| Joined: Oct 2011 Posts: 805 "Above & Beyond" Member (500+ posts) | OP "Above & Beyond" Member (500+ posts) Joined: Oct 2011 Posts: 805 | Hi Everyone, I know some of you know we are going through this. Kevin had a spot on his PET that we are looking into. I know all about the false positives, I am just trying to find the patience and peace while we ride out this waiting period. Tomorrow we have an MRI at 10:30. Then we wait to see what they think of that. If they deem necessary, the biopsy will be Wed. So far the new ENT is saying he thinks we will not need a biopsy. He doesn't want to carve up his tongue for no reason. Thus the MRI. I need to find peace if that is the decision that is made. It is not my tongue so I can't make the decision for Kevin. If anyone has had a second biopsy done in the same spot as radiation happened, how bad was it? Was it super invasive and was the recovery long? Maybe answers to those questions will help. The ENT used terms like hacking him up for no reason, and fileting his tongue for no reason. Any input is appreciated. I AM breathing Eric, just want to really make an informed decision. Even though the desision is not mine to make!! Thanks, Kathy
Kathy wife/caregiver to: Kevin age:53 Dx 7/15/11 HPV16+ SCC Stage IV BOT/R Non smoker, casual drinker 7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11 PEG placed 9/1/11 Removed 11/8/11 Clear PET 10/12 and 10/13 and ct in 6/14 | | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Where is the spot? His original tumor was BOT ? Why would they have to hack? A biopsy is just a small sampling and he's not previously had surgery. a biopsy precursor to potentially more invasive surgery - though if they do go in and remove what they see then they may even get clear margins. I haven't had a radiated area biopsied before but anyone who's had salvage surgery might be able to give you a heads up on the healing time, ultimately, you know your stuff, and with his original ct being clear, two months post treatment, and it not having been PET... I would think its likely been there all along and hopefully just healing or scar tissue, or inflammation... Hugs! God luck Tuesday.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 6 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 6 | Sounds like this spot if on his tongue. The ENT certainly has a way with words (NOT!). Anyway, dont panic over this. All too often a PET will light up and inflammation or scar tissue. Its happened to me. Ive found this especially true when its done closely after finishing rads.
Hope its nothing, best wishes!!! ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | Kathy, you are doing just fine my dear friend and I'm proud of you, Kevin is very lucky to have such an astute and caring caregiver!
You are doing everything right, the waiting game sucks and plays horrible tricks emotionally. My advice is to try and keep busy, like arts and crafts (underwater basket weaving is da bomb YO!), exercise, SEX!!! (my favorite!), games (can I get some Canasta up in here!) and whatever you can to get by until the results comeback.
All we can do is take one step at a time. Sometimes those are slow painful steps, and that's why we have each other to lean on for support and advice. Keep on keepin on my dear friend, we are with you and Kevin every step of the way!
Love ya Lady!
Eric
Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
| | | | Joined: Mar 2011 Posts: 1,024 "OCF Kiwi Down Under" Patient Advocate (1000+ posts) | "OCF Kiwi Down Under" Patient Advocate (1000+ posts) Joined: Mar 2011 Posts: 1,024 | Hi Kathy, I know that this is scary. Breathe. Take it one day at a time.
My Kris also had a BOT tumour treated with rads and chemo. At his routine checkup and scope the ENT saw a new ulcer in the same place as his original tumour. Kris then had this new ulcer biopsied under a general anaethetic. This caused him absolutely no problems. No pain, no bleeding. A biopsy only removes a small portion, it does not cut hugely into the tongue or carve it up. It is a simple procedure . Kris also had a CT which showed a small local reoccurence at the same site of the original tumour. This together with the pathology of the biopsy was what was needed to decide the next option for treatment.
As nothing has been seen on Kevins scopes maybe thats why they want to wait until after the MRI. Should this show just healing inflammatory tissue, then a biopsy may not be needed.
All my fingers toes and legs crossed for you both. Hugs to you, Tammy
Caregiver/advocate to Husband Kris age 59@ diagnosis DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT. PET 6/11 clear. R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in. March 2017 - 5 years disease free. Woohoo!
| | | | Joined: Apr 2009 Posts: 329 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Apr 2009 Posts: 329 | Hi Kathy,
The spot on the tongue is biopsied they only take a scrapping. I had that done to see if I had Cancer. There was nothing to it. The tongue is not carved up I don't know what your ENT is thinking saying that.
I only had a PET scan when I was first diagnosed. After surgery I had a CT Scan after 6 months, then once a year with contrast and without contrast from the waist to the head. My CT Scan in Oct. showed I have scar tissue and some inflammation wonder why your ENT didn't do a CT Scan.
My Surgeon told me he doesn't do PET Scans after the first, I never asked why but after reading on here I know why, false positives.
Hope all goes well.
Take care, Connie
SCC. of the left lateral tongue, anterior two thirds, T1 possibly a T2. Left partial glossectomy, left selective neck dissection 4/21/09. Nodes clean, No Rad, No Chemo.
CT Scan 9/11 clean, CT Scan 9/12 clean
Moffitt Cancer Center in Tampa, FL. A+.
My hometown Lockport, NY.
| | | | Joined: Oct 2011 Posts: 805 "Above & Beyond" Member (500+ posts) | OP "Above & Beyond" Member (500+ posts) Joined: Oct 2011 Posts: 805 | This spot is BOT again, but a little more in the middle of his tongue. The first was on the right side. Thank you soooo much for your responses. Will be in touch when we hear something. Love you guys and am so thankful to have this site. Thank you Brian!!
Kathy wife/caregiver to: Kevin age:53 Dx 7/15/11 HPV16+ SCC Stage IV BOT/R Non smoker, casual drinker 7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11 PEG placed 9/1/11 Removed 11/8/11 Clear PET 10/12 and 10/13 and ct in 6/14 | | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | [quote]If anyone has had a second biopsy done in the same spot as radiation happened, how bad was it? Was it super invasive and was the recovery long?[/quote] Short answer: NOPE When my MRI indicated the cancer had come back in the same spot (BOT) that had been radiated the first time, my surgeon insisted on a biopsy before considering salvage surgery. I went into the hospital that morning, strolled out that afternoon, nursed a sore throat for a day and was back to "normal". Good thing too, as those were the last three weeks I would eat or drink, unbeknownst to me. Keeping fingers crossed that Kevin's MRI is good Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Oct 2011 Posts: 805 "Above & Beyond" Member (500+ posts) | OP "Above & Beyond" Member (500+ posts) Joined: Oct 2011 Posts: 805 | Thank you Charm...I think. ;o) MRI is done. Waiting for the phone call. Sigh..... Yes Eric, I'm breathing. ;o)
Kathy wife/caregiver to: Kevin age:53 Dx 7/15/11 HPV16+ SCC Stage IV BOT/R Non smoker, casual drinker 7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11 PEG placed 9/1/11 Removed 11/8/11 Clear PET 10/12 and 10/13 and ct in 6/14 | | | | Joined: Oct 2011 Posts: 805 "Above & Beyond" Member (500+ posts) | OP "Above & Beyond" Member (500+ posts) Joined: Oct 2011 Posts: 805 | Inflammation!!!!! Not doing a biopsy as of now. Will check another MRI in 3 months. Phew!!!
Kathy wife/caregiver to: Kevin age:53 Dx 7/15/11 HPV16+ SCC Stage IV BOT/R Non smoker, casual drinker 7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11 PEG placed 9/1/11 Removed 11/8/11 Clear PET 10/12 and 10/13 and ct in 6/14 | | |
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