| Joined: Mar 2012 Posts: 17 Member | OP Member Joined: Mar 2012 Posts: 17 | Just had my surgery and was told last Wednesday that the cancer had moved from the tongue to least one lymph node as they had removed 13 during surgery. Doctor not very helpful gives falsehoods and then really let's me down. First when we met him he stated this is on the tongue only, he stated I bet you 95% that this will be the only place we will find it. Than after the report came back with it in one lymph node he states the the oncologist will probably suggest no further treatment. I now know after reading the posts that is not true. Very frustrating as I progress through this father of three married 31 years police officer for thirty years
Diagnosed squamous cell carcinoma surgery 2/24/12,primary tumor pT1 regional lymph node pN1 total number of nodes removed 13 with 1 positive age 53 occasional cigar smoker quit social drinker workout nut.
| | | | Joined: Oct 2011 Posts: 32 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Oct 2011 Posts: 32 | I am so sorry. Frustation, anger, anxiety, pain. I know the many emotions and seen first hand the pain that accompanies this terrible disease. But I also know that this group is what keeps me hanging on when I feel like I have to run away -- and I'm only the caregiver! You have definitely found an incredible resource and support group!
Being a police officer -- thank you for your duty! -- you will no doubt do what needs to be done to move through this. Know that this group cares about you and never fear sharing anguish or frustration. No one here has judged me, but only encouraged me. And they have such a wealth of knowledge and experience that will help you in so many ways to deal with everything. Prayers and positive energy to you and your family!
Gayle, CG to incredible husband, age 53 yrs DX 10/26/11, never smoked, casual drinker Stage 4, T2 N3 SCC, right tonsil, node cluster in r. neck Tx 2-3 cycles induction chemo followed by chemo-radiation 33 treatments w/concurrent cisplatin for six weeks of 7 week treatment PEG in 02.03.12
| | | | 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 | I completely understand your frustration! Are you being treated at a cancer center? Its where you have a whole team of professionals all working together on your case. It makes it really difficult when you jump from one doctor to another and they all tell you things a little differently. Here is a list of the countries best hospitals and NCI cancer centers. NCI Cancer Centers US News Top Cancer Hospitals PS .... When you have time, please add a signature. It greatly helps us to get to know you much faster when we know your history. Click on the "My Stuff" tab, on the dropdown menu click on "My Profile". Scroll to the bottom and type your info in the white box and click "Submit".
Last edited by ChristineB; 03-05-2012 08:52 AM. Reason: + link
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: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Hi DS - I just replied to your other post - it addresses your issues with your dr. Did he really only remove 13 nodes? Usually the number is higher - between 20-40. I thank you for your service as well. please get a second opinion and if they recommend rads and chemo listen to the whys it's not something we want to do but often there's a good reason. Do you know he deals of your present biopsy ? That may giv you a clue as to what you're facing. The size of your tumor and any extraneous circumstances - ECE and PNI - will all come into play... Best of luck!
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Mar 2012 Posts: 17 Member | OP Member Joined: Mar 2012 Posts: 17 | I go back Wednesday, doctor wanted another week for area to heal than he suggested an oncologist but did not get his name. Been in touch with a friend how's sister works for Texas oncology center close to m work and is willing to treat me she also said wait until I find out who he recommends then call her she can at least tell me what she thinks of the recommendation. Then I just noticed the top of my tongue is brown in several spots geez what now?
Diagnosed squamous cell carcinoma surgery 2/24/12,primary tumor pT1 regional lymph node pN1 total number of nodes removed 13 with 1 positive age 53 occasional cigar smoker quit social drinker workout nut.
| | | | Joined: Apr 2009 Posts: 329 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Apr 2009 Posts: 329 | Your Dr. said, 1 lymph node came back positive and also stated the Oncologist would suggest no further treatment I would run like hell.
I see your in Texas you have MD Anderson there give them a call it's one of the best Cancer Centers around.
I had 14 lymph nodes removed none were positive.
Time to step to the plate be your own advocate. You have to stay on top of this it's spreads fast.
Take care, Connie
SCC. of the left lateral tongue, anterior two thirds, T1 possibly a T2. Left partial glossectomy, left selective neck dissection 4/21/09. Nodes clean, No Rad, No Chemo.
CT Scan 9/11 clean, CT Scan 9/12 clean
Moffitt Cancer Center in Tampa, FL. A+.
My hometown Lockport, NY.
| | | | Joined: Jan 2009 Posts: 476 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Jan 2009 Posts: 476 | "Your Dr. said, 1 lymph node came back positive and also stated the Oncologist would suggest no further treatment I would run like hell.
I see your in Texas you have MD Anderson there give them a call it's one of the best Cancer Centers around. "
What Connie said. Contact MD Anderson ASAP! Whether it is one lymph node or 20 it means the cancer has moved out of the primary location. My husband ONLY had one positive lymph node. Every doctor on his "team" recommended both chemo and radiation. You can't mess around with this.
