Friday, February 17, 2012

E-MAIL FROM GARY CUMBERLAND, PATHOLOGIST & GOOD FRIEND

Ruby, I received your email and wanted to give you some of my thoughts on Neal and his diagnosis. First of all, if you are going to have a lesion in the brain, lymphoma would be my choice for several reasons. First, neurosurgeons do not operate on them other than biopsy, and second many forms of lymphoma are very sensitive to chemotherapy and or radiation. If the lymphoma diagnosis is confirmed at biopsy, be sure that you request Dr. Tom Sunnenberg as your oncologist.
Lymphomas do not usually occur in one place but tend to be present in multiple locations in lymph nodes both above and below the diaphragm, so if the diagnosis is lymphoma, they will want to do xrays to see how diffuse the cells are so don't let that scare you.
I will be glad to be with you on the day of surgery and help interpret what is going on. There will probably be a delay in the diagnosis because the pathologists will have to do a bunch of studies on the tumor cells to allow the oncologist to use the best course of medicines. A complete cure is possible and that is what we all will be praying for.

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