God I had hoped I'd never have to write something like this...
The bad news, is that I definitely have either a recurrence, or additional metastasis, of cancer... Either way, this still counts as stage 4, as it has spread to multiple systems.
The cancer appears to be in at least one of my parathyroids, and at least 8 of the lymph nodes, around my thyroid bed (left and right sides, and bottom at least... and its likely to have spread to most or all of the anterior cervical and superclavicular nodes). Most of the enlarged nodes are under 1.5cm, but at least one of them is grossly enlarged to over 2.5cm, and at least one parathyroid is grossly enlarged as well.
So yeah... technically, I have stage 4 metastatic lymphocytic cancer...
That's pretty bad.
The GOOD news is that it doesn't seem to have had any distant or systemic lymphocytic metastasis, or metastasis outside the typical local spread common to these kinds of cancers.
The BEST news... It doesn't seem to be either of the two REALLY bad varieties of cancer that it could have been (there are strongly negative indicators saying it isnt).
If it was one of those, it would be effectively untreatable, and I'd have a few months left to live on the outside.
It's HIGHLY unlikely to be either of those, based on existing blood test results, and general evaluation of the current diagnostic data. This will be confirmed with pathology on the tumors, and further blood tests.
So, yesterday afternoon, I had FIVE FNA biopsies (somewhat uncomfortable having needles stuck into your neck over and over again... and it stays uncomfortable for a coupel days), and more blood tests; to narrow down what the cancer subtype and pathology are exactly.
Once we have that nailed down, I"ll get more imaging to ensure it hasnt spread further (there's a moderate probability it may have spread to some of the nodes in my chest as and a small chance it could be in my liver or in other areas).
It could still be one of several moderately bad types of cancer, or a greater than anticipated metastasis; with as little as a 40% positive short term and 25% positive long term prognosis... but that seems unlikely at this point.
Most likely, I have something like a 75% to 92% positive short term (1 to 5 year) prognosis, and a 40% to 80% positive long term (5 to 10 year) prognosis.
So that's good.
I'll write more later...