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#113777 03-08-2010 09:46 PM
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kent Offline OP
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Hope I'm doing this right - never posted here before and not quite as computer savvy as my wife. Got diagnosis a week or so ago of squamous cell on my tongue and it's been there awhile so I'm looking at stage 4 but Doctor's say it is curable. Not sure how much I believe curable right now, I prefer to call it treatable. Surgery is scheduled for March 17 and will take most of my tongue with it and will be an all day surgery.

It's good to read on this site that I'm not the only one with this and people due return to reasonably normal lives but that helps your thoughts for the future, not for what you are getting ready to go through. Hardest part is what I'm putting my wife through as she really did not ask for this.

Any advice on how to prepare for the upcoming weeks? I'll be in the hospital for a week or two, tell me honestly how bad will it be?


Kent
Age 42/DX-SCC/T3-N2-M0 on left side of tongue 2-24-2010/Resection & reconstruction 3-17-2010/Reconstructed 2/3 of tongue with wrist tissue/49 nodes removed; 2 had cancer cells; one was encapsulated/ Incidental finding: Papillary Thyroid cancer/Treatment: 2 wks of chemo with 6 wks of rad
kent #113780 03-08-2010 10:54 PM
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Kent,
Welcome to the site and I am sorry to here of your plight. I had tonsil cancer and no surgery so I can't tell you about the surgery from direct experience. If they add radiation and chemo to the mix, which they often will, several weeks after surgery, I can speak to that. Many here have had similar surgery and I am sure that they will share their experience with you.


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
Gary #113785 03-09-2010 12:29 AM
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Hey Kent
welcome to OCF.A lot of people will be able to give you the information you have asked for,i would suggest you go to the forum list and read Brian Hills information for new users and if you type Glossectomy(tongue removal)in the search engine at the top of this page you will be able to read some factual information.If your wife is computer savvy then get her to join the ocf carers as she will need support as well.Before you undergo this surgery and the following treatment,make sure you have asked the doctors all the questions you have buzzing around your head.Write them down on paper and take them with you to your next appointment.Make sure you have something to write on while you are in hospital as speaking may be an issue at first and it can be very frustrating not being able to communicate.

Your surgery is pretty standard for your diagnosis and you have come to the right place to get support and advice.

good luck


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.
Gary #113786 03-09-2010 12:47 AM
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Kent,

Welcome to this site and sorry as well for you having to be here due to your condition.

A year ago on March 2 was when I had my 19-hr surgery, removing 90% of my tongue due to Stage IV SCC (as you would note from my signature). That was followed by nearly 48 hrs in ICU before I was wheeled back to my room, to spend the next two weeks in the hospital.

I guess the first suggestion is to give the members here all the details about your condition, to give you precise advice, especially from those who have been here much longer or have given advice to many individuals. A common suggestion is to put your signature with salient points and dates (you do this by clicking on "My Stuff" on the bar above and selecting "Profile").

After having all the pre-surgery tests and discussions with all doctors involved, I remember being busy preparing all the logistics I will need after being discharged from the hospital and recovering -- nebulizer, portable suction machine, caregiver schedules, chemo and RT schedules, etc, etc. All the items needed to make it as easy and as quick as possible for my recovery. That was the 'material' side of things. There was, of course, the 'emotional' side of things which involved discussions (and prayer gatherings, too) with family members and relatives. In looking back, modesty aside, I was the most emotionally and psychologically prepared among family members, relatives and friends. But I guess that's not unusual for some, if not most, of those afflicted with this condition.

Best wishes to what you are and will be going through.

Jojo


Diagnosed: 16Feb'09
Pre-op Dx: Tongue SCCA Stage IVB (T4N2cM0)
Opn: 2Mar'09. Total glossectomy, Neck dissection (Levels I-V), bilateral; Anterolateral, Thigh flap recon'n; Tracheostomy; PEG
Decanullation: 24Mar'09
IMRT x30, concurrent with chemo (cisplatin) x3: May-Jun '09
PEG out: 23Oct'09
JojoFlores #113789 03-09-2010 08:09 AM
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Here is one thing to do for sure. EAT EAT EAT.. You will have trouble with your weight after rads and chemo plus yous surgery and will lose weight like it was water going thru a strainer. Eat your favorite foods plua a lot of calories. You also have to drink plenty of water so you don't get dehyrated. This I do know 1st hand as with the eating. Ilost 70 lbs . You eill probably lose your muscle mass and this stuff all turns to flab. I am back to 170 right jnow after 3 years and weighed 220 to start with. Ask questions and if it's possible, record what the Drs tell you and if not, take someone with you to write everything down for you. Welcome to our home and a lot of the most intelligent people on earth and in one way or another, we have all dealt with OC. Some not as much as others. Good luck and prayers to you Kent.


