Could an unknown virus from your youth be related to your diffuse large B-cell lymphoma (DLBCL)?
It's possible, though difficult to confirm after so many years. Certain viruses are linked to lymphoma development, including Epstein-Barr virus, hepatitis B and C, and HIV. These viruses can create genetic mutations in immune Show Full Answer
Could an unknown virus from your youth be related to your diffuse large B-cell lymphoma (DLBCL)?
It's possible, though difficult to confirm after so many years. Certain viruses are linked to lymphoma development, including Epstein-Barr virus, hepatitis B and C, and HIV. These viruses can create genetic mutations in immune cells that may contribute to lymphoma years later.
However, your history of previous cancer treatments is likely more relevant. Both chemotherapy from 1989 and your extensive radiation treatments (approximately 160) are known risk factors for developing DLBCL later in life. Radiation exposure from treating other cancers is specifically connected to NHL subtypes, including DLBCL.
Your rheumatoid arthritis also plays a role. Autoimmune conditions like RA are associated with increased lymphoma risk, particularly DLBCL. The chronic inflammation from RA can create an environment that may help abnormal cells develop. As for why you're "still kicking" at 81 and feeling great despite everything - that's wonderful! Your strong family genetics (with relatives living to 100), early detection and treatment of your lymphoma with Rituxan, and your overall positive outlook are all working in your favor. Many people with DLBCL respond well to treatment, especially when caught early.
Keep working with your care team to manage your various conditions, and celebrate your resilience!
January 2