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#62192 11-28-2007 08:00 AM
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Tony E Offline OP
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Does anyone have info on turkey neck? My doctors are nervous about it and I am too.


46 yr old-SCC TVC 9/06. Surgery - Radiation X30 - Last Tx Nov 29, 06 - never got voice back - Total Larygnectomy Jun 5,07/ X30 IMRT started Aug 9,07 - 2 Tx Cisplatin 21 days apart / Aug 15,07 to Sept 15,2007 I'm done with treatment!
#62193 11-28-2007 08:33 AM
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Tony

I am not sure what it is . Are you talking about the lymphedema in your neck ?


Sharlee
35 year old Female Non smoker, very occasional alcohol ..Scc T1N0M0,partial glossectomy and left neck disection ,2/9/07 No rad deemed ness. 4/16 tonsillectomy ..Trimengenial Neuralga due to surgery
#62194 11-28-2007 10:06 AM
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Tony -- If you are talking about the swelling that seems to come and go around the midline of the neck above the Adam's Apple, I can relate. As Sharlee says, it is lymphedema, or the lymphatic fluid looking for a pathway to follow. I assume that there was likely some lymph gland removal involved with your laryngectomy, and this would be a primary cause. Radiation fibrosis can exacerbate it as well, as I understand it.

I have heard conflicting views on whether or not massage of the neck is appropriate treatment for this. Other than that, it is supposed to improve over time. As long as the swelling is not masking a swollen node, I have been told it is nothing to worry about.

Do you find that it tends to be worse in the morning, then improve, and perhaps get a little worse at the end of the day?


Jeff
SCC Right BOT Dx 3/28/2007
T2N2a M0G1,Stage IVa
Bilateral Neck Dissection 4/11/2007
39 x IMRT, 8 x Cisplatin Ended 7/11/07
Complete response to treatment so far!!
#62195 11-28-2007 11:34 AM
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That issue was raised about a year ago here . It must be something about Thanksgiving that promotes discussion of this topic!

All the best,
Leslie


Leslie

April 2006: Husband dx by dentist with leukoplakia on tongue. Oral surgeon's biopsy 4/28/06: Moderate dysplasia; pathology report warned of possible "skip effect." ENT's excisional biopsy (got it all) 5/31/06: SCC in situ/small bit superficially invasive. Early detection saves lives.
#62196 11-28-2007 12:44 PM
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Dr Ozer told me to massage my neck and it would speed the healing process. I know mine is very bad in the morning but as the day wears on it eases up.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
#62197 11-28-2007 02:55 PM
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Tony E Offline OP
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Thanks, I didn't remember last Thanksgiving but I did go back and look up the topic. There seems to be a problem with a CT scan I got 2 weeks ago. Apparently the area under my chin showed as a mass and also there was some hit on some lymph nodes. My doctor says he doesn't believe that it is a mass and we will redo a PET scan in Jan. This will be 4 months. I have not had any disection of the neck or lymph nodes. Just a whole bunch of radiation. So I guess I was looking for some new info.


46 yr old-SCC TVC 9/06. Surgery - Radiation X30 - Last Tx Nov 29, 06 - never got voice back - Total Larygnectomy Jun 5,07/ X30 IMRT started Aug 9,07 - 2 Tx Cisplatin 21 days apart / Aug 15,07 to Sept 15,2007 I'm done with treatment!
#62198 11-28-2007 03:07 PM
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Tony E Offline OP
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By the way, I don't have an adams apple anymore. I went through a Total Laryngectomy. So the area where my adams apple used to be it kind of scarred but getting much better. Does anyone recall anyone saying they had a recurrance in thier chin? I suppose it is possible but I don't know.


46 yr old-SCC TVC 9/06. Surgery - Radiation X30 - Last Tx Nov 29, 06 - never got voice back - Total Larygnectomy Jun 5,07/ X30 IMRT started Aug 9,07 - 2 Tx Cisplatin 21 days apart / Aug 15,07 to Sept 15,2007 I'm done with treatment!
#62199 11-28-2007 06:20 PM
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Tony -- Even though you did not have neck dissection, the effects of treatment are profound. Just the radiation causes anatomic changes on CT that a radiologist has to be very, very experienced with to recognize. Even then, everyone is different, so they often use the first PET simply as a baseline, and go from there afterwards. Lots of threads here on false positive PET scans.

My first PET showed a couple of lymph nodes, and both my surgeon and RO said not to worry. I am having it redone on Tuesday, but am not really concerned, as my neck has not changed a bit in terms of lumps and bumps, and I would have expected to have started seeing something had these been truly malignant nodes. Maybe not, but it makes me feel better. ;-) Take care.


Jeff
SCC Right BOT Dx 3/28/2007
T2N2a M0G1,Stage IVa
Bilateral Neck Dissection 4/11/2007
39 x IMRT, 8 x Cisplatin Ended 7/11/07
Complete response to treatment so far!!
#62200 11-30-2007 08:09 AM
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My mom's lymphedema therapist massaged her dissection area on Wed, she has more mobility now. FYI, it was a bit uncomfortable for her, and the therapist was very gentle.

Donna


Donna
CG to Mom, dx 4/25/07 with tongue cancer,T3N0,tx began 7/6/07, 31 tx's of IMRT, 8 cycles of Erbitux. Brachytherapy, surgery, left neck dissection and temp trach placed all on 9/17/07, trach removed 10/17/07. ORN of jaw, late effect of radiation symptoms. **lost my beautiful mother on 5/5/11.
#62201 11-30-2007 02:10 PM
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I peroiodically got neck massages at work (oncologist didn't think i needed them to prevent a turkey neck, but I could tell there was swelling). It felt good and I wanted to do whatever I could to help my recovery. After 7 months from treatment the therapist say she really couldn't tell the right side from the left. I can still tell there is a difference, but I've now switched to shoulder massages (for me).


SCC, right tonsil, T1N0MO, G3, HPV-33 positive, 7 wks IMRT 2/21/07-4/13/07, 48 year old female when diagnosed, non-smoker, weekend wine drinker, tumor and both tonsils removed. Ethyol for 3 weeks; no peg; only minimal longterm side effects
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