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Hi-
I wrote on Friday stressed about my biopsy. Well, it was confirmed that it is cancer again on the left front of tongue. First time was on right. Anyway I should get my MRI and pet done this week and then I'll go to ucsf or Stanford next week for the discussion of next steps.
My ENT is hopeful based on what he's seen. I just can't believe it. Ugh. I am stressed and feeling a little lost.
Ugh
frown


Age 44. Diagnosed at 34 (2006) with T1N0 SCC tongue on right side. Neck dissed & 6 weeks Radiation. 30% tongue removed. Never smoked;
2nd recurrence 1/2013 on left side. Surgery to remove 2/2013 forearm flap/neck dissec T1N0; brachytherapy 4/2013;
3rd recurrence 11/2015 mandibulectomy for jaw bone cancer Stage IV/no lymph node involvement
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Sorry for the news, and wished it was better. UCSF and Sanford are two good places to go to. Being in the front tongue is better, in terms for access, and hope whatever treatments are in store it's minimal, and a good sign your doctor is hopeful, and there always is no matter what. Good luck next week, and things will ultimately fall into place.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






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I'm sorry you are going through this again Lola. If its not bad enough the first time around. All the best for next week.


Female 34. Non smoker, casual drinker
Dx July 12 stage 1 scc to left tonsil n0 m0. Hpv + 16 . 7 weeks daily rads finished sept 2012. 3 mth scan - low activity in primary spot hopefly t's just inflam. 2013 Abnormal tissue next base of tongue, came back negative. 5 month scan all clear!!!!! Yayy
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Lola, I am sorry to hear this. You are lucky that you have options for treating this. Get the scans done and you will then know what you are dealing with. Get yourself to a CCC and get a treatment plan from the tumour board. Then you can move forward and deal with this. I know the waiting is hard. Keep yourself busy and gather your support group around you.
Take care,
Tammy


Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!
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i am so sorry that you are going through this again. Especially after having been clear for so long... ;o( the good news is treatments are always changing. So hopefully this road won't be so hard to travel and hopefully they'll have something else in mind that will help.
I always wonder if it is something we are eating, some kind of imbalance in our body, some dental filler they are using or exposure to something that causes this kind of thing to recur. I changed my diet big time after my diagnosis and treatment. I was a veg head before but wasn't the healthiest eater, and I now take vitamin d, b12 and circumen. I know the area where I had my tumor had been a problem area for some time. And two caps to my molars in that area which caused a major increase in pain.
I guess we'll never know so we do what we can and hope for the best. I am not sure if you smoke. I am assuming not... but I never smoked a day in my life, don't drink, and stay away from second hand smoke, so I have no idea.
Best of luck... and hugs. this is a great support group here.
The good news - if there is such a thing that includes the word CA is that there are a few here that have been through the same scenario. Pandora had a second primary tumor 3 years after her first and she is doing really well.

Last edited by Cheryld; 01-23-2013 12:55 PM.

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
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Lola, Im very sorry you are now part of the recurrence club!!! That really stinks!!! Ive been there and know how devastated you must feel about the cancer returning. Keep your chin up, there are plenty of us 2 and 3 timers still around. Most important with recurrences is getting the very best medical care at a top notch facility. That will give you the best chance for winning this round of OC. Glad to hear you are going for a second opinion.

Best wishes!!!


Christine
SCC 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 smile
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Thank you everyone for the support and kind words. They mean the world to me. Only this forum truly understands. I am so happy to hear that having a second recurrence (or even 3rd) is not a death sentance anymore.

Cheryl- I found your comments about the molars very interesting as well. The two areas I had the tumors, were areas where my molar kept scraping against my tongue (I was not lucky to had braces before the "C"). The first time was on my right tongue and the second tumor is exactly on the opposite side where I chew all the time. Just so odd.

I get my PET and my MRI on Friday. Anyone know if it makes a difference if the recurrence happens 7 years later vs. 3 or 4 years after 1st time of cancer?

I have so much running through my head. But I know that until it is staged, I can't do anything but wait. I am praying that it hasn't spread.


Age 44. Diagnosed at 34 (2006) with T1N0 SCC tongue on right side. Neck dissed & 6 weeks Radiation. 30% tongue removed. Never smoked;
2nd recurrence 1/2013 on left side. Surgery to remove 2/2013 forearm flap/neck dissec T1N0; brachytherapy 4/2013;
3rd recurrence 11/2015 mandibulectomy for jaw bone cancer Stage IV/no lymph node involvement
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Lola, would this be classed as a new cancer, being you are 7 years out?
I'm also hoping that you have no spread. Thinking of you,
Tammy


Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!
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Tammy, you know, I'm not sure if considered new or not. I did not even think about that. I will ask though. Good question. I'm assuming the MRI and PET will tell some of the story.
Thank you for the thoughts.


