and forth on what treatment to start with about a million times, but that is what we ended up doing.​

Making fertility decisions in college (freezing my eggs)

I was very grateful that I had the time and that option. I know that is not an option for everyone and that I am definitely in the lucky few who can do this. It was really a no-brainer to do it at least once.​

I did the first round of freezing to see how many we could get. I knew my egg supply was not at 100% because of my previous treatment, but we knew it was still there. After the first round, we got seven eggs, and I was told the “magic number” was ten, meaning ten would “guarantee” you one child.​

That was really hard and involved going back and forth between me, my parents, my doctors, and all the people involved in deciding whether to do a second round. They said the second round would probably yield fewer eggs, but it would probably bring that number up to ten and could almost guarantee a child rather than just seven.​

We had to decide whether to start treatment right away to get rid of the cancer or do another round of freezing, which would postpone treatment by about two to three weeks. I found out about the relapse in mid-December and did not start treatment until mid-February. Giving it all that time to grow and spread was not comfortable, but looking back, I am really glad I did it.​

The decision to actually do egg freezing was a no-brainer, but the decision of whether or not to do it twice was harder.​

Processing the reality of a stem cell transplant

I was terrified. I was fully, fully terrified. I had never been in the hospital for that long before, and the decision of whether to do it at MD Anderson or at home in Dallas was really hard; we went back and forth on that forever.​

I was terrified because of how many risks it would bring. Pretty much the only word I can think of is “absolutely terrified.” I talked a lot about it with my therapist and how terrifying it was going to be. There were a lot of unknowns — I did not know what was going to happen or how I was going to react.​

My doctor or a nurse told me, “We are pretty much going to bring you as close to death as possible and then save you,” and that was terrifying. I think my stem cell transplant doctor did a decent job preparing me for what to expect. He said I was going to lose probably upwards of 30 pounds, would not eat for a long time, my taste would be messed up, I would have horrific mouth sores, lose all my muscle, and be empty.​

I thought, “Okay, this is real, and this is coming up.” I wanted to get it done as soon as possible because the sooner I could get it done, the more time I would have to recover until the fall semester. The goal, from the second I was diagnosed through treatment, chemo, and the stem cell transplant, was getting back to school in August. I thought, “I just need to be able to get back to school in August, and everything will be okay,” and having that goal helped.​

Why going back for the fall semester mattered so much

The “decision,” which was not really a decision at all, was that I was forced to stay home that spring semester. That was really hard; I did not realize how hard it was going to be. I drove back and forth as much as possible, and every time I went into the clinic, they would ask if I was going to Waco that weekend, and I would say yes.​

I just wanted to be back. It was my senior year, and having my independence stripped away from me after not having it for that long — and stripped away without any choice — was really hard. It gave me a good goal and something to look forward to through such a difficult time.​

I really wanted to be back with my friends and get back on track with classes and everything to continue moving forward in my life.​

How I mentally prepared for my stem cell transplant

In the weeks and months leading up to the transplant, there was a lot of impulsivity and trying to enjoy everything as much as possible. My biggest fear was that the transplant was going to kill me, and that thought loomed in the back of my mind.​

Leading up to it, my doctor would warn me that going to my sorority formal with hundreds of people was not the best idea when I was neutropenic, and I would say I did not care and that I would be there. I put my N95 on and went to the sorority formal.​

I did not go on big vacations; we did a spring break trip, and I had a New York trip planned that ended up getting canceled. I focused on seeing my friends as much as possible, hanging out with them, going shopping, going line dancing, going to all of the sorority events, and doing everything I could possibly do.​

I did my very best to do as much as possible because I have bad FOMO, and I had that thought in the back of my mind — what if this is my last shot or my last time? Doing as much as possible was the priority; some of it was probably dangerous, but here we are.​

Losing my hair for the second time

The second time around, losing my hair was almost the same as the first time, but not quite. Again, I went platinum blond for a couple of months. I did not lose my hair until the end of March, right before I started chemo, after a little bit of immunotherapy and a couple of rounds of chemo.​

Before that was when I shaved my head. I had a scan at MD Anderson that showed the immunotherapy did not work as well as we wanted and that we would have to do chemo. I immediately texted all my friends and said I was on my way to Waco and that we were going to have a buzz party that night because I was getting chemo the next day.​

This all happened within 48 hours, and every single person I texted was there, which was awesome — that they were all able to drop everything and be there for me. It was a really kind and really awesome memory for a not-so-awesome occasion.​

My friends and I went to get bleach, hair ties, and scissors, and we also got a cake. The cake said “In My Britney Era” to commemorate my buzzcut.​

