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#175229 12-13-2013 05:41 PM
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Jts Offline OP
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My SO was diagnosed with ssc on the floor of the mouth. He had a CT scan showing 2 lymph nodes that need to come out also. Yesterday we were told that surgery is going to be scheduled. My SO concern is that the cancer will spread more by next week while he waits for scheduling. has anyone had to wait long for surgery for floor if the mouth cancer? We are real new to this and just trying to learn what to expect and learn from anyone who has gone through or us going through this.Thanks for your help.


Caregiver to SO.Diagnosed with ssc on floor of mouth 12/3/2013. Waiting to be scheduled for surgery to remove small tumor and 2 lymph nodes.
Jts #175231 12-13-2013 06:10 PM
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Hi Jts,

Welcome. This is a great forum and chock full of information and support. You can quell your SO's fears about the cancer spreading that fast. It's already been there for some time. I was diagnosed Nov. 21st 2012 and the surgery to remove the cancerous nodes was on Feb. 7th 2013.

Hang on...there's a hell of a ride coming. Read as much as you can here, take notes, ask questions and stay away from Dr. Google. Just so you know...Dr. Google is currently being sued for false diagnosis/information and causing undue fear and stress. I heard he is actually a computer algorithm devoid of human emotion and compassion wink

Treatment is brutal but doable. I'm sure many will chime in with great tips and advice.

Positive thoughts and prayers


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
Jts #175235 12-13-2013 07:38 PM
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Thanks for your reply and words of advice. The doctor said the tumor on the floor of his mouth is small and said no chemo or radiation should be needed. However, I wonder if that changes with the new finding of involved lymph nodes. I will look around this site and learn as much as possible.


Caregiver to SO.Diagnosed with ssc on floor of mouth 12/3/2013. Waiting to be scheduled for surgery to remove small tumor and 2 lymph nodes.
Jts #175243 12-13-2013 09:18 PM
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With my surgeries, they went ahead and had the lab do quick pathology checks, so they could remove more right away if needed. My first and recent surgeries were on the right side of my tongue, and my other surgery was a neck dissection to remove clumps of lymph nodes (30-some) as preventative. On both my tongue ones they were very careful to go till they got clear margins. I think that is standard, as least to try for. So even if it spreads a bit in the interval, that does not mean they won't try to get it all.

You get more thorough lab reports later, of course, when they have had time to analyze all the pieces.

Last edited by KristenS; 12-13-2013 09:19 PM.

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
Jts #175249 12-14-2013 03:11 AM
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Hi JTS - Yes, you found about the best place on the planet for the information you seek. None of us are doctors, so we can't give actual medical advice, BUT telling you what they did for each of us is about as close as you can get. Everyone is different, you will hear that over and over here in your new family. If you read enough you will see the slight variations in the diagnosis and treatment that other members got. Don't be alarmed if yours is a little different; your cancer (or that of your SO) is different, so your treatment will be a little different.

Now, as for how quickly do they get to your surgery or to your treatment, none of us like having to wait even one extra minute when we find out about this new invader in our bodies. We want it gone ... yesterday. Unfortunately, wait we must, and it often seems like an eternity. After my surgery I had to wait 6 weeks before radiation started. I thought that was excessive and that the tumor was just growing by leaps and bounds every day. Then the doctor tells me we needed to wait a little while for surgery site to heal before zapping it with horrendous amounts of radiation; that actually made a lot of sense, but I didn't think of it while going nuts waiting for rads to begin.

Right now, the doctor has said you probably won't need radiation or chemo. Don't take that too much to heart. That doc was a surgeon, for the most part they believe surgery is what takes care of most cancers. There are other specialties that will get involved as time goes on. They may think otherwise, ie rads or chemo is still needed. If you have gotten your brain conditioned to not needing rads or chemo and then all of a sudden you do, it will come as a BIG shock (ask me how I know this). Another of our family members, Bart has a saying about just this subject ... "don't attach to outcomes". When you attach to a particular outcome (I won't need radiation) you develop an emotional stake in the outcome. Then, if the decision goes the other way (you do need rads) you've set yourself up for a big bummer, possibly even depression; and depression is exactly what you don't need while fighting this demon in your body. SO, the right way to keep your head straight is to just accept that you have no control over the beast. If I don't need rads or chemo, great; if I do, okay let's get it started. Afterwards, if the cancer stays away, great, if it comes back, okay what do we need to do now to keep fighting the beast. This approach allows you to keep a positive attitude throughout the whole battle. Bart has had several recurrences thoughout his long term battle and he still to this day maintains a wonderful positive attitude that he shares with other family members just beginning the journey. Listen to what he says, he knows how to help you keep your mind straight.

Okay, I've said enough for now. There will be more later, but you have enough new stuff to chew on for awhile. Unless your SO also joins the forum, you are the one who will have to teach it to him/her.

