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Conditions > Rheumatoid Arthritis > Rheumatoid Arthritis News & Research > Rheumatoid Arthritis and Lymphoma
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Rheumatoid Arthritis and Lymphoma

Having rheumatoid arthritis can increase the risk of a cancer called lymphoma. If you have RA, here's what you need to know about the arthritis-cancer connection

By Nancy Ross Flanigan

3/1/07 Maureen Lengel, 52, has been through a lot since being diagnosed with arthritis in her teens: several surgeries, including hip replacements, and an assortment of other treatments for rheumatoid arthritis. Lymphoma is the last thing....


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Sandi
06 Dec 2011, 17:06
I was diagnosed with RA in 1978 and have been on methotrexate since 1984 when it was still relatively new for treatment of inflammatory arthritis. My rheumatologist discussed at length with my husband and me the pros and cons of the medication, but absolutely nothing else had worked. I was facing disability and worse. While I had some side effects especially in the early years, before we knew the advantage of taking folic acid with MTX, I have been pleased with its effectiveness. I have never had a negative blood test because of it, although I do have chronic anemia which was even worse before MTX, but it is managed well by diet, exercise and certain supplements. I have been on a biologic since they were introduced in 2000, and today I feel better and able to do more than I could dream of doing when I was much younger. I had bilateral mastectomies 10 years ago, but while RA is associated with a higher risk of cancer, there is no evidence that my case was caused by the meds. There are dangerous risks with any drug, supplement, alternative treatment, just getting up in the morning. I am very thankful for the research and treatment strategies developed by private, public, government, academic and pharmaceutical entities. Without them, I would be completely bedridden by now, if not dead.
sue jones
29 May 2011, 19:30
my grandfather died of RA related lymphoma aged just 48. My mother died of lung fibrosis and heart failure due to RA recently. My mother had steroid treatment for a pituitary tumour, which helped some of the symptoms of the arthritis, however she took no other drugs apart from hormone replacement as her pituitary gland had failed. My grandfather took nothing for the RA. The illness is a dreadful one that increases the risk of premature death in several ways ;lung fibrosis,other lung diseases, heart disease/failure, lymphoma,circulatory problems, the list is endless.

Knowing this, I decided that aggressive treatment early on was best for me. I was prescribed quinoric by my rheumatologist. The drug benefitted me quickly I had rashes that I thought were dermatitis - they went in 2 weeks of treatment, as did the thrombocytopenia symptom of bruises, my joint pain improved after just one month, and the "cluster" headaches i had went immediately. I thought it was coincidental until I stopped the drug - the cluster type headaches came back immediately. I had to stop the drug due to blurry vision. It still hasnt gone right, and i have to see an eye specialist next week. Quinoric rarely damages the eyes and almost never in such a short space of time, so I am optimistic that i will be able to resume this drug soon. I became very ill the day after I stopped taking it,m with a flare up that was dreadful. Quinoric is a milder less risky drug that most, methotrexate can have nasty side effects, none of the treatments are risk free, but the illness itself is so horrible that the trial and error of finding the right medication is worth it, if not upseting and worrying and unpleasant sometimes. We need more research desperately - we seem to know so little about autoimmunity and the drug treatments too.