There is a super cool organization based out of Florida that makes halo wigs out of your hair. One person’s full head of hair is not enough to make a full wig, but you can make a halo wig where the hair is sewn on a track that goes from your temples all the way around, with a sock cap on top. I could wear that, put my hat on, and you would never know it was a wig — and it was my real hair.​

We sectioned off my hair into tiny ponytails and cut those off, then shipped them off. It was important to shave my head before starting chemo so I could send them as much hair as possible. All of my friends took turns cutting a ponytail, and eventually I had a really messy buzzcut. Then we took clippers, evened it up, and bleached it to go platinum buzzcut, which was pretty epic.​

I loved the look. Again, I had a buzz party complete with cake and everyone taking turns cutting a piece; some of the same people as last time, but mostly different because it was in my college town, with all my college friends and my siblings coming down for it.​

My community showed up for me

They are literally some of the best people ever. 

The people I have met at Baylor are some of the best people I have ever met. 

My community, my friends, and my family are probably the most important things in my life.​

What my stem cell transplant was like physically

The transplant itself was pretty successful. I got a central line, did a bunch of chemo to knock out everything, and then got my stem cells, and that whole process was not that bad. The chemo did not feel super terrible in the moment, and the G-CSF shots leading up to it were not the most painful.​

There were a couple of instances where I was left in a lot of pain, especially when I got my port removed and my central line placed at the same time, which left me in a lot of pain and landed me in the ER for pain minutes after. That was really rough.​

So much of it is a blur; I think my brain has tried to block out a lot. There were a lot of tears, and I remember having sores in the corners of my eyes from crying so much. I was really just in and out of sleep, talking nonsense according to my parents, not keeping much down, not eating a lot, and not moving a lot.​

I did my best; I loved the PT people — they were lovely humans — but I hated when they came to my room and made me do laps around the hallway. MD Anderson had a really cool system where you would do laps and collect little paper stickers, and when you had 12 (equaling a mile), you would get a bandana to tie around your IV pole.​

We would say, “Okay, today we are going to walk two laps around the floor.”​

Recovering from my transplant

Staying on the floor for so long and not being able to leave was really hard, especially at first; I was so antsy and kept asking them to let me leave. Later, it got to the point where I was so out of it that I did not realize I had not breathed fresh air for three weeks.​

The recovery was the hardest part. From about day +3 or +4 up to around day +30 were the hardest and were unbearable. It was a lot of my parents saying, “Okay, Amanda, let’s walk to the couch today.”​

It was a mix of feeling very depressed and hopeless, feeling like I would never gain my strength back, and also feeling so exhausted and broken down that I said no. My parents could ask me to walk down the hallway as many times as they wanted, but it was up to me and what I decided to do.​

I had a very scary moment about five or six days after I got out of the hospital. I had gotten out on day +13, which was really early compared to a lot of people, and I should not have gotten out that early, because I just landed myself right back in.​

I had such bad mucositis, lost all my taste buds, and could not taste anything. I was still incredibly nauseous from all the chemo. I was eating and drinking almost nothing; I had about eight ounces of chicken broth once a day, maybe a little water to take my meds, and even half the time that would not stay down.​

I was back at the doctor’s office for blood work a couple of times a week post-transplant while living in Houston, but not inpatient. I was sitting there with my mom and sister, and I said I felt really hot. I was wearing a sweater, so my mom came over to help me take it off, and I passed out.​

I went unconscious. I do not remember it, but according to my mom, I was having a seizure-like episode. My doctor immediately said I was back on the floor, and I got readmitted that night. The same thing happened two more times.​

It was a really scary couple of days trying to figure out if it was a seizure or something else. We had a scan that showed a weird thing in the back of my brain, and they did not know what was going on. We still are not fully sure, but we think it was due to a sodium imbalance from my not eating or drinking at all.​

Throughout this whole year, I had passed out a handful of times, mostly from dehydration and not being able to keep things down or wanting to eat or drink. Passing out was not new to me, but whatever else had been going on was new.​

That was a big setback in recovery. After that, I just felt like I needed to get home; I could not be in the city of Houston for one more second and needed out. Soon after that, they gave me the green light to go home, and I was able to go back to my family.​

Getting out of there was awesome, and being back home with my siblings, parents, cats, and hometown friends (who were home because it was summer) was really great. Getting back home helped a lot and sped up recovery.​

Reaching day 100 after my stem cell transplant

It was rough to get to day 100. It was the longest and hardest 100 days of my life. It was a lot of sleeping and a lot of walking; my dad and I would do laps around our living room.​

We spent a lot of time trying to find foods that would sit well, foods I could taste, and that did not taste like cardboard. We started with cheese, cucumbers, and Cheerios, and were on the cucumber, cheese, and Cheerio diet for a while. I went through boxes and boxes of Cheerios.​

