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Joined: Jun 2006
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suzi Offline OP
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Hi, My name is suzanne and my dad had a tumour removed from his tongue June 2002, followed by 6 weeks of radiation. Just 2 weeks post radiation the cancer showed up in the Lymph system in the neck. He was positive in one node and had a neck disection early Dec 2002.

Since then he has had regular ( 3monthly ) check ups with his surgeon, along with dental health care assistance.

Other than the usual side effects of reduced tongue, dry mouth, pain in the neck (literally) etc he had had good health and and good quality of life.

Enter 2006, from early this year his pain began to increase and the in May another tumour showed up, which he had removed and again within 8 weeks two more tumours grew, on on the back of his tongue and one on the front. He had both removed. The pathology on the margins of the tongue were described as unstable and we have been told we have to wait and see what happens next. In the meantime dads pain level had increased and therefore his pain medication is up significantly. As a result of this his quality of life is less than satisfactory as he seems to be 'very druged'. If we lower the pain meds the pain is unbearable, if we increase them dad is very tired, and unable to concentrate, walk steadily etc.

I know I've been very long-winded above. I felt it might be useful to give the background.

My concerns are:
1. that this 'thing' is on the move again and it's only a matter of time before it returns. What do you think?
2. The medication balance will weaken dad and if the cancer doesn't get him he something else will e.g. pneumonia.

Does anyone have a similar story who can shed some light on what we might expect in the future? I know this is asking someone to predict the future...worth asking the question!

Suzanne confused

Joined: Apr 2006
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"Above & Beyond" Member (300+ posts)
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Wow, I can understand your concerns and although I don't think any of us can answer #1 - that's something you need pathology reports to tell - I would suggest that you get a second opinion on treatment options.

If you tell me what medications and doses he's on I can ask our pain management nurses if they have any suggestions for you. Pain medication should not weaken him or make him more suseptible to pneumonia, but decreased white and red counts can so those should be checked. Also important to keep his nutrition and hydration at good levels just like during treatments.

I do know of another case where a friend's Dad was 6 years post treatment and doing well when a recurrence occured. They are doing chemotherapy on him at the moment and trying to figure out what's going on.

I'm sorry for your trouble but it is wonderful that you are continuing to support your Dad and I will hope for the best for him.

Regards JoAnne


JoAnne - Caregiver to husband, cancer rt. tonsil, mets to soft palate, BOT, 7 lymph nodes - T3N2BM0, stage 4. Robotic assisted surgery, radical neck dissection 2/06; 30 IMTX treatments and 4 cycles of cisplatin completed June 06.
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JAM Offline
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Suzi, Are the people who are seeing your Dad Head and Neck cancer specialists? Amy


CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease

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suzi Offline OP
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Thanks for the replies. I will respond with his pain meds and doses.

Re your question JAM, yes his doctor is a Head and Neck consultant, but, it's our Hospice network of doctors and nurses taking care of his pain medication!

Suzanne


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