I dont regret starting this treatment and even if my eyes are permanently damaged, the rheumatologist made a good choice of first drug to try. The alternative was to wait for me to develop further damage to my joints and possibly other problems that can kill.
Lasha
16 Mar 2011, 00:28
I was diagnosed with Rheumatoid Arthritis two years ago at the age of 27. I have been taking a generic for Azulfidine called sulfasaladine. I have been doing well on the medicine, my RA seems low to moderate but about 4 months ago I noticed what I thought was a wingworm or something on my back. I tried to treat it but it would not go away. I finally went to a dermatologist 3 weeks age and she completed a biopsy on it and the results show that I may possibly have T-Cell Lymphoma. I am very nervous about the situation, I am scheduled to see a specialist in two weeks. I have also begin to experience side effects to my RA medicine starting 4 weeks ago and it is very odd that I have been on my medicine for 2 years and had never experience side effects until now. Can anyone offer any suggestions to my situation?
ANNETTE
11 Jan 2011, 11:03
I have RA was diagnosed in 2000.Althougt I have had pain alot longer. I went to 2 rhematologists both wanted me to take methotrexate.After coming home talking to my family about the side affects and other people choose not to take it. I work for ajewlery store for7yrs. Was fired in Oct. my arthritis has gotten worse they said I was missing alot of work.All I take is predisone for inflamation. My hands lock. Feet are terrible. Iwas told that methotrexate would stop R.A .I am hoping to get disability don't know how that going to work out I am 52yrs old.PLEASE THINK ABOUT THE MED. THEY WANT TO PUT YOU READ ABOUT THE SIDE EFFECTS. I know the pain.THE MEDS ONLY ADD TO WHAT YOU ARE GOING THROUGH.
Charlotte
23 Dec 2010, 07:07
i've just been diagnosed with ra i feel pretty good for someone with it. i have been boosting my immune system with enchinacea since my infections i also have ebv too even though my doctor told me to stop the enchinacea I think a little pain to get well is worth it. I did however have to come off them for a little while for the tests. I have a mycoplasma fermantans infection i found out by taking a pcr test i will be taking a stool test then an allergy test. I have refused to go on these drugs without further investigation by doctors. I think I made the right choice.
Annie Robinson
13 Dec 2010, 09:37
Hi, Can I suggest that you google Low Dose Naltrexone. It is non-toxic and has been around for many years in large doses. I am sure you will find it very interesting.
Cecilia Vasquez
02 Nov 2010, 00:13
I was diagnosed with RA March 2010 taking methotrexate. September 2010 now have tumors on both parotid glands and on my thyroid. Biopsy in two days, RA doctor now states ra could be associated didn't mention methotrexate. I hate taking this medication and I'm in remission with Ra. I'm a firm believer this med does more harm then good. I'm so confused now as to what my future has in store for me.
Susan
30 Sep 2010, 20:10
Dear Readers,
I am an B.S.N.,R.N. who was diagnosed(DX) with RA in May 1989 by 2 Rheumatologists.
I was 36 yrs old.

I was put on the first line of treatments back then, which were NSAIDs, which didn't help.

I was then given methotrexate and cortisone in June 1990,a new treatment.
I had to sign a release form to start the treatment.

The from said I may develop cancer but I was in so much pain for over a year and nothing was helping so I took my chances.

I thought that with the monthly blood tests and having a clean chest X ray at the start of treatment that I was OK.

I was DX with stageIII Hodgkins Lymphoma in Aug. 1990,2 months after treatment started!

I had developed a cough so the Rheumatologist decided to do another chest X ray, I had clavical and aortic lymphatic tumors!

I had no family history of Hodgkins Disease,which is lymphatic cancer.

After staging, testing to see where all the tumors are in the body,I had surgery to remove some of the cancerous tumors and then put on 6 months of intensive chemotherapy to cover the other tumors that could not be operated on which ran from my neck to my groin.

I was only able to finish 5 months because the chemotherapy caused bleeding and sepsis.

Fortunately, I was in remission after 5 treatments.

I am now cancer free but was told to watch for Leukemia in approx. 20 yrs due to the chemotherapy treatment.It is now 20 yrs later.

Please research the effects of all the meds that you take before starting treatment.

