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#171954 10-02-2013 08:53 PM
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n74tg Offline OP
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Sore throat led to swelling, led to antibiotics, led to throat CT and ENT appointment, who said we can biopsy it or remove it. I opted for removal. They took left tonsil only saying pain would be bad enough removing just one and other tonsil looks normal. No previous history of tonsilitis.

SCC found in removed tonsil and in small area at base of tongue, both with HPV 16 presence. Neck CT showed no lymph node involvement. Chest CT found two small nodules in base of lungs, 8mm size, which they say are too small to reliably biopsy. So they want to do another chest CT in 4 months to see if growth occurs.

I haven't had an office visit since advanced pathology identified the HPV, so cancer has not yet been staged. But, they promise me radiation will likely be used.

That's about all I know for now. All this treatment has so far been at the VA hospital in Little Rock.

I did some reading on the OCF website before posting this and have already listed many questions for next office visit. Even on day 1 this website and forum has been unbelievably helpful...thanks to all who take the time to be involved.

Any suggestions, I'm all ears.

Wish me luck






Last edited by n74tg; 10-02-2013 09:09 PM.

Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

n74tg #171962 10-02-2013 09:53 PM
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Welcome to OCF, n74! Im glad you have found this site to help you get thru all the upcoming appointments, treatments, and your recovery. By reading the main OCF pages, you have probably gotten quite an education about OC and HPV just to name a few of the items you can learn about. Being an informed patient you will make a great advocate for yourself. Since your cancer is from HPV, you should fare better with response to treatment and less chance of recurrence.

Good luck with everything!


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
n74tg #171971 10-03-2013 06:01 AM
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I would be surprised if they also don't recommend chemo along with the rad. Pretty standard form HPV+ SCC at this point.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
n74tg #171976 10-03-2013 08:45 AM
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Ditto what dave said it would be unusual to have no nodal involvement and lung nodules. Though I'm sure nothing is impossible. Hopefully they caught it early - though it sounds like you may have 2 primaries. Best of luck and read up on rads and chemo. It will help to be prepared.


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
n74tg #171979 10-03-2013 09:53 AM
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Our fearless OCF leader and founder, Brian Hill, is ex-military and an avid pilot. You have common ground with him in more ways than one.

Welcome to the forums.


Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997.
DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0
TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5.
TREATMENT END: 10/1/07
PEG OUT: 1/08
PORT OUT: 4/09
FOLLOWUP: Now only annual exams. ALL CLEAR!

Passed away 1/7/17 RIP Bill
n74tg #172008 10-03-2013 08:47 PM
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n74tg Offline OP
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Thanks to all for responding. Your comments have helped me identify yet more questions to ask next office visit. Originally I was really bummed to find HPV involved, now I find maybe it's a blessing in disguise.



Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

n74tg #172148 10-06-2013 12:26 PM
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Welcome. I hope the recent events did not have an effect on your treatment at the VA. Good luck with everything.


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






n74tg #172169 10-06-2013 11:19 PM
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Posts: 144
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Yes HPV+ responds better, Here is to hoping for early stage!


. Radio/Erbitex:(35/6.) .6/13 RSSC with met.to left neck.9/11/13 MND with left tonsil removal.9/18/13 margins failed, .Dx Terminal. 10/22/13 Dx.StageIII Lymphedema. Carboplatin/Taxol, cancer progression,WECF
3/14/2014 given 2 weeks, 3 maybe. All the veins in my head are slowly leakinging due to Ehlers Danlos syndrome. lucky thing is that my spinal fluid leaking out my nose is slowing the build up of pressure in my huge, huge head. you would not believe.
n74tg #172170 10-07-2013 01:45 AM
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n74tg Offline OP
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They haven't cancelled my 10 October appointment, so that tells me they are still open.

Thanks for your concern


Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

n74tg #172212 10-07-2013 05:33 PM
Joined: Sep 2013
Posts: 94
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Hello n74tg, another welcome from a relative newbie! HPV+ is indeed positive news. Have they done/are they planning PET scans as well? Hoping it is a very early stage!

As a side note, what swing dance styles do you do? East Coast/West Coast/etc.? I dabbled myself some,though my true love is reserved for ballroom dancing - I have been doing it competitively for many years, well it least this whole ordeal started.

Last edited by Ambra; 10-07-2013 05:33 PM.

36, female, left tonsil HPV+ SCC, T2N1
8/28/13 SCC in left tonsil
9/12/13 surgery:TORS and selective neck dissection (levels II-IV), 23 nodes removed
9/18/13 post surgery biopsy: 2mm clear margins, a 7mm lymph node positive in level IV, no ECL
10/28/13 rad begins, 30 treatments, tomotherapy
12/09/13 radiation ends!
2/10/14 papillary thyroid cancer
2/26/14 PET shows clear neck other than thyroid cancer, but with high uptake in an ovarian cyst
2/27/14 thyroidectomy
3/5/14 pelvic ultrasound



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