| Joined: Dec 2012 Posts: 38 "OCF Down Under" Contributing Member (25+ posts) | OP "OCF Down Under" Contributing Member (25+ posts) Joined: Dec 2012 Posts: 38 | Hi everyone! My initial tongue biopsy (where there is thickening on my tongue) came back negative which is great, well I thought so...... however my ENT is very unreassuring. Brushed the negative result aside very quickly and said he wants to take a bigger biopsy under anasthestic which is happening on Tuesday and have a feel around. . Just wondering if anyone had a negative tongue biopsy only to find out that there was cancer further into their tongue? Im not sure how ppl sleep waiting on results etc as I feel this is when my brain starts ticking over but recently I've slept with one earphone in listening to music this has actually Helped. Oh, Only one earphone as I have three little chickens I need to listen out for otherwise two would be even better!
Female 34. Non smoker, casual drinker Dx July 12 stage 1 scc to left tonsil n0 m0. Hpv + 16 . 7 weeks daily rads finished sept 2012. 3 mth scan - low activity in primary spot hopefly t's just inflam. 2013 Abnormal tissue next base of tongue, came back negative. 5 month scan all clear!!!!! Yayy | | | | Joined: Jul 2012 Posts: 3,267 Likes: 1 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jul 2012 Posts: 3,267 Likes: 1 | It's possible, if not enough tissue sample was taken from the suspicious area or from the wrong area of a lesion during the biopsy, probably done in the office like scalpel, punch biopsy or FNAB. Your doctor is just reserving his opinion until further studies are done under anesthesia, and checking the other structures to be sure or not. Good luck with the biopsy. Try to relax, keep busy until then, which is easier said then done.
10/09 T1N2bM0 Tonsil 11/09 Taxo Cisp 5-FU, 6 Months Hosp 01/11 35 IMRT 70Gy 7 Wks 06/11 30 HBO 08/11 RND PNI 06/12 SND PNI LVI 08/12 RND Pec Flap IORT 12 Gy 10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux 10/13 SND 10/13 TBO/Angiograph 10/13 RND Carotid Remove IORT 10Gy PNI 12/13 25 Protons 50Gy 6 Wks Carbo 11/14 All Teeth Extract 30 HBO 03/15 Sequestromy Buccal Flap ORN 09/16 Mandibulectomy Fib Flap Sternotomy 04/17 Regraft hypergranulation Donor Site 06/17 Heart Attack Stent 02/19 Finally Cancer Free Took 10 yrs
| | | | Joined: May 2006 Posts: 720 Likes: 1 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2006 Posts: 720 Likes: 1 | That happened with my husband. His first biopsy, by an oral surgeon, took only a tiny area of a leukoplakia (white patch) on his tongue, and the path report came back showing moderate dysplasia -- abnormal, but not cancer. The path report did warn about a possible "skip effect," meaning that there could be cancer in areas that were not biopsied -- so perhaps the pathologist saw something that raised a red flag but couldn't be stated definitively as cancer.
When my husband had the whole thing removed by an ENT a month later, that path report came back squamous cell carcinoma in situ (earliest stage).
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.
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | This is exactly what happened to me - twice. For me anyay, it appears the cancer is not found until they do a full larger sized biopsy under anesthetic. Both of my dx in 2004 and 2007 were not caught until that was done.
Keep pressing to get the CORRECT answer. Early detection is the key to curing this. Good luck with upcoming biopsy. It will be difficult to wait for the results - try to keep busy and keep your mind on other things - live in the moment. Once the results are back you will not even remember the waiting period, but at that moment it is a huge challenge. Keep posting - we are here for you.
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Jan 2013 Posts: 1,291 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2013 Posts: 1,291 Likes: 1 | Hi Sheila!
You are blessed to have an ENT who is looking out for you. I just spoke to someone who had their initial biopsy show up negative. A second one showed inconclusive; however, persistent ENT had a more thorough biopsy done and bingo, yes it was cancer there.
Even though the thought of recurrence is there, much better to be on top of it as early as can be diagnosed and treated.
good luck don
Don Male, 57 - Great health except C Dec '12 DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes 1 tooth out Jan '13 2nd tooth out Tumor Board -induction TPF (3 cycles), seq CRT 4-6/2013 CRT 70gr 2x35, weekly carbo150 ended 5/29,6/4 All the details, join at http://beatdown.cognacom.com | | | | Joined: Oct 2011 Posts: 67 "OCF Canuck" Supporting Member (50+ posts) | "OCF Canuck" Supporting Member (50+ posts) Joined: Oct 2011 Posts: 67 | Hi Sheila - my first biopsy was negative. 3 months later, a second biopsy finally came back positive. By then, the cancer was at a stage 3 or 4. I wish my ENT had been as thorough as yours! It's better to know for sure and get it treated right away if it turns out to be cancer. If it's negative again, then you can take a big sigh of relief. Music is a great idea. I played computer games to keep my mind off of things. Hoping for the best.
Pain late 2009. Dx as change in altitude. Sore spot on tongue late 2010. Dx as irritation. Leukoplakia Bx Feb 2011 - Lichen Planus. Bx May 2011 - Hyperplasia. Same sample retested as SCC. June 2011 Rt Hemigloss,ND,rff,33 Rads. Hosp for 15 days w/bi-lateral pneumonia. T3N1M0 Stage IV. | | | | 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 Shell, actually I think this is fairly common. When Kris had his reoccurrence the ENT did a biopsy straight away in his office. It came back as as dysplasia but he said he needed to do a deeper biopsy under anaesthesia. It came back as SCC. I knew it would. Kris had developed an ulcer on his Base of Tongue. The same area the ENT had been watching since Kris's radiation/chemo had finished. Hope all goes well for you, and you get your results soonest. Keep busy and try not to dwell too much on it. You can not change it. What will be will be. 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: 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 | Ditto to what everyone else said. Unfortunately - however. Your dr sounds really good. Hugs and blessings.
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
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