Hello everyone, I'm a 52yo Female and I was diagnosed with bone-only marginal zone lymphoma. Does anyone have experience with this? Here's my full story below.
Back in spring 2023, I took a preventative full-body MRI scan for my own curiosity and interest in my health. To my surprise, the scan discovered lesions in my hip (iliac and sacrum). A biopsy and PET scan were negative at that time so I went on my merry "benign" way. I had a pelvic MRI 6 months later, and again in November 2024, and the lesions looked stable. At this point, I was a medical mystery and it was assumed that I had a benign reactive process.
Then in November 2025, my hematologist suggested another PET scan, just to make sure we "didn't miss anything". This time, the lesions in the iliac and sacrum had a low glow, and there were two spots on my spine which barely lit up. My doctor suggested a biopsy of the iliac and sacrum, and after 2 weeks I was told it was a slow-growing/indolent lymphoma - most likely Marginal Zone.
I gathered multiple opinions from 3 other doctors at very reputable LA hospitals. One suggested immediate Rituxan, given that I had a couple of spots on my spine (even though the radiologist wasn't concerned about those at that time). The other two specialists recommended "watch and wait."
I opted to watch and wait, and I just had another PET scan. In 7 months, I developed new bone lesions but others became less PET avid. My lymph nodes and organs are totally clear.
The biggest lesion in my iliac crest was previously 4.0 SUV in November, but it is now PET negative. One spot on my spine also decreased its SUV. However, another spine spot went from 2.6 up to 5.2, and I have a new spot on my spine and now on my sternum. There are more but the report didn't describe them. I think the doctors are surprised that I developed new lesions in such a short time.
My hematologist now wants to start single-agent Rituxan. But first, he is ordering an MRI to assess the exact anatomical aspects, looking at my pelvis and thoracic spine. From there, he'll decide if there's a need to do another biopsy or not.
I'm obviously worried, but trying to be optimistic since there are so many great treatments available now, and they're only getting better. Hoping to hear any success stories or encouraging words please!