This has been a difficult journey...
My partner (44F) was diagnosed with a WHO grade 2 oligodendroglioma about seven years ago. Her tumour is IDH mutated and 1p/19q codeleted. She has had three awake craniotomies over the years, but she's never had radiation or chemotherapy because everything had been relatively stable.
Until recently.
Her most recent MRI didn't show significant growth in size, but it did show new enhancement and increased perfusion around the tumour, which has led to a neurosurgical referral and a biopsy that's now pending. We're in that awful place where everyone agrees something has changed, but we don't yet know exactly what we're dealing with.
The hardest part isn't actually the MRI.
It's watching the person you love slowly become someone who has to work so much harder just to get through an ordinary day.
Over the last year her quality of life has changed dramatically. Her world has become much smaller. She sleeps far more than she used to. Her energy window keeps shrinking. If we have plans, they usually have to happen in the morning because by later in the day she's often simply exhausted.
She's developed much more noticeable word-finding difficulty. Conversations that used to come effortlessly now take real work. She knows what she wants to say, but sometimes the words just won't come. She gets mentally fatigued so much faster than she used to.
The seizures have also become a huge part of our lives. She has focal seizures, and she's also had generalized tonic-clonic seizures. She had another tonic-clonic seizure just a few days ago, and as many of you probably know, it wipes her out for days afterward. It feels like every time she starts climbing back up, another seizure knocks her back down again.
We've spent years adjusting medications, trying to find the right balance, hoping each change would finally give her some of her life back.
I'm trying to figure out what is the tumour, what is epilepsy, what is medication side effects, and what is simply the cumulative effect of living with all of this for seven years.
For those of you who have lived with an IDH-mutant, 1p/19q-codeleted grade 2 oligodendroglioma, especially several years after surgery...
Did your quality of life decline like this even before there was obvious tumour progression?
Did anyone else notice shrinking energy, increasing cognitive fatigue, more word-finding issues, and a much smaller daily window of being able to function before imaging clearly showed what was happening?
If you've gone through a biopsy after years of relative stability, what happened afterward? Did it change your treatment? Did things improve once treatment started?
I know every tumour and every person is different. I'm not looking for medical advice. I think I'm just looking to hear from people who've actually lived this, because sometimes it feels like we're navigating a map that nobody else around us can see.
Thank you to anyone willing to share your experience. It would honestly mean a lot to us.
Suffering and scared. ❤️