| | Joined: Sep 2009 Posts: 63 Supporting Member (50+ posts) | OP  Supporting Member (50+ posts)
Joined: Sep 2009 Posts: 63 | Surgery looms close and I never thought of asking about a neck dissection. What is it?
Pat C
Pat - 62 yr. old -DX 8/29/09 SCC stage III floor of mouth
Lower teeth& bone removed
Port& Peg
Cisplatin x3; Rad 35 - ended 12/21/09
Fox Chase 2nd opinion-mandibulectomy; tracheotomy; left neck dissection; jaw reconstruction 5/13/10; flap failed;new flap 7/13/10; lipo January 2011
| | | | | 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 | Anytime you want to see a write up of a word or a topic pertaining to oral cancer go down to the bottom of the page and click on SEARCH and type away. Here's a sample: www.oralcancerfoundation.org/facts/neck_dissections.htm
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.
| | | | | Joined: Mar 2002 Posts: 4,912 Likes: 52 OCF Founder Patient Advocate (old timer, 2000 posts) | | OCF Founder Patient Advocate (old timer, 2000 posts)
Joined: Mar 2002 Posts: 4,912 Likes: 52 | Remember that there are THREE search engines on the OCF site. One searches the data on the main body of the site, one searches our news stories, and one searches the posts in this message board. http://www.oralcancerfoundation.org/search.htm
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
| | | | | Joined: Jul 2009 Posts: 1,406 Patient Advocate (1000+ posts) | | Patient Advocate (1000+ posts)
Joined: Jul 2009 Posts: 1,406 | Patcey, that's all good advice. However I have some too: resist the urge to watch the (maybe here are more than one, dunno) radical neck dissection procedure posted on YouTube. Damn my curiosity I failed to do this the week before mine and it gave me some sleepless moments to say the least!
Surgeons who do this procedure are great. You'll do fine.
D2
David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
| | | | | Joined: Apr 2010 Posts: 24 Member | | Member
Joined: Apr 2010 Posts: 24 | David, You are right about the YouTube Video of the Neck Dissection. My Surgery is this Wenesday at 7:00am and I also watched it several times. I think I am just one of those strange people who want to know exactly what is going to happen. While it did not bother me in the least, my wife couldnt even begin to watch it. Maybe I am just a little twisted.... 
Tommy
Initial Staging T1N0M0
Invasive SCC of the R Lateral tongue
Moderately Differentiated
Evidence of Perinureal Invasion
Depth > 3 cm
Diag on: 03/25/2010
Partial Glossectomy and Modified Neck Disscection on 04/21/2010
Clear Margins/No Radiation or Chemo
Age 40
Former Smoker Quit 1/03/2010
| | | | | Joined: Sep 2009 Posts: 63 Supporting Member (50+ posts) | | OP Supporting Member (50+ posts)
Joined: Sep 2009 Posts: 63 | I've always been squeamish about seeing that kind of stuff but I am interested in seeing photos of after-surgery results. Where can I find them?
Pat - 62 yr. old -DX 8/29/09 SCC stage III floor of mouth
Lower teeth& bone removed
Port& Peg
Cisplatin x3; Rad 35 - ended 12/21/09
Fox Chase 2nd opinion-mandibulectomy; tracheotomy; left neck dissection; jaw reconstruction 5/13/10; flap failed;new flap 7/13/10; lipo January 2011
| | | | | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Apr 2005 Posts: 2,219 | I would send you a picture of mine, but it's so hard to see, that it wouldn't do you any good.
Hopefully, you will be able to say the same thing.
Good luck.
Jerry
Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.
"Whatever doesn't kill me, makes me stronger"
| | | | | Joined: Jul 2009 Posts: 1,406 Patient Advocate (1000+ posts) | | Patient Advocate (1000+ posts)
Joined: Jul 2009 Posts: 1,406 | Wait until AFTER your surgery. A fair long time would be my advice. When you're feeling especially strong, Google "neck dissection photos" and click Images.
David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
| | | | | Joined: Apr 2010 Posts: 14 Member | | Member
Joined: Apr 2010 Posts: 14 | Hello All,
I am very new to this forum, so forgive me if I am not writing the proper terms with Oral cancer. My DAD , who is 68 years old has been diagnosed with Oral Cancer and primary area is the tongue. and its now in T1, N1, M1 stage. After 2 weeks of testing they found out that one of the lymph nodes was affected.The doctors didn't do a PET scan and decided on a surgery for him. Today he had a 4 hour surgery , which removed 15% of tongue and also a fully modified neck dissection on the right side and removed all the nodes. They said after the Histopathology report , they will decide on the further course such as Radiation /Chemo. Is this the regular course of action? . I want to travel to be there with him during the radiation phase. I want to know how many days after surgery usually the radiation recommended.
Last edited by subujee; 04-21-2010 02:09 PM.
For Dad
Age: 68
Tobaco user and Smoker.
Stage: T2N1M0 , Detected 03/16/2010,Surgery : 04/21/2010
IMRT Radiation (6 weeks plan)+ Carboplatin (Weekly Dose) Started on 05/19/2010
Completed on 07/12/2010.
| | | | | Joined: May 2008 Posts: 551 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts)
Joined: May 2008 Posts: 551 | subujee,
You can start your own thread for advice, but since you didn't... It does sound like a 'typical' course of action, yes. I did have a PET scan that showed one very involved lymph node so I also had a neck dissection. There are those that are moving away from this surgery, but I'm happy I got those lymph nodes out as quickly as possible.
As far as the timing for the rest of the treatment, radiation and chemotherapy, I was told 4 to 6 weeks of healing from surgery before radiation and mine started 6 weeks later, mostly due to an overbooked radiation machine.
- Margaret
Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08
Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016
Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
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