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
kent #113791 03-09-2010 08:25 AM
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Kent --

In particular, look for postings by misskate, who had tongue cancer and a total glossectomy. She kept a blog of her experiences that could be very helpful to you. You can send her a private message by clicking on her name in any of her posts.

In addition to the Search box in the upper right corner of the forum pages, which searches only the message boards, there is also a search link in gold at the bottom of each message-board page. That links to the search engine of the main OCF site, where Brian and others maintain pages and pages of information about oral cancer, all vetted by OCF's science advisory board.


Leslie

April 2006: Husband dx by dentist with leukoplakia on tongue. Oral surgeon's biopsy 4/28/06: Moderate dysplasia; pathology report warned of possible "skip effect." ENT's excisional biopsy (got it all) 5/31/06: SCC in situ/small bit superficially invasive. Early detection saves lives.
Leslie B #113793 03-09-2010 09:10 AM
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Kent,
Don't hesitate to get a second opinion, preferably from one of the NCI designated Cancer Centers. There is a list at http://cancercenters.cancer.gov/

If you are not already at one; please consider getting your treatment at a Comprehensive Cancer Center with a multidisciplinary medical team and tumor board that has well recognized exceptional expertise in your area of Oral Cancer.



Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11

DonB #113796 03-09-2010 10:18 AM
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All I have to say is EAT EAT EAT. Eat everything you couold ever want now. I did have three surgeries removing parts of my tongue, but all of mine were outpatient, because I did not lost much each time. I did however go through rads and chemo. I can type you through that when the time comes. Good luck and keep coming here for support. It is a great place. I still need moral support somtimes. It is my home away from home.


Angelia
31 at Dx.
DX: 4/30/09, 10/21/09 SCC on floor of mouth,
T1NOMO, T2N1M0
TX: 39 IMRT, 8 cisplatin 11/30/09
PET/CT: 11/03/09: Lymph node involvement
PEG/PORT: 11/09
TX end: 02/01/10
PET Scan: 04/05/10 clear
PEG Out: 06/21/10
Biopsy: 12/23/10: fibrosis
HBO: 01/04/11 - ORN
Baby girl born 11-30-12
DonB #113797 03-09-2010 10:27 AM
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Hi Kent and welcome. I'll 2nd Angelia's suggestion of eating everything you can. Also, hopefully your wife will get fully involved andf go to all your appointments with you to take notes and ask questions you might be too overwhelmed to think of yourself. A great caregiver can make tjhis journey so much less terrible. Good luck to you.

Last edited by Deejer47; 03-09-2010 10:29 AM.

David R. 65 yr old male non-smoker, light drinker, stage 3 or 4, depending on which doc you ask, scc rt. tonsil, 2 nodes, 7 weeks radiation and chemo. No surgery. Teatment ended 3/20/08. PET scan 8/08 showed no cancer.
And now, as of oct, 2010, caregiver to wife, Linda, with breast cancer.
May, 2013, Linda diagnosed with stage 3 ovarian cancer. Enuf already.
Deejer47 #113810 03-09-2010 02:43 PM
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Hi Kent

I had my tumor removed from the right side of my tongue. Initially the doctors were telling me that at least 50% of my tongue was to be removed and quite possibly a neck dissection to boot. It ended up not being the case, but it just goes to show you never know. My tumor was shrunk significantly by induction chemo which helped my case tremendously.

For me, the chemo and the surgery were a breeze compared to the radiation that followed.

What part of your tongue is your tumor located?

To get ready, I will echo what has already been said, eat like there is no tomorrow as much calories and protein as you can stand. The weight loss is usually quite dramatic.

Keep a good attitude, it will help more than you can possibly know, and by all means ask questions both of your doctors and here.


Kevin



18 YEAR SURVIVOR
SCC Tongue (T3N0M0) diag 06/2006.
No evidence of disease 2010
Another PET 12-2014 pre-HBO, still N.E.D.


�Remember to look up at the stars and not down at your feet. It matters that you don't just give up.�
Stephen Hawking
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