I spent a lot of time in bed, pretty much all day, sleeping, then getting up to walk a couple of laps around the living room. A hard thing was that it was summer in Texas, so it was blazing hot outside. As someone with no energy, getting outside in that heat made it impossible to do anything.​

The first time I was out of the house, we went to Target and TJ Maxx, and I thought this was my big outing, walking around the store. I was using a walker to walk most of the time and was not able to walk unassisted. Being able to go to the store and use a grocery cart as my walker gave me a sense of normalcy.​

I used shopping as exercise, walking around the store, which got me out of the house and out of bed and gave me a little normalcy. That summer, everyone else I knew was studying abroad, doing internships, and traveling, and I was looking forward to going to Target for 45 minutes.​

That is how I spent pretty much those 100 days of summer, since I got my transplant on May 29th and my 100-day mark was on September 6th. Getting my taste back and going back to all my favorite restaurants was really fun. I spent a lot of time shopping and with my friends and family.​

My 100-day celebration party

Getting back to school was awesome. About a week and a half into school, my 100 days hit, and the party was epic. It was so fun and awesome.​

There were decorations, a ton of balloons, and catered food. I want to say there were about 60 people there, a mix of hometown friends, my parents, my parents’ friends, family friends, and a couple of other cancer survivors, which was really cool.​

We did a lot of talking and had a good time together. We took a lot of pictures. I got to share the speech I was going to give two weeks later in DC with all my family and friends, which was super cool. My grandparents flew in for it. It was epic and so fun.​

How day 100 felt emotionally

The first 20 to 30 days post-transplant were incredibly hard, but it only got easier. Once I hit about the 45-day mark, things felt like they were plateauing, and I was getting more frustrated, feeling like I was not improving as fast as at first.​

That was really hard. The closer it got to day 100, the more excited I was, as things were starting to get back to normal — going back to school, being able to eat good food, going to classes, and being able to walk on my own.​

I have amazing friends who have gone through transplants before. One girl in particular, my friend Elena, also had Hodgkin twice and got a stem cell transplant the second time. She is really the only person I know who had an auto transplant for Hodgkin lymphoma.​

I talked to her all the time, asking what she did when certain things happened, how she felt, and how she got through it. Having someone like her to guide me through all the different things was so great and helpful to give me hope. Her transplant had been exactly a year prior, and seeing her one year out — studying abroad, living her life, and doing great, fun things — gave me hope.​

Seeing her in that state made me think that if someone else had done it, I could do it. Having her encourage me along the way was very helpful and crucial.​

Adjusting back to college after transplant

There was definitely a learning curve in trying to figure out how to balance my time and recovery. I needed more sleep and naps, and sometimes I did not have the energy to do my homework or make it to class.​

My professors have been wonderful in working with me and helping me in the transition, which was great. It was harder at first.​

We had Pigskin, and a big goal for me was being able to dance on that stage at the end of October. When that happened, it was very emotional and bittersweet. After the last show, I thought, “Wow, I did that.”​

I was not able to walk on my own five months prior, and now I was dancing on stage in front of thousands of people. That was a huge, pivotal moment for me and a big “Wow, I did that, and I am back.”​

It was definitely a transition at first, but worth it. All of the help from friends, family, and professors made the process ten times easier than it would have been.​

What this last year taught me

What I have learned the most is that I can literally do anything. When things come my way, I think that nothing will ever be harder than what I went through this year. Nothing will be worse or as hard.​

If I can get through a stem cell transplant and fully recover from it, I can take my Spanish final on Friday. It makes everything else feel less daunting. I could be super stressed out about this Spanish final — should I be more stressed? Yes, but it does not affect me as much as it might affect my peers.​

A lot of my peers are super stressed; they say they need certain dates for events, or that they need hours to study for an exam, and cannot go to social things because they need to study. I think, “I did not survive that, live through that, and work my butt off the last six months to get here and cancel plans.​“

I am not doing that. I am doing as much as possible because I can. I am grateful and honored to be able to do things, go to social events, hang out with my friends, and do fun things; I am not canceling.​

I am not letting things stress me out on so many fronts. That is one of the biggest things I have learned.​

I have also learned how amazing my friends and my community are. I have grown closer and spent so much time with my sister, parents, and brothers.​

Someone else said this, not me, but it was an awful circumstance to have to move home, rely on my parents so much, and lose so much independence, but how many normal 21-year-olds can say they got that much one-on-one undivided attention from their parents?​

As much as I hated the circumstance I was in, I was also really grateful to have that time with my parents that most people my age are not getting. I have also learned how amazing and “freaking” awesome all of my friends and family are, and have seen everyone show up, which has been cool to watch.​

I have met even more people online through all of this and have been able to speak to people about my experience and get legislation changed. As of right now, the Give Kids a Chance Act has been passed in the House of Representatives and is about to be voted on in the Senate, and being a part of that has been really cool.​

