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#166921 06-21-2013 07:49 AM
Joined: Aug 2011
Posts: 596
Kerri Offline OP
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Hello, friends,

Is it typical to still have intermittent/occasional ear pain on the surgical/irradiated side? I am 8-9 months post-rads/chemo/tonsillectomies. This was for my second primary cancer tumour. The first surgery was a partial glossectomy/SND, clear margins & nodes, no adjuvant therapy. Both were HPV-negative.

I am being followed monthly at this point. I see my MO one month and my SO the next month. I am scoped every month and all has "looked great", just some residual edema.

I have my second post-treatment MRI w/ contrast next week, followed by an appointment with my SO. I know I'm getting "scanxiety" and this ear pain has happened before, but it seems that it might be more frequent. I'm also having some TMJ issues on that side.

I guess I'd just like to know others' experiences.

Thanks for listening.

xo,
Kerri


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!
Kerri #166923 06-21-2013 07:54 AM
Joined: Mar 2013
Posts: 421
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Hi Kerri,

Yes, at least for me it was. I'm 8 weeks post Tx and had some minor ear pain on the heavily irradiated side but more so muffled hearing which scared the bejeebers out of me (hearing loss is a side effect of Cisplatin). Turns out it was a buildup of ear wax. An ear wax removal kit solved the issue.

"T"


57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
NED Since
Kerri #166924 06-21-2013 09:52 AM
Joined: Aug 2011
Posts: 596
Kerri Offline OP
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Thank you, T!

I'm looking at your signature and it seems like your treatment was spread out over time.

You said you are 8 weeks post treatment? In your signature, it says you had rads/chemo in 2012...is that a typo or did you have additional treatment? Was the emergency surgery just after your neck dissection? Forgive me, I'm just a little confused as to the order of treatments. I'm guessing that they started with surgery in late 2012 and went into this past Spring of 2013?

Nonetheless, thank you for sharing your experience. I'm wondering how long this will last. I know I will ask my doc next week, but it's just nerve-racking as you know. Every little thing makes you worry...especially with having had cancer twice and a scan coming up next week!

Take care and I'll keep you posted,
Kerri


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!
Kerri #166925 06-21-2013 10:50 AM
Joined: Jul 2012
Posts: 3,267
Likes: 1
Patient Advocate (old timer, 2000 posts)
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They say if you had pain before treatment, it's likely you'll have pain after treatment, more than someone who did not. Glad they are monitoring you closely to rule out any disease. I had neck/ear pain from an enlarged cancerous lymph node high in level ll, near the ear, which diminished during radiation, but continued for a while after, probably from the necrotic tissue still hitting a nerve, and radiation still works just as long as your treatment lasted, so it was probably up til then, 7 weeks. They had to add the fetynal patch to the oxycodene, and seemed worse when laying down, especially during radiation.


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






Kerri #166926 06-21-2013 11:43 AM
Joined: Mar 2013
Posts: 421
Likes: 1
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Hi Kerri,

Thanks for catching that! I corrected it. It still was a few months from Dx to Tx as I ended up seeking a 2nd opinion at Johns Hopkins and deciding to seek treatment there (no brainer!) as opposed to locally.

But yes, I started locally (Winchester Medical VA). PET was done Dec. 2012 and the cancer was local in my neck only. I had my 1st tonsillectomy/biopsy done Dec 2012. Was very uneasy with the doctors and lack of organization at Winchester and went to JH. They were 180* different in their assessment and did the selective neck dissection first to remove what was a very aggressive cancer. They also took my lingual tonsils and biopsies to try and find the primary. We never did find the primary. I was treated on the assumption it was oropharyngeal cancer and hit pretty hard all around to cover the bases.

I truly understand what you're saying about recurrence. That's my main concern having had the PET a full three months prior to treatment. I'll be getting my 1st post Tx scan in Sept/Oct.

Best wishes, positive thoughts and prayers on your upcoming scan! Here's to meeting NED again!

