| Joined: Aug 2009 Posts: 32 Contributing Member (25+ posts) | OP Contributing Member (25+ posts) Joined: Aug 2009 Posts: 32 | Just a quick question. My ENT is telling me that the rate of recurrence for HPV tonsil cancer (after two years) is practically nil. He said it's rare after one year, extremely rare after two. What has everyone else heard? True, false??? He even told me (I'll be two years X-mas 2010) that I shouldn't even bother with PET scans anymore. My Oncologist already has me scheduled for August but I would love to be done with those things. Any info is appreciated.
Last edited by brickster; 06-14-2010 01:20 PM.
Dx 8.14.08. 42 at diagnosis. Stage IV Tonsil. Tonsillectomy 8.25.08. Induction chemo (9.29.08) (taxol and carboplatin) 5 weekly treatments. 35 rad and 6 concurrent chemos. Finished 12.22.08. No peg, no port. Neck dissection Feb. 09
| | | | Joined: Dec 2003 Posts: 528 "OCF Down Under" "Above & Beyond" Member (500+ posts) | "OCF Down Under" "Above & Beyond" Member (500+ posts) Joined: Dec 2003 Posts: 528 | Hello brickster My ENT told me similar - unlikely after 2 years. I don't know whether my tonsil cancer was HPV for sure, but it is likely. I celebrated 7 years cancer free last month. Best wishes for your continuing good health from Helen
RHTonsil SCC Stage IV tx completed May 03
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Recurrance rates for HPV patients is much less than that of other causes. Sorry, I dont know exact figures as I dont pay attention to that type of info. Like any statistic, there are always exceptions. Ive lived thru OC 3x in 3 years which is probably against the all the odds. For you coming up on the 2 year mark, congrats!!!!! ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Jul 2008 Posts: 507 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2008 Posts: 507 | Brickster, Here is a link to a recent study abstract dated June 7, 2010. This study was completed in a joint effort with the Radiation Therapy Oncology Group (RTOG)and was recently presented by experts from MD Anderson CCC at the 44th annual meeting of the American Society of Clinical Oncology http://www.mdanderson.org/newsroom/...-patients-with-oropharyngeal-cancer.htmlIt states: The three-year overall survival rate for patients with HPV-positive tumors was 82.4 percent compared to 57.1 percent with HPV-negative cancer. Progression-free survival rates were 73.7 percent and 43.4 percent, respectively.
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
| | | | 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 | Here is the study that was originally presented at ASCO in synopsis form. Please note that for the 5th time OCF was a financial sponsor of work into HPV and oral cancers since 2000 the last 3 times with the NCI as our partner. http://oralcancernews.org/wp/asco-second-study-links-HPV-to-mouth-cancer-outcomes/ Here is a second story related to these findings http://oralcancernews.org/wp/HPV-positive-tumors-increase-chance-of-survival/An interesting side note is that I introduced Dr. Ang and Dr. Gillison. Both have been members of the OCF science advisory board for a decade. Dr. Ang was my treating RO at MDACC and I credit him for saving my life in 1998. It's funny how things work out in the end.
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: 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 | Ever since I was DX'ed with HPV I have been advocating that everyone who "fits the HPV profile" get tested. Many more doctors test for HPV than they did 4 years ago but still not enough. Point is that until the number crunchers get good complete reliable input their conclusions won't be as accurate as they could be. In the past when HPV+ patients were not tested they tainted the HPV- pool and they will continue to do so until the 2 pools are purified as much as possible. There are also sub issues like introducing prior tobacco use with a HPV+ patient so I know we will never get perfect pools but I will continue to push for HPV testing until the researchers tell me it won't make a difference. There is also, in my uneducated opinion, a sub pool within the HPV- pool and that is the recent influx of HPV- non tobacco users that should be tracked and studied.
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: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | Congrats and I like Christine don't pay much attention to the stats. Congrats on yours tho.
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: Aug 2009 Posts: 32 Contributing Member (25+ posts) | OP Contributing Member (25+ posts) Joined: Aug 2009 Posts: 32 | Thanks everyone. Glad to hear my info is consistent.
Dx 8.14.08. 42 at diagnosis. Stage IV Tonsil. Tonsillectomy 8.25.08. Induction chemo (9.29.08) (taxol and carboplatin) 5 weekly treatments. 35 rad and 6 concurrent chemos. Finished 12.22.08. No peg, no port. Neck dissection Feb. 09
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