There have been a bunch of different opportunities that I would not have had otherwise, so there are a lot of things to be grateful for.​

What my maintenance treatment looks like now

Right now, I am doing maintenance treatments of immunotherapy every three weeks. I go into the children’s hospital and get that infusion. I am going back to MD Anderson for scans every six months.​

In between those six-month scans, I am doing blood work and maybe scans at the children’s hospital. Again, it is a lot of going back and forth.​

I have three more infusions of immunotherapy. I should hopefully ring the bell for all of my treatment for the relapse at the beginning of February 2026, and finally be done with all treatment.​

After that, I will have scans every six months and checkups in between.​

How it felt when my first video went viral

I was just blown away. I was honored that so many people wanted to listen to me talk and that many people cared about what I had been through and wanted to hear my perspective.​

One of the coolest things I have been able to do with my diagnosis is share my story, and seeing that in a quantified way was really cool. I felt honored.​

When I was first getting diagnosed, I was trying to look for other people having the same symptoms that I was, and that is when I found The Patient Story. I thought, “This girl on this random blog five years ago was having the same symptoms that I am. Yes, she has cancer; I do not want cancer, but if that is the answer, that is the answer; there is nothing I can do about it.”​

Being able to share my story and hopefully help people in a similar way that The Patient Story helped me in that moment was full-circle and really cool.​

How much it means to me to share my story

It means so much. It has truly been such an honor. The text messages I get from people saying, “I am about to go through this stem cell transplant,” or, “I just had a stem cell transplant, I am on day +10, and I am having a really hard time, but seeing that you got through that has helped me so much and given me so much faith and hope,” mean a lot.​

If I can do one thing on this earth, it is to give people hope. If I can do that, I feel like I won a million dollars. It is so much bigger than anything else I could do in my life.​

It is such an honor, and I am very glad and humbled that I have been able to do really cool things like this.​


Amanda P. Hodgkin lymphoma
Thank you for sharing your story, Amanda!

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Categories
Chemotherapy Diffuse Large B-Cell (DLBCL) Neulasta Non-Hodgkin Lymphoma Patient Stories R-EPOCH Radiation Therapy Stem cell transplant Surgery Treatments

Melissa’s Life After DLBCL Relapse: Finding Strength in the In-Between

Melissa’s Life After DLBCL Relapse: Finding Strength in the In-Between

Melissa’s experience with diffuse large B-cell lymphoma (DLBCL) isn’t just about scans and chemotherapy but what comes after relapse. Diagnosed at just 30 years old, Melissa never imagined the lump in her breast would lead to a life-altering diagnosis, let alone a relapse nearly six years later. DLBCL, aggressive and fast-growing, quickly reshaped her world—twice.

Interviewed by: Taylor Scheib
Edited by: Katrina Villareal

Her first encounter with DLBCL was frustrating and terrifying. Doctors initially diagnosed her with an infection, but the prescribed antibiotics made everything worse. When she ended up in the ER, a CT scan finally led to a biopsy and a phone call that changed everything.

Melissa B. DLBCL

Melissa’s initial treatment was intense. Six cycles of R-EPOCH chemotherapy and 20 rounds of radiation therapy left her physically and emotionally drained. Side effects like bone pain and severe fatigue made everyday life nearly impossible. She pushed through but never stopped feeling afraid, especially before every scan. That lingering fear of relapse haunted her, even when she was trying to live as fully as possible.

And then the relapse came.

Just after Christmas 2023, a painful lump under her arm set everything in motion again. This time, Melissa had to undergo a stem cell transplant, preceded by grueling high-dose chemotherapy. The process was not just physically taxing but also mentally and emotionally overwhelming. From losing her job to navigating endless appointments, to being isolated due to a wiped-out immune system, life after relapse never went back to “normal.”

Melissa describes feeling deep depression after her transplant. She expected to feel joy, but instead, she felt stuck. Recovery wasn’t just about healing her body; it meant rebuilding her mental health, confidence, and ability to trust her body again. Slowly, she emerged. She reconnected with family, leaned on her incredible support system (shout out to her sister!), and began doing the things that bring her joy.

Melissa continues to deal with anxiety around scans (scanxiety), but she’s more focused on living than worrying. She emphasizes the importance of self-advocacy, especially when less likely diagnoses, like DLBCL, aren’t immediately considered. Her story is an honest, empowering reminder that survivorship doesn’t mean everything is fine. Life after relapse is complicated, but it’s also filled with second chances and deeper appreciation for the everyday.

