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#170284 09-01-2013 04:56 PM
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<GROSS OUT WARNING, DO NOT READ IF DELICATE>

6 weeks post neck dissection, my neck is periodically damp on the surgical side. I can't tell what the fluid is - colorless, odorless, sweat-like but not slick. Any ideas what this is?

I have significant lymphedema, could this even be lymphatic fluid?

Have to say, my selective ND bothers me waaaaaaaaaaay more than my tonsilectomy did. It's swollen, stings, pins and needles etc. I can only imagine how uncomfortable a radical ND would be. Cold packs would feel good but I've read that's not recommended for NDs.

They don't want to treat my lymphedema until after radiation. I guess treating it now would be like trying to drain a tub with the faucet running.

Thanks for any advice --

Mama


53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
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I had it with my last neck dissection, I had three. My ENT said radiation will close it and did, I was worried it was a fistula, but he didn't think so. Honestly, I forget what he said to do. I would call or see your ENT. Good luck, Mama


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 think you would be correct that this is lymph fluid. I would mention this to your team. The lymphoedema can be pretty extreme in terms of how swollen the face/neck gets. It has taken a good 12 months for Kris's lymphoedema to subside so that we both hardly notice it. But then he did have bilateral RND.
Talk to your team about the leak. They may have to treat this to halt the leak.
Best wishes,
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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Posts: 421
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Dang Mamacita! That doesn't sound like fun! Sounds like lymph fluid but then I'm not a doctor. I had weeping and such the week or two post treatment but that was due to the rad burns. Four months out and I have some lymphedema but not too bad, however, the side effects from the neck dissection have been more persistent than the rad side effects.

Weakness in my left arm and shoulder, pain in the neck, stiffness etc. The neck and mouth exercises help but it's a constant battle to keep things loose.

Be persistent with your exercises and keep up with the creams to help the skin heal. Definitely contact your team to get a better idea of how to deal with this.

Positive thoughts and prayers

"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: Aug 2011
Posts: 269
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I'm sorry mamacita - I know this is the last thing you need before starting on Tuesday. I hope you can get some answers quickly.


Nancy (53 at dx)
Metastatic SCC. Stage III. HPV positive with occult primary. N1, no ecs
7/1/11 - L-Selective neck dissection. Tonsillectomy. All clean. No rad, no chemo.
5/29/13 - Found primary
7/3/13 - TORS
7/8/13 - Emergency Surgery/Blood vessel burst in throat
8/9/13 - Peg in
9/3/13 - Radiation starts 30 IMRT, 60gy BOT, 56gy both sides of neck
10/14/13 - Radiation ended!
11/12/13 - PEG out!
Joined: Sep 2012
Posts: 381
"OCF Canuck"
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Mama, yep, I had it too - had to sleep with towels on my bed and pillows. My swelling is still present on the left side, although much less noticeable now, and I'm almost a year out.


Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt
Joined: Jun 2013
Posts: 346
Likes: 3
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Seriously, the swelling can last HOW long? Geez. One week out and I am going crazy. And I feel moisture too though no one else notices.


Surgery 5/31/13
Tongue lesion, right side
SCC, HPV+, poorly differentiated
T1N0 based on biopsy and scan
Selective neck dissection 8/27/13, clear nodes
12/2/13 follow-up with concerns
12/3/13 biopsy, surgery, cancer returned
1/8/14 Port installed
PEG installed
Chemo and rads
2/14/14 halfway through carboplatin/taxotere and rads
March '14, Tx done, port out w/ complications, PEG out in June
2017: probable trigeminal neuralgia
Fall 2017: HBOT
Jan 18: oral surgery
Joined: Sep 2012
Posts: 381
"OCF Canuck"
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Posts: 381
It was about 4 months before I stopped looking like a puffer fish, lol


Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt
Joined: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
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Posts: 1,024
Kris had such severe lymphoedema as he had extensive reconstruction surgery as well the bilateral RND.
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!
Joined: Jul 2012
Posts: 3,267
Likes: 1
Patient Advocate (old timer, 2000 posts)
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I was speaking of an open seeping wound not healing after the stitches were removed from the neck dissection, not lymphdemia, which increased in size, delayed closing, had granulization trying to scab. Prior radiation delays wound healing where given. I believe I had to use peroxide to clean, keep dry. Not sure about the Bactrim, but radiation afterwards closed it.


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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Posts: 17
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I too had this after my neck dissection, got so bad I had a catheter bag attached to my neck which I could drain at regular intervals, but after a couple of weeks it stopped. I am now 6 months out of surgery and swelling has completely gone down.


SCC type 1 tumor in left cheek aged 45
T2N1M0 - surgery 14/2/13 to remove tumor, skin graft from wrist, neck dissection. No rads/chemo.
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Posts: 262
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Thanks everybody, I really appreciate knowing I'm not the only one to have a wet neck, and that it does get better.

I will ask the docs about it this week. I have a feeling, though, that it's going to be the least of my problems as treatment gets going.

Mama


53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
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