Head and Neck - T4N1 Buccal Mucosa Squamous Cell - 11-07-2012 02:00 PM
Hello everyone,
My dad was diagnosed with a lesion in his right cheek in October 2011, biopsy for which reported non malignant. Based on doctor's suggestion he still was put through a surgery to remove the additional mass in his cheek. During the surgery they removed six teeths from his upper jaw and cut the section of disease with clear margins and closed it with a skin graft which came from his thigh. He recovered with a side effect of very less mouth opening and was doing good until June 2012 when we again noticed swelling on his face. Did a CT scan and found it to have extended to the right side neck lymph node and moving towars maxillary sinus with bone erosion and higher ITF involvement. The onco surgeon was not convinced for a surgery and hence he was put through NACT with Cisplatin and Docetaxal which resulted in grade 4 toxicity. After this the doc decided on a CT+RT treatment. Dad attended 7 sittings with Erbutix and 28 days of IGRT. Side effects to be reported severe mucositis with almost nil mouth opening and feed through ryle's tube. He was then admitted for 6 days for supportive care to overcome mucositis. He's back home but we again notice hardness and swelling at the place of tumour but the swelling keeps on increasing and decreasing. The doc says it's because of radiation and should improve with time and has suggested a CT scan after 4 weeks. Since there's no appropriate reply from doctor and we all are anxious to know, can someone advice if swelling is a common part of healing after radiation and has someone seen a similar case?
Any reply is awaited.
Thanks
My dad was diagnosed with a lesion in his right cheek in October 2011, biopsy for which reported non malignant. Based on doctor's suggestion he still was put through a surgery to remove the additional mass in his cheek. During the surgery they removed six teeths from his upper jaw and cut the section of disease with clear margins and closed it with a skin graft which came from his thigh. He recovered with a side effect of very less mouth opening and was doing good until June 2012 when we again noticed swelling on his face. Did a CT scan and found it to have extended to the right side neck lymph node and moving towars maxillary sinus with bone erosion and higher ITF involvement. The onco surgeon was not convinced for a surgery and hence he was put through NACT with Cisplatin and Docetaxal which resulted in grade 4 toxicity. After this the doc decided on a CT+RT treatment. Dad attended 7 sittings with Erbutix and 28 days of IGRT. Side effects to be reported severe mucositis with almost nil mouth opening and feed through ryle's tube. He was then admitted for 6 days for supportive care to overcome mucositis. He's back home but we again notice hardness and swelling at the place of tumour but the swelling keeps on increasing and decreasing. The doc says it's because of radiation and should improve with time and has suggested a CT scan after 4 weeks. Since there's no appropriate reply from doctor and we all are anxious to know, can someone advice if swelling is a common part of healing after radiation and has someone seen a similar case?
Any reply is awaited.
Thanks