

It all began on Saturday, November 18. Riley was ready to take a bath when he showed me a lump the size of a walnut under his arm and asked me "Mom, did I tell you this hurts me?" I said no, you didn't tell me. I tried not to make a big deal out of it, but called Sean into the bathroom and we both agreed that we should take Riley to the hospital. The hospital told us it was a swollen lymph node and that we should follow up with our pediatrician on Monday and possibly get a biopsy. We went straight to our pediatrician on Monday, he didn't mess around. He tested Riley for TB, asked about cat scratch fever and then sent us to the lab to get blood work and urine tests. All of the tests came back negative, no TB, urine was fine and the blood work looked good. But the lump continued to grow to the size of a golf ball. The only thing we could do was biopsy. The surgeon did the biopsy on Nov. 30. When we went back to get the stitches out on Friday, Dec. 8, we were told that Riley's biopsy results were positive for Langerhans Cell Histiocytosis (LCH). We of course were devastated and "lost". What the heck is LCH? Sean immediately began researching on line, I could only take small doses of the information because some of it made us feel like, OK this isn't so bad, but other information made us feel like it was the end of our world. On Saturday, December 9, I noticed another lump on Riley's neck, this time we began to panic, how fast does this disease spread? We called our Oncologist, who we were not supposed to see until Monday, and even though he said we could wait until Monday to do the tests as an outpatient, understood our needs, and admitted Riley to the Oncology Ward at Banner Desert Hospital in Mesa, AZ. They ran all the standard protocol testing to see what organs were affected. Riley had x-rays on every bone in is body to check for bone lesions, he had CT scans of the neck, chest, lungs, abdomen and all vital organs. He also had a brain MRI and a bone marrow biopsy. All of his major organs are clear from this disease and it seems we are only dealing with the lymph nodes. 80% of the mass that was taken from Riley's armpit was LCH cells and the lymph nodes that had been removed, had been completely replaced by LCH cells. That is why we are treating Riley with a combination of chemo and steroids. This is the only known treatment that can put this disease into remission. He will undergo these treatments for 6 months, then he will be monitored very closely by the oncology group for many years and into adulthood. Riley will have to monitor this disease for the rest of his life. Riley started his chemotherapy and steroid treatments on December 18, 2006. He was a little tired but for the most part he is doing well, he is not nauseous and is eating well. Riley will get chemo once a week for 6 weeks, then every 3 weeks until the 6 months worth is administered. He also takes prednisone 3 x a day (by mouth) as part of his steroid treatment. He has already started running from me when he sees the spoonful of chocolate pudding, it's only day 3!! He will win this battle! |