Watch Melissa’s story to find out more about:

  • What gave her the strength to keep going when everything changed
  • When she realized that her voice mattered
  • Who became her rock through every scan, treatment, and tough moment
  • Why she decided to share the hardest parts of cancer
  • How she rebuilt her life after her DLBCL relapse

  • Name: Melissa B.
  • Age at Diagnosis:
    • 30 (relapsed at 36)
  • Diagnosis:
    • Diffuse Large B-cell Lymphoma (DLBCL)
  • Symptoms:
    • Lump in the left breast
    • Persistent rash (started near the belly button and spread)
    • Intense fatigue and energy loss
  • Treatments:
    • Chemotherapy: R-EPOCH
    • G-CSF: Neulasta (pegfilgrastim)
    • Radiation therapy
    • Surgery (to remove scar tissue and necrosis)
    • Autologous stem cell transplant
Melissa B. DLBCL

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Thank you to Genmab and AbbVie for supporting our independent patient education content. The Patient Story retains full editorial control.

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.



I noticed a lump in my left breast… I went to my primary doctor. She ran some blood work, told me I had an infection, gave me some antibiotics

Introduction

I was diagnosed with diffuse large B-cell lymphoma twice. The first time was in 2017 and unfortunately, I relapsed in January 2024.

I’m a concert junkie, so I go to as many as I can afford to. I love tattoos and have quite a few. I have five cats who are my children. I love them. I like riding roller coasters. I love going to karaoke. I play video games. Sometimes, I enjoy relaxing and watching a movie.

When Something First Felt Off

I noticed a lump in my left breast. The kind of cancer I have is very aggressive and grows very quickly, so it went from a little lump to twice the size within a couple of months.

I went to my primary doctor. She ran some blood work, told me I had an infection, gave me some antibiotics, and sent me home. She even joked at one point and asked if I had a breast implant on one side because it was so much larger. That joke left a bit of a sour taste in my mouth.

I took the antibiotics, but I got worse. I was freaking out, so I called my mom and she said, “Go to the emergency room. They’ll probably lance the infection. You’ll be fine.”

Melissa B. DLBCL
Melissa B. DLBCL

I Experienced Other Symptoms

I got a bad rash, which is very common with lymphoma. It started around my belly button. At first, I thought I was allergic to the metal in my belt buckle. Then it started going down my back and my legs. I thought I was allergic to my laundry soap or body wash, so I started switching everything to unscented. I thought it was an allergy, so I put cortisone cream, but nothing was working.

I was also incredibly tired all the time. I didn’t want to do anything. All I wanted to do was go home to sleep. I wasn’t the sleepy kind of tired. I was drained and had no energy, so I didn’t want to do anything. I thought I was experiencing the usual side effects of having an infection. I wasn’t having fun. I was going to bed super early. I was taking naps. The rash didn’t hurt, but it itched and there was nothing I could do to relieve the itching.

I didn’t think it was serious. I was 30 years old. Cancer doesn’t cross your mind at that age.

Finding Out I Didn’t Have an Infection But Needed a Biopsy

When I took the antibiotics and my symptoms got worse, I got scared. The doctor told me what to do, which I did, but it didn’t work, so I decided to call my mom. My mom was trying to calm me down, telling me everything was fine, and to go to the emergency room so they could take care of me.

They did a CT scan. When the doctor walked in and said, “It’s not an infection,” cancer never crossed my mind. They gave me a request for a biopsy and told me to have it done immediately. I thought it was weird. At the time, I didn’t think it was serious. I was 30 years old. Cancer doesn’t cross your mind at that age.

I set up an appointment and, luckily, they had one available in a couple of days. When he walked into the room, he looked at me and said, “Did they tell you that you might have breast cancer?” Cancer wasn’t even in the realm of possibilities and that’s the first thing he said to me. I started bawling. He left the room and the nurse came over and comforted me.

When he came back, he explained what he was going to do. He showed me the giant needle that they were going to use to collect the sample for the biopsy. The procedure was ultrasound-guided, so I watched everything. He was professional, but for subsequent things that I needed a surgeon for, I specifically requested not to have him again.

CT scan
phone call

The Moment Everything Changed

I heard back about a week later. It was a Monday morning and as I was getting ready for work, I got a call from Virginia Oncology Associates. They said, “We need to schedule an appointment.” I said, “May I ask why?” They said, “Oh, have you not talked to the surgeon yet?” I said, “No, I hadn’t heard from them yet.” It was an awkward conversation.

As I was on the phone with them, I got a call from the surgeon. He doesn’t have me come into the office but tells me over the phone. He said, “It’s not breast cancer, but you have this other type of cancer.” It took a minute before the tears began to fall. I went back to the other call and made the appointment with the oncologist.

After I hung up, I called my boss. I had been telling my boss about what was going on and my boss said, “You’re not coming to work today. Go be with your family.” I went to my mom’s house and shared the news. It was difficult to tell people.