Age 44. Diagnosed at 34 (2006) with T1N0 SCC tongue on right side. Neck dissed & 6 weeks Radiation. 30% tongue removed. Never smoked;
2nd recurrence 1/2013 on left side. Surgery to remove 2/2013 forearm flap/neck dissec T1N0; brachytherapy 4/2013;
3rd recurrence 11/2015 mandibulectomy for jaw bone cancer Stage IV/no lymph node involvement
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I am five years out from my second cancer. I was told that if I had a third cancer it would be considered new given the time between. This is not a trivial thing as I am led to believe that they would feel justified in bringing out all their weapons for a 'new' cancer. You will get through this, and we are here for you.

Hugs
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)
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Lola,
Many thoughts and prayers headed your way for strength, insight and peace tomorrow. Been there, done that and the waiting for test results is always the hardest. Please keep us posted. Love, Kris


SCC Stage IV left tonsil neck disection 3/02 radiation finished 6/02 chemo finished 9/02
Stage 2A left breast cancer 3/09, chemo and radiation, finished treatment 2/7/10 -Stage 2 right beast cancer 10/14 chemo and radiation
Every day is still a gift :-)
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Lola... I didn't have braces one of our other members had chronic irritation from braces. I have been concerned with the side I chew on as well. I had two molars there that were irritating my tongue so I had them filed down a bit and that has solved the problem. if I'm a little irritated there (crackers and such and chewing hard stuff can cause this - also spicy acidic foods as you may know) anyway when I'm a little irritated there is switch to soft non irritating foods for a few days until its gone.

This is considered a new primary for you - best of luck with everything thankfully they've caught it early smile hugs!


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
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Dear Lola,

I am crushed to hear of your recurrence. It's frustrating to be so young, with no known risk factors, getting 7 years out, and then the rug gets pulled out from under you.

With my first battle with the beast, I was lucky that I had no nodal spread and didn't need rads/chemo. I enjoyed a little over a year of being "cancer free" and then the get the bad news of having it in my tonsil. The doctor was not expecting cancer at all because it would have been considered to be a totally different type of cancer. It's still a mystery, but the tumour was HPV negative!

Well, I went through the hellish rads and chemo...had everything thrown at me. It sucked, but I'm grateful to say that my first post-treatment scan showed NED! So, there is plenty of hope for treatment of recurrences. You are still young, so they can treat you aggressively. It seems like what you have here is very treatable, with a high cure rate, even though you don't know the staging.

Best wishes on getting rolling with an effective battle plan so you can look forward to life again.

One question, and I apologize if it's too personal. With the loss of your mother, do the doctors think there is any genetic link, especially since you seem to have no risk factors? Did you mom have risk factors. I'm very sorry you lost her to this disease, especially at such a young age.

With great care,
Kerri

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Kerri to me it sounds like a spread to your tonsil ( a recurrence ) normally if tonsil is your first primary it's likely HPV, but sometimes it's just a spread from the initial site. And thankfully you are NED!!!!! smile


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
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Kerri-
Yes, my doctors believe there is a genetic link. He even said "angry genes" because I have this new tongue tumor. My mom had no risk factors like me. She died at 33 and I was first diagnosed at 33. I will say the main thing that her doctors did wrong when she first noticed it was dismiss it. She had a cold sore/canker sore that didn't heal and the doctors kept telling her it was just a sore and it will go away. By the time tests were confirmed, the cancer had spread too too much. Back then, doctors couldn't fathom that tongue cancer could occur to women who didn't smoke or chew.

Thank you for your thoughts Kerri.


Age 44. Diagnosed at 34 (2006) with T1N0 SCC tongue on right side. Neck dissed & 6 weeks Radiation. 30% tongue removed. Never smoked;
2nd recurrence 1/2013 on left side. Surgery to remove 2/2013 forearm flap/neck dissec T1N0; brachytherapy 4/2013;
3rd recurrence 11/2015 mandibulectomy for jaw bone cancer Stage IV/no lymph node involvement
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They still have a difficult time believing that people with no precursors for this disease can get it. I know because as you may not by my signature. I am a healthy fool. Most of the drs. and people I met during the treatment and dx process couldn't believe it when I matched none of the standard demographics for this disease, and YET there are a bunch of us here.

Hugs... I responded to your other post...

PS... genetics? NOPE. Mom died of lung cancer but other than that (she was a 3 + pack a day smoker from the age of 14) I have NO history of cancer in my family.


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
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Thanks for sharing, Lola. We're here for you!


37 y/o fem at Dx (23 wks preg @ dx on 3/16/11)
SCC L oral tongue (no risk factors)
L partial gloss/MND 3/28/11 @ 25 wks preg
T1-2N0M0; no rads/chemo
Tonsillectomy on 8/6/12 +SCC L tonsil T2-3N1M0 (HPV-)
Treated with 35 rads/7 carbo & taxol (Rx ended 10/31/12), but many hospitalizations d/t complications from rx.
Various scans since rx ended are NED!
Part of genetic study for rare cancers @ MGH.
44 years old now...I wasn't sure I would make it! Hoping for 40 more!
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