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#15182 04-15-2004 09:27 PM
Joined: Nov 2002
Posts: 3,552
Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

Joined: Nov 2002
Posts: 3,552
Hi Marjorie,
I moved your post to a new topic so people could find you easier

Marjorie
Member
Member # 1248

posted April 15, 2004 08:11 PM
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I don't know if I'm happy or sad that I found this website. My mother who will be 85 in Sept. was just diagnosed yesterday with cancer of the tongue. Everything went so fast, we were at the oral surgeon at 9:00 am and he gave the diagnosis, a rush appointment at the ENT the same day and he got us an appointment the next morning at University of Penn with the ENT Oncologist. He explained to us that it is very curable and she is scheduled for surgery on the 13th of May. He said at Univ. of Penn Hospital they do not use radiation, that surgery is the preferred method of treatment, but that radiation may be used after surgery if cancer is found in the lymph nodes of the neck. She is frail, weighs 114 and cannot really afford to lose any weight. I am trying to fatten her up prior to her surgery but I have read some real horror stories here. I am new to some of the words, like Peg, and will have to learn what it is. Please pray for her and for us to make the right treatment decisions. Thank you all.
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Posts: 1 | From: New Jersey | Registered: Apr 2004 | IP: Logged


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
#15183 04-15-2004 10:26 PM
Joined: Nov 2002
Posts: 3,552
Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

Joined: Nov 2002
Posts: 3,552
Hi Marjorie,
and welcome to the forum. In the long run you'll be glad you found us because we can help take some of the mystery out of this.

The first thing to do is take a deep breath. Remember that many of the stories here are based on the worst case scenario and your mothers experience may be far easier.

It is vital that someone accompany your mother to all of the appointments and take good notes. You are discovering, like the rest of us, that treatment decisions must be made rather quickly.

Among first things you will need to know are the staging and type of cancer. This will be the basis for her treatment decisions.

The PEG is a stomach feeding tube. Typically not a big deal. There is much information on this elswhere on the site. Some of us didn't need one. It is important that you meet with the nutritionist and discuss your options there also.

It sounds very promising that they stated the cancer is "very curable". There have been others here recently with older parents who have gone through this and they will be responding to you also.

Is she being treated at Abramson Cancer Center or a network hospital?


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
#15184 04-16-2004 04:58 AM
Joined: Apr 2004
Posts: 26
Contributing Member (25+ posts)
Contributing Member (25+ posts)

Joined: Apr 2004
Posts: 26
Hello Gary,

Thank you so much for your help. As I said, I'm in the beginning stage of this ordeal. She is scheduled for surgery at University of Pennsylvania Hospital and her Dr. Gregory Weinstein is quite reknowned there. I guess I have not asked enough questions, such as what stage is her cancer. She had no other side effects with the exception of a small sore on left side of her tongue. An MRI is scheduled for soft tissue of her neck with GAD and we must take films to her pre-op visit on 5/5. I will have to do more searching and learn a lot more before this visit as I have many questions. Other than this, she has always been in excellent health and she is quite optomistic about the surgery. I will be searching this site so that I am armed with questions and answers prior to her surgery. Again, thanks for your concern.

#15185 04-16-2004 06:06 AM
Joined: Nov 2002
Posts: 3,552
Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

Joined: Nov 2002
Posts: 3,552
It sounds like an early stage and a single treatment modality is often recommended for that.
Ask for a copy of the MRI radiologist report as well but remember that it is a small part of the diagnostic information so don't try to read too much into it. We are here to help you.

It's great that she is optomistic and has a positive outlook - that really helps a lot.


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
#15186 04-16-2004 06:25 AM
Joined: May 2002
Posts: 2,152
Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

Joined: May 2002
Posts: 2,152
Hi Marjorie,

If it makes you feel any better, I have been being treated at the same hospital since my first surgery and they have managed to keep me alive. Read my signature at the bottom of this to see what and how long ago that was. Also as my surgeon told me, 'remember surgeons think like surgery'.

Well all be praying for her on the 13th.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
#15187 04-16-2004 06:58 AM
Joined: Mar 2004
Posts: 164
Gold Member (100+ posts)
Gold Member (100+ posts)

Joined: Mar 2004
Posts: 164
Has the surgeon told you how much of the tonuge they are likely to take? If it's more than 30% I'd look into a reconstruction of the tongue called a free flap, usually from the forearm. This helps with problems like aspirating and speaking. I hope that it's not that extensive, but sometimes the surgeon doesn't know how much he'll take until the margins come back clear of cancer. I wonder why they are waiting so long to get her in? Is that the fastest date they could schedule?