I knew lymphoma was a type of cancer, but I didn’t know specifics about it. People are aware that cancer exists, but the various types aren’t widely known. I had no idea what to expect. I didn’t know what it would look like. I wasn’t sure I would be okay. I don’t know what kind of treatment. I knew nothing.

Every time I got a scan, I would get nervous a week or two before getting one.

My First Treatment Plan

My first treatment regimen was R-EPOCH. I had a port put in and I was in the hospital to receive chemotherapy for 24 hours over four days. They would give me 15 minutes off in between bags of chemo to take a shower. I would get premeds to try to help with the side effects and then I would get hooked up to another bag. On day five, I received rituximab. I would go home and get two weeks off in between cycles before I had to go back and do it again. I had to do that six times.

After each round, they gave me a shot of Neulasta (pegfilgrastim), which is designed to boost the immune system. For me, it felt like every bone in my body was breaking at the same time. It hurt badly. I took pain medicine, but nothing worked.

After chemotherapy, I did 20 rounds of radiation.

(Editor’s Note: R-EPOCH is an abbreviation for a chemotherapy combination used to treat certain types of non-Hodgkin lymphoma. It includes the drugs rituximab, etoposide phosphate, prednisone, vincristine sulfate [Oncovin], cyclophosphamide, and doxorubicin hydrochloride [hydroxydaunorubicin]. -National Cancer Institute, )

Melissa B. DLBCL
Melissa B. DLBCL

What Life Was Like Between My Original Diagnosis and Relapse

Anytime I got a rash or noticed anything off, I freaked out. I ended up getting another lump on my right breast at one point, so I went to the surgeon, but it turned out to be a fibroid. Everything was fine, but with every little thing, I was terrified.

I tried not to let it overwhelm me too much. Every time I got a scan, I would get nervous a week or two before getting one. I would freak out that something was going to show up and, thankfully, nothing ever did.

My very first follow-up scan showed scar tissue and necrosis, so they had to do surgery. After that, everything was perfectly fine. Anytime I would see scan results, I would always ask, “What does this mean? Is this bad?”

I try to live life to the absolute fullest, enjoy myself, and not let the little things bother me. I do things I’ve always wanted to do. I’m planning a trip that I’ve always wanted to go on. I’m going to start doing things on my bucket list because I think I’ve earned it.

I kept trying to tell myself that I would be fine. The first time I got diagnosed, I believed that I was fine. Now, it’s hard to tell myself that I would be fine because the first time, I wasn’t.

I was still hopeful. Though in the back of my mind, I knew that it could be DLBCL again.

A Second Lump Appeared

Right before Christmas, I started noticing a painful lump under my right armpit. I decided to have it checked because it hurt so badly. I went to the ER the day after Christmas, but they did nothing. They didn’t scan it, test it, or do blood work. I waited for four hours only for the doctor to see me for about 45 seconds and say, “Go see your surgeon.”

At that point, I was having scans every two years. I started having them every six months, then every year, and then every two years. I had a scan about eight months prior, but there was nothing. Again, this disease pops up and grows very quickly, so it could be nothing and then a week or a month later, there it is.

I had always been told that tumors do not hurt, which is true. Tumors themselves do not cause pain, but this lump hurt badly, so I thought maybe it was something else. Even when I went to see the surgeon, he agreed. He said the fact that it hurts is a good sign.

I was still hopeful. Though in the back of my mind, I knew that it could be DLBCL again. But I was past the five-year mark, almost at six years.

Melissa B. DLBCL
Melissa B. DLBCL

Finding Out the Cancer Was Back

Luckily, I was able to see him within a week. He did a biopsy, but this time, instead of the giant needle, they removed a lymph node from under my arm.

I got my biopsy results on MyChart. I was at work when I got the notification. I decided to take a look. When I read it, I thought, “This can’t be right. Are these my old test results?” I checked the date and saw that it was current. Then I broke down right in front of my boss. We talked for a little bit and he told me to go home, so I left for the day.

I called the surgeon’s office and, luckily, he called me back pretty quickly. He said, “It wasn’t what we were hoping for.” They gave me a referral back to the oncologist. I originally saw the same oncologist, but because they recommended that I do a stem cell transplant, I had to go with a different doctor.

I wasn’t ready to die, so I was going to do whatever the doctor told me to do, no matter how bad it sucks.

The Only Time That I Ever Feared Relapse Was Right Before a Scan

The only time that I ever feared relapse was right around a scan. I was afraid they would find something. Other than that, I tried hard not to think about it too much. If you’re constantly thinking about it and worried you’re going to get it again, it’s going to eat you alive.

They said to keep an eye out for the symptoms that I had. They also said that relapse occurs mostly within the first two years. It can come back after that period, but the first two years are the critical time.