Wanda (47) caregiver to husband John (56) age at diag.(2009) 1-13-09 diagnosed Stage IV BOT SCC (HPV+) 2-12-09 PEG placed, 7-6-09 removed Cisplatin 7 weeks, 7 weeks (35) IMRT 4-15-09 - treatment completed 8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear 4-2013 - HBO (30 dives) tooth extraction 10-2019 - tooth extraction, HBO (10 dives) 11-2019 - Left lateral tongue SCC - Stage 2
| | | | Joined: Mar 2012 Posts: 17 Member | OP Member Joined: Mar 2012 Posts: 17 | Thanks to all i will do that thanks again
Diagnosed squamous cell carcinoma surgery 2/24/12,primary tumor pT1 regional lymph node pN1 total number of nodes removed 13 with 1 positive age 53 occasional cigar smoker quit social drinker workout nut.
| | | | Joined: Mar 2012 Posts: 17 Member | OP Member Joined: Mar 2012 Posts: 17 | Thanks scary to be treated like this from a so called professional who trained at MD Anderson
Diagnosed squamous cell carcinoma surgery 2/24/12,primary tumor pT1 regional lymph node pN1 total number of nodes removed 13 with 1 positive age 53 occasional cigar smoker quit social drinker workout nut.
| | | | Joined: Nov 2009 Posts: 493 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Nov 2009 Posts: 493 | I agree with the other posters. I had 30 lymph nodes removed and only one was positive, but I had both radiation and chemo.
Female, nonsmoker, 70, diag. 5/09 after tongue biopsy: stage IV. Left hemi-gloss. and left selec. neck disec. 30 lymph nodes removed May 20. Over 7 weeks daily rads. with three chemo. PEG removed 12/4/09 Am eating mostly soft foods. Back to work 11/09 Retired 4/1/11. 7 clear scans! Port out 9/11. 2/13. It's back: base of tongue, very invasive surgery involving lifestyle changes. 2/14: Now speaking w/Passey-Muir valve. Considering a swallow study. Grateful to be alive.
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | Go Connie!!! Run...run like you just stole something and are being chased by a police officer!!!
Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
| | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Me too - 40 removed 1 positive - rads and chemo. After 14 hrs of surgery. MD is a top ccc go there if you can and most importantly get the referral to the oncologist ASAP. Your dr. doesn't need another week for you to heal. Making the appointment right away is important Brcause they may not be able to fit you in immediately-and even if you are to have rads and chemo there's a lot of prep work to be done blood work, cts, mask making,etc... Plus two drs are usually nvolved in that - medical onclogist for chemo radiation oncologist for rads... And they'll bith eant to see you prior to designing a plan. It won't happen tomorrow. So the sooner the better... Good luck re the brown patches - possibly deadened skin?
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Mar 2012 Posts: 17 Member | OP Member Joined: Mar 2012 Posts: 17 | Took everyones advise found an oncologist that comes highly recommended have an appointment tomorrow before I see my surgeon on the same day then I will get his referral also and see what he says. Will let everyone know thanks
Diagnosed squamous cell carcinoma surgery 2/24/12,primary tumor pT1 regional lymph node pN1 total number of nodes removed 13 with 1 positive age 53 occasional cigar smoker quit social drinker workout nut.
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | I had 1 lymph node on the left side, then 4 years later 2 lymph nodes involved on the right side. Treatment for both cancer occurances was aggressive - and it needs to be. If they say things like "we'll wait and see......" or some such nonsense - what are they waiting for?? - waiting for it to be out of control??
When I had radiation the 1st time I was soooooo worried that I would never be able to have radiation again - that I would have burned that bridge. Not true anymore. Research has made many changes in protocol - and re-radiation is one of the improvements (under certain circumstances).
Find a Dr. who treats this aggressively - and you as the patient need to tell them you want them to "hit you with their best shot".
Good luck with the new Dr.
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Agreed totally! Pandora well said...
Good luck today DS.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Oct 2011 Posts: 805 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Oct 2011 Posts: 805 | I agree as well. They told Kevin they hit him hard. When we realized his 60 IMRT were each 125gy we realized they weren't kidding.The MO also said he was hitting him hard with the chemo too, but I've seen some who have had the same regime. Hopefully it all worked! PET next Monday!
Kathy wife/caregiver to: Kevin age:53 Dx 7/15/11 HPV16+ SCC Stage IV BOT/R Non smoker, casual drinker 7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11 PEG placed 9/1/11 Removed 11/8/11 Clear PET 10/12 and 10/13 and ct in 6/14 | | | | 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 | Glad to hear you have a second opinion scheduled. Its never a bad idea to hear what someone else has to say. Good luck! 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: Dec 2010 Posts: 99 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Dec 2010 Posts: 99 | I totally agree with Pandora! We both believe if we would have pushed our wishes harder the first two bouts with his Dr.s he would never have had to be faced with what we are dealing with today. However we thought they knew best. Emmett has been asked to "speak" at a dental meeting in April to stress how important it is for them to watch, act ASP and follow up with their patients even if the biopsy comes back "just irritated tissue" as Emmett's cancer started with.
CG 2 Emmett,7/09 DX SCC rt tongue. T2N1M0, 1 node, marg neg.4/10 PET/CT clear, 9/10 C back. 10/10 Rad hemi, 2 tmrs mod diff. resec flr of mth. Flap 4 nodes/w/ext cap. 11/10 Peg, CX3 HD, 30 rad. 1/31 & 3/21 6/11/11 - PET/CT "activity" 9/11-all Clear. 12/11 peg out. 2/15 still all clear! 9/14 Prostate cancer treated with pencil beam proton therapy, best radiation experience. Keep it in mind as a treatment option for all tumors that can be seen including head and neck.
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