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#16261 08-21-2004 12:58 AM
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kennock Offline OP
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My husband was diagnosed with cancer of the tonsils last summer with a T4 tumor. He went through chemo and radiation and all check ups were coming in good. Until yesterday.....there is some swelling in the area. The ENT doctor cannot see it but only feel it and wants to see him in a month. We got this news yesterday the same day that we were starting our vacation. He told us to enjoy our vacation but can't help to worry. Any ideas on this swelling?

#16262 08-21-2004 01:30 AM
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Did your husband not have a tonsillectomy? Is the swelling in the tonsil? I'm anxious to hear....

Nicki


Nicki, wife of Thomas
dx July 2004, SCC, Stage 4 Tonsil. Tx begun 8/4/04. Cisplatin/Xeloda x 4; IMRT 7 wks, 8/7 - 10/25/04 Modified Radical Dissection (right), Selective Dissection (Left) 12/10/04.
#16263 08-21-2004 04:00 AM
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I have a little swelling at the original tumor site from time to time and also under the chin on the opposite side. There is also some texturing due to scar tissue. It's been just allergies or garden variety stuff but the big c recurrence thing always runs through my mind. We are still subject to all of the non cancer throat issues also (and probably acutely aware of them now).

I had the same treatment and the radiation fried the tonsils to oblivion along with the uvula and other parts of my anatomy. Tonsillectomy was never even suggested by my head & neck surgeon who is my primary care doctor at this point or the rest of my medical team. I aksed them about it and they felt it was not necessary.


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)
#16264 08-21-2004 05:23 AM
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kennock Offline OP
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I really don't know the state of my husband's tonsils - it was never really mentioned - he did not have a tonsilectomy. It is a good question for me to ask. The tumor covered the soft and hard palate and I beleive it is this general area where the swelling is. Garry - your response is encouraging. How long has it been since your diagonse and how often do you get this swelling?

#16265 08-21-2004 05:48 AM
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I had a tonsillectomy and my pharnyx where my tonsil(right)was, and the scar that it left behind swell and hurt on and off. I am 6 months post. In fact it is swollen and hurting a little now.

My doctor at U Of C told me that it is normal as we are still subject to toxins and viruses in every breath we take. We also took quite a beating with the radiation. It still scares the hell out of me. I have quite a bit of lymphodemia or swelling under my chin from lyphadic fluid build up. When I wake in the morning it looks like I am storing walnuts. I have been given a device that makes me look like Jacob Marley. It is suppose to relieve that so the fluid finds a new pathway but it doesnt. I also do massage on it. That does help quite a bit. And yes I feel some texturing in my neck from scaring as well.

I have learned to live from scan to scan.
I used to go to the doctor if I had the slightest twinge but as we all know if its back its back. You cant change that. Sad but true.

If your last scan was clear then your good until the next one. Thats the way it has to be. Unless you have a lot of pain or trouble breathing etc of course.

Swelling DOES NOT mean the cancer is back.

Your (his) doctor should have perscibed a antibiotic to see if it was in fact an infection.

Go, live, have a great vacation, believe that you (he) are well. Enjoy every second.

Robert Hamilton


SCC 1.6cm Right Tonsil 10/3/03, 1 Node 3cm, T1N2AM0, Tonsil Removed, Selective Neck Disection, 4 Wks Induction Chemo (Taxol,Cisplatin), 8 Weeks Chemo/Radiation (5FU,Hydroxyurea,Iressa), IMRT x 40, Treatment Complete 2/13/04.
41 Years Old At Diagnosis
#16266 08-21-2004 10:12 AM
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My original Dx was 10/02. The swelling comes and goes. I can't really link it to a specific event. It made me really nervous at first and the H&N surgeon doesn't have any concerns. The main thing is that is does come and go - If I had swelling that was constant, I would get it checked. Like Robert said, things are pretty screwed up there from the Tx. The main radiated area has always felt a little harder to the touch than the opposite side. I'm examined every 2 months anyway.

Enjoy your vacation - don't let this mess that up. Something as innocuous as post nasal drip could cause this.


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)
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"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
#16267 08-23-2004 10:53 AM
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Kennock, As noted in some of the above, swelling can come from lots of different things, not just cancer. I had my tonsils out and rad/chemo and radical neck dissection and have swelling and pain in the throat most all of the time. I think its just the "new normal" others have mentioned. Don't let this mess up your vacation. If there is something to worry about, the next checkup in a month will be soon enough. Enjoy! Will pray for you both.


Regards, Kirk Georgia
Stage IV, T1N2aM0, right tonsil primary, Tonsilectomy 11/03, 35 rad/3cisplatin chemo, right neck dissection 1/04 - 5/04.
#16268 08-24-2004 02:29 AM
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kennock Offline OP
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Thanks so much to everyone for the help. It has been an enormous relief to me to read the replys. My husband can't bring himself to read the notes but I tell him what they say and we are encouraged. We aren't talking about the swelling or checking evey minute anymore and will live life to the fullest. We are leaving in a few days with all of our the kids to take our oldest to her first day of university!
Debbie

#16269 08-24-2004 02:51 AM
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Debbie,

We all get some discomfort in the treatment area every so often. You husbamd should not have a problem reading comforting replies, they are helpful and may ease the stress he is currently experiencing. My last perceived reoccurrence in at the original location, left tonsil, was food caught under my gum. It was the worst pain and swelling I have had in a year and it lasted a week My dentist found it, after MSKCC put me on magic mouthwash! At least Sloan knew it was not cancer. None of us can tell you what it is or is not, but we have all been there..Show him the posts before you go away!

Glenn

#16270 08-24-2004 10:32 AM
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I had SCC of the right tonsil, they gave me a tonsilectomy and a radical neck disection. I am curious as to why they didn't do the same for him. I wasn't given radiation at that time, dr saying he would save that for recurrance. 2 years later I have that recurrance in the parotid gland. Now I will get that radiation. I haven't had any swelling were the tonsil was since the surgery.


5-02 SCC T1N1M0 Stage 3 Right Tonsil
6-02 Right Radical Neck Disection
9-03 Recurrent SCC Dx Stage 4 unknown prim
12-03 7 Chemo
12-03 36 Rad
5-04 Left Upper Lung Wedge Resection neg
7-04 Right Parotidectomy
9-04 Began IMRT
10-04 Ended IMRT
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