"T"


57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
NED Since
Joined: Jan 2013
Posts: 80
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Joined: Jan 2013
Posts: 80
Hi Kerri,

I am a few months behind you - 3 months out of treatment - and like you am lucky to see the wonderful staff at MEEI (though I see Dr. Emerick). I too have intermittent pain in/around my left ear which is the side that had the tonsil cancer. I know that the last 10 sessions of radiation included a 'boost' on the left side, so there has to be more sensitivity and damage to all the tissue and nerves there.

I will keep positive thoughts and prayers for your upcoming scan. Keep us posted.

Best,


Nancy
Age 56 at diagnosis
Neck Lymph node removed 11/2012
Tonsillectomy perfomed 12/2012 - identified as primary
SCC Left Tonsil with Left Node involvement, DX 12/2012
RX started 1/29/2013, finished 3/23/2013;
Daily IMRT (35 Sessions)
Weekly Taxol/Carboplatin (6 weeks)
PEG placed after week 4 (3/1/2013)
PEG removed 6 1/2 months later (8/12/2013)
Kerri #166928 06-21-2013 02:07 PM
Joined: Aug 2011
Posts: 596
Kerri Offline OP
"Above & Beyond" Member (500+ posts)
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Thank you, T smile.

Thank you, Nancy smile. It makes me feel mentally better, at least, lol! My ear has been killing me today. I've had to take 2 doses of oxycodone, plus my regular regimen of low-dose methadone. I've been sleeping most of the day. The fatigue is compounded by recently having my thyroid poop out. I've been on meds for 5 weeks. I'll get my levels checked next week and my synthroid will be adjusted. I'm looking forward to the meds helping with the fatigue. Also, I returned to work 3 weeks ago and I work M-Th evenings, 4-9 pm, then Saturdays 8-1. It's good for my mental health, but I wasn't nearly ready to return. We need the money badly, so I'm just sucking it up. It's really not bad when I'm there, but the next day I'm extra tired and hurting. I feel badly for my kids...sigh. Hey, I'm alive and relatively well and this won't last forever!

Thanks for listening to me blab on and on. I look forward to the day when someone asks me how I'm feeling, I can honestly say, "good"! For now, it's some extra makeup and a smile and other days I can't quite hide it smile. Just keep swimming, as Dory would say!

Love to my OCF Family!

Kerri


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!
Kerri #167096 06-25-2013 08:07 PM
Joined: Aug 2011
Posts: 596
Kerri Offline OP
"Above & Beyond" Member (500+ posts)
OP Offline
"Above & Beyond" Member (500+ posts)

Joined: Aug 2011
Posts: 596
I have some "scanxiety" ramping up this week. This Friday, I have my second post-treatment MRI w/ contrast. It will be a year in early August since the second round with the beast. My first scan this past January looked great. I'm hoping for the same this time around. The scan is bad enough, but waiting for the results is worse. I hate this. Sometimes, I really can't believe this is part of the scrip of my life.

I'll keep you all posted.

Love,
Kerri


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!
Kerri #167103 06-25-2013 09:23 PM
Joined: Jan 2013
Posts: 57
"OCF Canuck"
Supporting Member (50+ posts)
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Posts: 57
Hi Kerri
I'm scheduled for the Friday scan as well, my first pet post rads so know what your feeling. I also had ear pain which stopped in the last month,still get it a bit when throat aggravated from eating. Good luck on fri praying for double Ned'


46 yr old non smoker moderate drinker
Lump on neck
Dx branchial cyst by fna mar 2012
Op to remove dec2012 biopsy back hpv 16 scc
Starting rads jan 31 no chemo docs say?
Finished mar13
Pet scan june 30 NED :)))
Back to work and enjoying life
Checkup aug 12 all good
Kerri #167104 06-25-2013 09:43 PM
Joined: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
Patient Advocate (1000+ posts)
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Posts: 1,024
Thinking of the two of you.
We do not have any scheduled scans now - with our teams blessing.
The " scanxiety" is indeed too much.
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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