Lynn


Stage 3, N0, M0 oral tongue cancer survivor, 85-90% of tongue removed, neck disection, left tonsil removed, chemo/radiation treatments, surgery 11/03, raditation ended 1/04, lung mets discovered 4/04,
#15188 04-16-2004 09:21 AM
Joined: Dec 2003
Posts: 2,606
Likes: 2
Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

Joined: Dec 2003
Posts: 2,606
Likes: 2
Marjorie,

I am sorry to hear of your mother's diagnosis. You are beginning a journey of learning and you have come to an excellent place to begin your education process. As you know more feel free to post for others in similar circumstances can help you understand much of what is going on now or in the future.

Ed


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
#15189 04-16-2004 09:32 AM
Joined: Sep 2003
Posts: 1,244
Patient Advocate (1000+ posts)
Patient Advocate (1000+ posts)

Joined: Sep 2003
Posts: 1,244
Hi Marjorie
Don't forget we are all here for you both.. If it gets tough.. We will always be here... Don't forget that... What ever it takes we will support you both...
Love and Hugs
Helen


SCC Base of tongue, (TISN0M0) laser surgery, 10/01 and 05/03 no clear margins. Radial free flap graft to tonsil pillar, partial glossectomy, left neck dissection 08/04
#15190 04-17-2004 03:41 AM
Joined: Apr 2004
Posts: 1
Member
Member

Joined: Apr 2004
Posts: 1
Hi Everyone,
My name is Carol and I am Marjorie's sister. She told me about this website and it has been most helpful. I live about 1200 miles from my sister and Mom and am anxious and sad that I'm not there right now. Hopefully things will turn out well for us.
Thanks,
Carol

#15191 04-17-2004 05:15 AM
Joined: Sep 2003
Posts: 1,244
Patient Advocate (1000+ posts)
Patient Advocate (1000+ posts)

Joined: Sep 2003
Posts: 1,244
Hi Carol
Please as I posted to your sister.. share anything you cannot deal with.. we will all do our best to support you... ask questions.. keep posting it's the best way to get the information you need right now..
Love and Hugs
Helen


SCC Base of tongue, (TISN0M0) laser surgery, 10/01 and 05/03 no clear margins. Radial free flap graft to tonsil pillar, partial glossectomy, left neck dissection 08/04
#15192 04-29-2004 08:21 AM
Joined: Apr 2004
Posts: 1
Member
Member

Joined: Apr 2004
Posts: 1
Dear Marjorie,
Since March 10th, my mother (age 67) has undergone 3 surgeries with Dr. Weinstein (floor of mouth resection, partial laryngectomy, modified neck dissection). He is an excellent surgeon and you couldn't ask for a better hospital. Rest assured, you are in the right place!

We were a little skeeved about her PEG tube at first, but now realize that she is getting all the nutrition she needs to get well. The tube was inserted during the first surgery. It took over 4 weeks for the incision to heal and it still leeks a little. Better she had the tube placed when she was relatively healthy as opposed to having it inserted when she became malnourished.

Mother also had tracheostomy to ensure that she could breathe adequately after the surgeries. We are still really skeeved about the trach tube. It needs to be suctioned out quite often. However, it is only temporary until the swelling in her neck goes down.

Coincidentally, we have an appointment on 5/5 with GSW. I would be happy to discuss our experience with cancer, Dr. Weinstein and HUP in detail if you like. I found that sharing experiences with others helps a great deal. This is my first post so I


Daughter of mother with oral and laryngeal cancer
#15193 04-29-2004 11:32 AM
Joined: Mar 2002
Posts: 4,918
Likes: 71
OCF Founder
Patient Advocate (old timer, 2000 posts)
OCF Founder
Patient Advocate (old timer, 2000 posts)

Joined: Mar 2002
Posts: 4,918
Likes: 71
CCUFF......you can private message the person that you wish to talk to and there is no way anyone at OCF or elsewhere can access whatever you send. Click on the second little icon of the people shaking hands to do this. You could also ask the person you wish to talk to to private message you their email address and speak to them that way. OCF is considering putting the email links to everyone back up on the board (A fourth litlle icon that we took off). We took them off line when we thought that they might easily be acessed by spam companies, but many people have contacted me that they want them turned back on. We had not had a problem before, we were just trying to be safe and protect the posters.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
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