Melissa B. DLBCL
Melissa B. DLBCL

Navigating DLBCL Relapse with My Loved Ones Was Hard

After I came home, I called my husband immediately, then called my mom. I was crying the whole time. I was scared. I didn’t know what was going to happen. Was it going to be as brutal? Was it going to be more aggressive because it’s the second time? How is this going to progress?

I had moments at night when I’d be lying with my husband and I would break down and say, “I can’t do this. I don’t want to do this. This isn’t fair.” But at the end of the day, I wasn’t ready to die, so I was going to do whatever the doctor told me to do, no matter how bad it sucks, and I’ll get through it. I still have a lot of life left to live.

I had a couple of close friends who were very supportive. My older sister lives 20 minutes from me and she is my absolute best friend in the entire world. She was there when I did chemotherapy the first time. She was with me in the hospital almost every morning. We would have a list of questions and when the doctor would come in, we would talk about them together. She went the second time when I did the stem cell transplant. She was there all the time. She is my ride or die. I love her to death.

‘There are different second-line treatments for relapse and stem cell transplant is one of them. We feel you’re a good candidate for it.’

The Plan Moving Forward

I talked to Dr. Burke first and he said, “There are different second-line treatments for relapse and stem cell transplant is one of them. This is going to be your best course of treatment because not everybody qualifies for that. We feel you’re a good candidate for it. Your body is strong enough to handle it, so we want you to do this. We think it’s your best chance of getting rid of this for good.”

They went in-depth. He introduced me to the new doctor who took over from there, who was also wonderful. His name is Dr. Simmons. He’s an amazing man. He’s very detailed. Anytime we went over anything, he would write it out. He drew charts, which I always appreciated because I’m a very visual person.

My medical team was pretty thorough. When they recommended it to me, they explained it in detail. They told me what was involved, how it worked, and how it’s recommended for certain situations.

I also learned not to research too much because though the Internet is full of knowledge, it’s also full of crap. When you try to Google your symptoms, everything comes up as cancer. It’s the same thing once you already have cancer. Everything looks awful. You’re going to die. You’re going to have all these horrible side effects. I limited my research because when I didn’t, I scared the crap out of myself.

Melissa B. DLBCL
Melissa B. DLBCL

How I Prepared for My DLBCL Stem Cell Transplant

To prepare for the process itself, they had to do a bone marrow biopsy to make sure my stem cells were cancer-free and everything was fine. I had to have my entire body examined from head to toe. I had to get dental clearance. They had to make sure that my body was strong enough to handle the chemotherapy and the transplant.

Before they do the transplant, you have to undergo six days of high-dose chemotherapy to wipe out your system because the transplant is like a restart. You have to make your body handle that because it’s hard. I was sick.

When they take out the stem cells, you sit in a room and can’t leave for about six hours, where they hook you up to a machine. I had the port on one side and a big catheter with tubes hanging out on the other side, which I had for weeks beforehand and had to be covered with a bandage.

The machine takes your blood out. It has two tubes. In one tube, the blood comes out and goes through the machine. It takes out the stem cells and then, through the other tube, the blood goes back. Someone comes in once in a while to check on you. Once they have your stem cells, they send them off.

They have to test the stem cells, make sure that they have enough and that they’re good to use. If they don’t get enough, you have to go back another day or however many days until they get enough. Thankfully, I got enough from a single apheresis session because it was horrible having to sit in a chair for six hours. It was so boring and the machine is loud.

Then you’re admitted to the hospital to undergo chemo. When it’s time for the transfusion, they bring your stem cells, which are frozen in a bag, and thaw them out. But it’s still cold and I could feel it while it was entering my body. The transfusion only took a few hours. They monitor you in the hospital for a while. I was there for two and a half weeks.

I didn’t know that when you do a stem cell transplant, it resets your immunity, so I had to get all of my immunizations all over again.

What Recovery Looked Like After My Stem Cell Transplant

Recovery took a while because I was in the hospital for two and a half weeks. I barely got out of bed, so it messed up my back. I couldn’t walk very well for a while. I had to go to physical therapy and a chiropractor for several months to try to regain some strength and fix my back.

I had to quarantine for a while until my immune system started rebuilding. I had to stay away from people. I was on so many medications. I recently stopped taking an antiviral.

The first anniversary of my transplant was on July 8, 2025. They said I had to take the antiviral for a year and now I don’t, so that’s one less pill I have to take. I didn’t know that when you do a stem cell transplant, it resets your immunity, so I had to get all of my immunizations all over again. Six months after the transplant, I’ve had four appointments, wherein three of them were six shots each.

