Posted By: LilyFoo Second Opinion Before Surgery - 09-21-2014 02:53 AM
Charles is scheduled for surgery approximately 10/23/14. He has been diagnosed with SCC BOT and the cancer has gone into his larynx with mets to lymph nodes. He is scheduled for tongue resection, laryngectomy, forearm radial free flap and leg skin graft.

I have noticed that quite a few folks on this forum have been treated successfully with chemotherapy and targeted therapies but not surgery. We have a provision in our health insurance that will pay for a second opinion. Charles surgeon only uses chemotherapy for palliative care, he does not think it is effective as a curative.

We live in western North Carolina and go to the CCC at Wake Forest Baptist Med Center, rated no. 1 in our state. But would be willing to fly to MD Anderson for a second opinion to avoid surgery. Or any other recommended CCC.

I am sure you will understand where our heads are at. Any thoughts?
Posted By: ChristineB Re: Second Opinion Before Surgery - 09-21-2014 03:02 AM
Lily, unfortunately OC is not cured with chemo alone. Chemo is used to help shrink tumors making surgery less invasive or along with radiation to help boost its effectiveness. Alone, chemo is used for pallitive care to extend length of the patients life when they are considered terminal.

I would definitely advise you to get a second opinion and MD Anderson is one of the best places for it. From what you described, its unlikely your mother will avoid surgery. The cancer sounds like its too invasive for radiation (even with chemo added) to eliminate it completely. However, I am not a medical professional, Ive only witnessed hundreds of patients over the past 7+ years go thru similar issues. This is why I urge you to get the second opinion.

Best wishes with everything!!!
Posted By: sweetpe1 Re: Second Opinion Before Surgery - 09-21-2014 03:24 AM
LillyFoo
I just read your post and we are in the same situation . My mother is scheduled for her second surgery on Tuesday 9/23/14 . My moms cancer has recurred in the floor of her mouth. My mom has completed her radiation treatments after the first surgery in which half her jaw bone was removed. But the cancer came rite back . We really hate to see my mom go through such a brutal surgery again. We are now thinking about calling off the surgery and trying to find out if there is another kind of treatment available somewhere. I live in New Orleans La. and we are now thinking about driving to Texas at MD Anderson. We just don't know which is the way to go at this point. I cant say my moms Surgical Oncologist is not a great doctor. He did a wonderful job on her first surgery . He has informed us that surgery is the only hope at getting rid of this cancer. I am so exhausted mentally that I just don't want to make the wrong decision and the cancer gets worse
Posted By: LilyFoo Re: Second Opinion Before Surgery - 09-21-2014 03:34 AM
Sweetpe,
We are in very similar situations. I am so thankful for this forum. At least we are not alone! But sometimes I feel like my brain is going to explode.
Sheryl
Posted By: sweetpe1 Re: Second Opinion Before Surgery - 09-21-2014 04:01 AM
LillyFoo

We have an appointment Monday morning with the Surgical Oncologist to go over some questions regarding the surgery. I am also going to call MD Anderson to see how long it will take to get an appointment . In my mom condition we don't have much time to spear because she is having a lot of pain and swelling in her neck .
Good luck you and your husband.
Posted By: LilyFoo Re: Second Opinion Before Surgery - 09-22-2014 10:15 PM
Hi Sweetpe, how did your meeting with the Surgical Oncologist go? Praying for it to be clear. Big hugs, sheryl
Posted By: sweetpe1 Re: Second Opinion Before Surgery - 09-23-2014 07:13 AM
LillyFoo
The meeting went well. The doctor answered a lot of questions we had about the surgery. We were told the surgery was the only alternative for getting rid of this cancer. So my mom will be admitted in the hospital at 6am in the morning . We are praying all goes well in removing the cancer from the floor of her mouth.
Posted By: LilyFoo Re: Second Opinion Before Surgery - 09-23-2014 10:53 AM
Sweetpe, we will be praying for the best outcome for your mom today and keep you in our prayers too.
Posted By: sweetpe1 Re: Second Opinion Before Surgery - 09-24-2014 03:56 AM
Surgery did not go well today. As the doctor opened my mom up he said there were no clear margins . The cancer cells were to wide spread so he closed my mom back up. Chemo is the only hope to try and stop the spreading. A few Chemo treatments will be tried to see if my mom responds to it. We are so sad and upset but we will not give up hope.
Posted By: gmcraft Re: Second Opinion Before Surgery - 09-24-2014 03:19 PM
Sorry to hear that, Sweetpe. Let's hope your mom responds to chemo and that she does not have too hard a time with the treatments.
Posted By: Alpaca Re: Second Opinion Before Surgery - 09-25-2014 02:09 AM
That is terrible for your mother. She has been through so much. I really hope the chemo helps.
Posted By: Cheryld Re: Second Opinion Before Surgery - 09-29-2014 01:38 AM
Ditto what alpaca said. Hopefully they'll mix chemos and give her something new. Hugs
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