Hopefully this info may help someone.
Debbie
25 Aug 2010, 23:32
I have had lymphoma (Non-Hodgkins) since 2002, that's when I found the lump on my neck. The doctor now seems to think I have RA. I have not taken anything for my lymphoma yet. We are doing "watchful waiting". This seems to be backwards from the results of the study. Any ideas?
Sissie A
16 Aug 2010, 23:29
I have RA and am currently dealing with the treatment for Lymphoma. I have decided that when this is over and if I'm lucky enough to survive I'll never be taking the standard RA medications again. This is the scariest thing I've ever been through.
brooks
04 Aug 2010, 11:41
sarah. I believe Rachel is correct. My mother was put on humira last july. Took it for about 12 weeks and then felt bad. whent to rheumatology in November and felt so ill I asked whether something more sinister than RA could be going on and was told if there was, they would know about it by blood tests. In January, had an appointment with a proffessor in RA and he told her how she felt was all in her imagination and to take nothing and comw back in 6 months. Sadly she didn't make that appointment as she died of massive small cell lung cancer in June. Less than a year befoe she had had 2 chest xrays which were clear. I personally think that these disgusting drugs are handed out far to easily. The doctors don't know enough about them and tell people they don't cause cancer. I wonder whether they would like to take that risk?
sarah
26 Apr 2010, 22:13
I am sorry for your loss-but you should not be giving people false information on the internet.
-Lung cancer is not associated with these meds
-RA itself is associated with lymphoma even without treatment
-Untreated RA can be a "death sentence" if you can't walk or use your hands
-Methotrexate has been around forever and no drug reps are pushing it
-your family doctor is going to have no idea about the dosing of methotrexate so has no business saying they are "shocked' as the dose of it
rachel
14 Apr 2010, 06:14
I`ve just lost my mom to lung cancer her liver was riddled with cancer, she took methotrexate and infliximab a few years ago but was taken off it due to abnormal liver test results, she had a liver biopsy and she had contracted hepatitis due to the drugs. She was given azathioprine, prednisolone and then was put on humira fortnightly plus ibandronic acid once a month. Since her death I`ve started researching these drugs and I`m so angry, I`m sorry but they`re like a death sentence, please anyone with rheumatoid arthritis or immune system disorders please question your doctor and don`t be ignorant about your treatment. My mom died a fortnight ago and I want answers, if I had known then what I`ve found out in the last couple of weeks theres no way my mom would have been a willing guinea pig, w. The `medical profession` really don`t know what they`re doing where immune disorders are concerned, they`re just experimenting with your lives. I`m so angry and upset right now. Rachel x
mary marvin
04 Apr 2010, 08:14
Rheumatologists do not discuss side effects of methotrexate or the immune suppressing drugs.

They do not check you for lymphoma or anything other than the blood tests for liver and kidney function and white blood cell counts.

If you are not aware of the symptoms of all the horrible things you get from taking the methotrexate and immune suppression drugs you could be dying and not find out untill it was too late for treatment.

Also, your thyroid is affected and your blood pressure goes up with these meds.

The only thing the drug companies do is re-invent the wheel when they come out with a different name and different company offering the same immune suppressants with the same side effects.

The last one I tried until I became too frightened to take any more said your pancreas could also become a casualty of the medicine.

Also, the rheumatologist prescribed a high dose of methotrexate, so high that my family doctor could not believe that such a high dose was given.

The doctors have no heart and the pharmaceutical companies seem to have decided that they will not develop a safer method of treatment except exchange RA for something much worse.
Melody
25 Mar 2010, 09:15
Specifically because I am a nurse and familiar with the traditional use of methotrexate I refused to take it for my RA due to the fact that I know I am more likely to get cancer since I had breast cancer two times. I asked my doctor about the antibiotic protocol after having done some research and he gladly put me on minocycline as he had another patient doing "very well" on it. This made me wonder why it was not offered to me as an alternative but I found out that all they tend to offer is whatever is recommended by the foundation and the drug reps who push the "newest and best". Had the methotrexate failed me I would have been moved into things such as DMARDs like Embrel and the like. Please read The New Arthritis Breakthrough by Henry Scrammel and see the website of roadback foundation for more information. It will be worthwhile...
Cheryl
01 Dec 2009, 12:37
I was diagnosed with RA at age 21, I am now 57. I started on methotrexate about 30 years ago and was diagnosed with maligant lymphoma in 1986. It was caught early, removed and I was treated with radiation for 12 weeks. Most of the doctors that I have seen haven't really made the connection between the cancer and the methotrexate. But I think the lower doses received to treat arthritis is a factor and should come into play when prescribing methotrexate, especially if their is a family history of any kind of cancer

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