I have to get a few more. Some are live vaccines that they can’t do within the first two years of the transplant. I still have a couple of appointments sometime in the summer of 2026 to get more shots, but I’m done this year. I was so excited. The last appointment I went to, when she said, “You’re done for the year,” I did a little dance.

I still have a lot of doctor’s appointments. I get blood draws very regularly and get scans every six months. I had one done in May 2025 and it came back totally clear. My doctors’ appointments are starting to slow down. For the first few months, it seemed like I had an appointment every week or two. I was constantly doing something.

Melissa B. DLBCL

How Treatment Impacted My Day-to-Day Life

I tried to do the treatment while working, but I was taking so much time off from work because I got so sick from the treatment. I ended up losing my job, so I was out of work for a little over a year. I only recently started working again.

It’s hard. The first time around, because of the intensity of the treatment, there was no way I could work. By the second time, I tried to continue working, but I was so sick that I was missing so much work.

There are things outside of treatment that aren’t talked about enough, especially after finishing treatment. It’s not the end of it. There are still challenges. You’re still sick. You’re still dealing with doctors’ appointments. You’re still dealing with bills. Even with insurance, medical bills can get crazy and there’s a lot that you don’t think about. Navigating life with no immune system, I would be afraid to leave my house because a cold could take me out.

Getting anxious about it isn’t going to help the situation. It’s going to happen if it’s going to happen. If it’s not, it’s not.

What Survivorship Looks Like for Me

I went through a deep depression for a little while. After I finished, I thought I would be happy and celebrate, but because I was confined for so long, I couldn’t go out. I’m stuck and can’t do anything.

Once I was finally rebuilding, starting to get my immune system back, and able to venture out a little more, I came out of it and now I’m enjoying and living life to the fullest. I go out as much as I can. I see my family and friends. I do everything that I can.

I appreciate my family and my friends. I appreciate things more than I used to, like doing normal everyday things such as going to the grocery store. When you go through a time when you can’t do those things, they mean a lot more. Things on my bucket list that I’ve always wanted to do are much higher priority in my life now.

Melissa B. DLBCL
Melissa B. DLBCL

I Still Experience Anxiety Before Scans

I still feel a little bit of anxiety, but it’s not as bad as the first time around. At this point, getting anxious about it isn’t going to help the situation. It’s going to happen if it’s going to happen. If it’s not, it’s not. There’s no point getting worked up over it.

I’ve only had two scans so far. I had my remission scan in October 2024 and then a follow-up scan in May 2025. The only thing I hate is having to drink barium. There are different flavors, but they don’t help. It’s like a runny, chalky yogurt. It’s awful. And you have to do it every scan.

I don’t mind the scan itself. MRIs are loud and scary, so I don’t like them. PET and CT scans are fine. It’s just the barium. I hate the barium.

If you feel that something is up, even though they tell you that you’re fine, go to see a different doctor.

What I Want Others to Know

During DLBCL treatment, life sucks. There’s no way around it. They give you all kinds of medications to help with the side effects, but it’s going to suck. You’re going to be tired. You’re going to be sick. But know that there is an end to it all. It gets better. You come out the other side. Most people have a completely different appreciation for life and I definitely did.

The only thing that’s weird for me is when I go to doctors’ offices and you have to fill out forms that ask if you’ve ever had cancer before and I have to check yes. That still weirds me out.

Melissa B. DLBCL
Melissa B. DLBCL

Why Self-Advocacy is So Important

Don’t give up. You have to be your own advocate because nobody else will. People in the medical field do their best, but a lot of the time, they’re so far removed from it because they don’t want to get overly emotional. It seems they don’t put their best foot forward when it comes to that. It almost seems like you’re just a number.

It hurts and it sucks that that’s the truth. Especially in the ER, they have to get you in and out. But if you feel that something is up, even though they tell you that you’re fine, go to see a different doctor. Do something else. You have to be your own advocate.

Listen to your gut. Don’t always listen to the doctors. Listen to yourself. You know yourself better than anybody else knows you. I’m living proof of that.


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Thank you to Genmab and AbbVie for supporting our independent patient education content. The Patient Story retains full editorial control.


Melissa B. DLBCL
Thank you for sharing your story, Melissa!

Inspired by Melissa's story?

Share your story, too!


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Melissa B. DLBCL

Melissa B., Relapsed Diffuse Large B-Cell Lymphoma (DLBCL)



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Treatments: Chemotherapy (R-EPOCH), Neulasta, radiation therapy, surgery (to remove scar tissue and necrosis), autologous stem cell transplant
Jen N. stage 4B DLBCL

Jen N., Diffuse Large B-Cell Lymphoma (DLBCL), Stage 4B



Symptoms: Blood-tinged phlegm, whole-body itching, shortness of breath, lump near collarbone, night sweats, upper body swelling, rapid weight loss

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