Welcome to your new family, we will help you every step of the way through this new journey. It's what we do.

Tony


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

Jts #175250 12-14-2013 05:47 AM
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Thanks again for your advice. My SO has prepared himself for whatever the docs say. He just wants to get things moving. The faster the better. As for me, this is not my first rodeo so I know how the whole thing works. My late husband had stage 4 non small cell lung cancer. It was found in his brain first. I know all about chemo, radiation, the gamma knife, cryoblation,and keeping on top of the cancer as it reappears. He was suppose to live three months if he was lucky. It was three years almost to the day. I was widowed at 40. These groups helped through that so I wanted to find one again.My SO also lost his father to lung cancer. I told him that all cancer is not the same. Told him that we will just have to stay on top of this. He has a good outlook just is in a hurry to get it gone as everyone is.


Caregiver to SO.Diagnosed with ssc on floor of mouth 12/3/2013. Waiting to be scheduled for surgery to remove small tumor and 2 lymph nodes.
Jts #175263 12-14-2013 02:40 PM
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Hi jts,

You have a lot of first hand experience dealing with cancer. Your SO does as well to a lesser degree. Getting hit with a cancer diagnosis throws everyone into a spin. What helps get both feet planted is empowering oneself with knowledge and education about the road ahead.

Some take a passive role, some bury their heads, some take on the challenge head first. Unfortunately your role is a support and caretaker role.

Encourage SO to join here, learn as much himself, advocate for himself and lean on you when support is needed. I am sure most be people feel better and do better the more educated they are about the situation they find themselves in. Best of luck. Don


Don
Male, 57 - Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
All the details, join at http://beatdown.cognacom.com
Jts #175265 12-14-2013 03:16 PM
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Welcome Jts. Actually having surgery by next week is pretty quick in my town or is it just be be scheduled? Averages can be a month or two waiting, especially with popular surgeons at a top rated CCC. Some tumors are aggressive, spread more quicky than others, depending on tumor grade, so that may be consideration. On two seperate occassions, I had tumors pop up while waiting for surgery, a few weeks, to remove another cancer, and was lucky to be vigilent, and discovered them, and had both removed in one surgery, twice. Maybe express your urgency, and see if there are any earlier openings, which did me no good lol. As time waits for no one, neither does cancer, but doctors seem to be in a different time zone than ours, and hopefully know more than we do. As far as any further radiation or Chemoradiation, it also depends on the tumor size, thickness and other pathology from surgery.

Best of 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






donfoo #175270 12-14-2013 06:09 PM
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Don,
I told my SO about this site. He said he might check it out. I also said it helps to talk with people who are also going through this cancer to get knowledge. He isn't one who cares for the internet much. He has already said he is going to do what it takes to fight this. People who knew me when I was caregiver for my late-husband did not like that I am the kind of person who, much like my SO, faces everything head on. I had to stay strong for him and am doing the same again. I am attending all appointments, taking notes for him, and writing questions he has.He knows I will stay by his side.


Caregiver to SO.Diagnosed with ssc on floor of mouth 12/3/2013. Waiting to be scheduled for surgery to remove small tumor and 2 lymph nodes.
Jts #175272 12-14-2013 07:14 PM
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Posts: 235
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Jts,

Welcome and sorry to hear about your SO's diagnosis. It sounds as though you are on top of things and you've certainly come to a forum where you will find an incredible amount of support.

I had the same concerns as your SO regarding wait time as we (my mom) waited about five weeks before she underwent surgery. I never rule out second opinions, so we actually sought out five opinions over a period of a few weeks - and all of the docs we met with told us that waiting several weeks wouldn't be detrimental.

My thought was that every second is critical, but our docs were confident that it would be okay to wait a few weeks. I still haven't wrapped my brain around waiting for treatment, and I doubt that I ever will, but so far the docs we've encountered have been pretty accurate when it comes to their opinions.

As Tony pointed out, a surgeon is probably going to recommend surgery. That rings true in my most recent experience. Our surgeon suggested surgery and our chemo doc recommend chemo prior to surgery. A treatment decision was made after the docs (surgeon, chemo specialist and radiation doc) met collectively to discuss and debate my mom's overall situation.

I wish you both the absolute best, and please make sure to take care of yourself too.

Regards,
Dave






Last edited by didier; 12-14-2013 07:25 PM.

Mom's caregvr. DDS failed to dx 01/03. Dx Stg IV SCC 05/03. Induct. chemo, IMRT, 5FU, H, Iressa, Neck disect, radiation. Dad's caregvr. Dx 01/04 Ext. Stg SCLC. Mets to liver/bone 08/04. Died 11/12/04. Mom tongue CA dx 06/13, hemiglossectomy (80% removed) 08/13. Clean margins and nodes, but PNI. 6/15/15: Tongue CA at base of remnant tongue. Declined further tx; hospice.
Died 10/13/15. What a long and difficult journey.
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