| | 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 | Its important to add a signature. It greatly helps us to help you without having to go thru every post you have written to figure out your situation. Please take a couple minutes to review the message I have sent you. Look towards the middle of the page near the top next to the tab titled "My Stuff". Click on the tiny flashing envelope to get your private messages (PM). Detailed instructions on how to make a signature are included in the link in the PM.
Thank you!
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: Mar 2011 Posts: 1,024 "OCF Kiwi Down Under" Patient Advocate (1000+ posts) | | "OCF Kiwi Down Under" Patient Advocate (1000+ posts)
Joined: Mar 2011 Posts: 1,024 | The lymph node will be included in the radiation field. Most times this will be all that is required. Should the node light up on the post treatment plan then they can do a neck dissection. This is what happened for Kris. He had a modified radical neck dissection 5 months post rads to remove a lymph node that lit up on the PET. Pathology just showed a necrotic ( dead ) node with no evidence of cancer. Be guided by your team at Your treatment centre.
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: Mar 2011 Posts: 1,024 "OCF Kiwi Down Under" Patient Advocate (1000+ posts) | | "OCF Kiwi Down Under" Patient Advocate (1000+ posts)
Joined: Mar 2011 Posts: 1,024 | That should read - if the lymph node lights up on the post treatment PET.
iPads!
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: Sep 2013 Posts: 40 Contributing Member (25+ posts) | | OP Contributing Member (25+ posts)
Joined: Sep 2013 Posts: 40 | I start my chemo/radiation on Monday. I had fluoride trays made and are using them now. I have 2 silver fillings still in my mouth. It is too late to have them replaced now. My RAD OC said there would be no problem with the fillings. I have been reading different stories. Should I have trays made to use during treatment? What material would they use? Is it too late after the first treatment? What can I use before the trays are made? Wax?
Age 54 at DX 06/20/13 Left Neck Mass 07/11/13 DX SCC OC T0N2bM0 Stg IVa p16 neg. 08/09/13 Tonsilectomy and Adnoidectomy, Panendoscopy. Unknown Primary. Begin RAD 09/30/13 Cisplatin 10/01&22/13 PICC 10/21/13. PEG 10/25/13 to 1/24/14. Erbitux x 3. End 35 RAD 11/22/13 Clear PET 02/25/14
| | | | | Joined: Jul 2012 Posts: 3,267 Likes: 1 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Jul 2012 Posts: 3,267 Likes: 1 | Teeth cleaning or anything that may cause cuts, abrasions, to the gums should be avoided, right before, during, and maybe a few months after treatment. Check with your Radiologist for more specifics. Even flossing if causing gum bleeding, should be ceased and infections can enter the blood stream from these little cuts. Fillings can cause radiation scatter, if in the radiation field, causing more radiation effects, but your doctor knes best. Mouth guards are usually molded latex, made before treatment, mask, so it can be form fitting, but heard of someone's radiation oncologist making a quick fix with wax.
I'm not an expert with the dental trays for fluoride Tx. which is different than mouth guards, but believe they should be used from day one. Good luck.
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
| | | | | 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 | Calhoun.... PLEASE add a signature!
Here is a repeat of the previous post with info to help you with the signature.
Its important to add a signature. It greatly helps us to help you without having to go thru every post you have written to figure out your situation. Please take a couple minutes to review the message I have sent you. Look towards the middle of the page near the top next to the tab titled "My Stuff". Click on the tiny flashing envelope to get your private messages (PM). Detailed instructions on how to make a signature are included in the link in the PM
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 | | |
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