| | Joined: Sep 2009 Posts: 3 Member | OP  Member
Joined: Sep 2009 Posts: 3 | Thank you all for a nice welcome and wonderful advice. So far, my husband has had c-scan, pet scan, needle biopsy. Tonsilectomy and modified neck dissection is recommended followed by radiation. As what point is the staging done? Glad to have found this site, very informative and supportive! | | | | | Joined: Dec 2008 Posts: 1,004 Patient Advocate (1000+ posts) | | Patient Advocate (1000+ posts)
Joined: Dec 2008 Posts: 1,004 | I'm not sure if they can stage from a needle biopsy. I've never been lucky enough to have one...they always put me under. I can't remember what took place before they told me the stage. I feel like I had a biopsy then a partial glossectomy. There are other people here who I know can answer this question. Sorry I can't help. It's a good question!! I didn't even think to ask my doctor...my sister did.
Suzanne
***********
T1 SCC on right side of tongue
Age 31...27 when diagnosed
4 partial glossectomies
No chemo or radiation
Biopsy on 2/2/10-Clear
Surgery needed again...no later than April 2011
Loving life and just became a mother on 11/25/10
It's not what we CAN'T do..it's what we CAN do:)
| | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 5,260 | I have had biopsys of every type I think and they work for staging my surgeon said, Personlly I have no idea and just listen and learn.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
| | | | | Joined: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | | "OCF across the pond" Patient Advocate (1000+ posts)
Joined: Feb 2007 Posts: 1,940 | Hi
Staging is done by the size of the tumour the invasion of the lymph nodes and the spread elsewhere.If you have had a needle biopsy done then pathology will say if the tumour is primary or secondary and what type,a cat scan may identify the size so staging should already be possible .For more information about staging,go to the search engine at the bottom of the ocf log in page and type staging .The information is detailed and very easy to understand.
Liz in the UK
Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.
Never take your eye off the ball, it may just smack you in the mouth.
| | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 5,260 | Wifey, you have heard from one of the better informed members when Liz commented to you, This is one lady that knows her way thru this stuff. She is great.. Jim
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
| | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | | Senior Patient Advocate Patient Advocate (old timer, 2000 posts)
Joined: Sep 2006 Posts: 8,311 | If they have confirmed at least one node as positive they can Stage even without finding the Primary (called Occult Primary). It's always better to find the primary as the radiation Tx field would have to be expanded leaving less concentration to the area that really needed it.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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