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#126458 12-18-2010 07:20 PM
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Well, in 07 I went to my doctor for a lump under my tongue on the left side. She said it was a blocked salivary gland, no tests were run. About 2 years later and many emails to her about this blocked salivary gland that hadn't gone away, I went to the ER hoping for tests, I neither liked nor trusted my PCP.He concurred with her and said blocked salivary gland, suck on lemon drops, no tests. A week later went back to my PCP on 9/18/09 she again said blocked salivary, suck on even more lemon drops, still no tests. Changed insurance on 1/1/10, went to my new PCP showed her the lump approx March, it was getting very painful, radiating to my jaw and back molar. ENT referal immediately. The ENT in all his wisdom, kept throwing out options, well we could perform surgery or just wait and see. I told him to perform surgery so on 9/18/11 I had surgrey and was diagnosed with Mucoepidermoid Carcinoma. I have had a major surgery to remove all of my salivary glands, neck dissection removeing 16 nodes with feeding tube. Hospitalized for 10 days. Had a tooth pulled. Am now undergoing 33 rounds of radition with severe side effects, my new surgeon was very upset with the ENT as he left no margins and he had to remove the whole floor of the left side of my mouth and move a muscle over to fill in the hole and use a skin graft from my thigh. I have 18 more rads to go and can't wait to start living my life without cancer. Some days are good others arent', some days I just want to give up but I know that would be stupid. So I keep moving forward take my morphine and try to live through this pain, just like all of you.


43,T1N0M0
Mucoepidermoid Carcinoma Int/high
9/10-1st surgery
10/13/10-2nd surg,UCSF Dr.Eisele rmv tumor,L floor mouth excised, muscle moved under chin,skin graft L thigh to cover. Neck disct 16 nodes
11/29/10-IMRT 30under chin
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Just keep on fighting this stuff anf you will win. Never look back but forward. You never mentioned any biopsies at all. Didn't the ENT take any? When the Drs at Ohio State CCC told me to chew lemon drops, I tried and it just made more pain. Did they give you a pain pill for break thru pain? Morphine didn't do anything so I am on percocet and methadone along with magic mouth wash. Get and keep that upbeat that you are going to win. Laugh when it hurts even tho it is hard to do. I thnik you are a fighter and will win and never even think about giving up. I know whatg it is like and you will have a lot of pain from the rads. I had rads, chemo and rad seed implants. Yep it hurts still but I laugh and go on with what life I can muster with a grin.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
EzJim #126463 12-18-2010 07:56 PM
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Yes I did have a biopsy on the opposite side of were the tumor was. It was clear. I swear it was like dealing with Laural and Hardy at that ENT's office. He told me for months he didn't think it was cancer but that I had something "weird". No kidding. I finally got tired of his B.S. and said just take it out, he was actually shocked when it said cancer. He then referred me to a wonderful doctor at UCSF named Dr. Eisele. Great doctor no B.S. with him. I have magic mouthwash but it's been making me kind of nauseous. It does hurt like hell and food tastes like crap and that really ticks me off!!LOL Just some days are better than others, today's been one of my off days. Take care and Merry Christmas! Shelly


43,T1N0M0
Mucoepidermoid Carcinoma Int/high
9/10-1st surgery
10/13/10-2nd surg,UCSF Dr.Eisele rmv tumor,L floor mouth excised, muscle moved under chin,skin graft L thigh to cover. Neck disct 16 nodes
11/29/10-IMRT 30under chin
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Shelly,

Sorry about your miscue's but I doubt that what you had back in 07 was cancer as this cancer is quite aggressive. That said, was there ever a biopsy to confirm your cancer?

It would be helpful if you provide your timeline details in your Signature Line so that any responder won't have to answer your future posts "in the dark".

Let us know if you want to know what's ahead of you.

No chemo?


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
davidcpa #126489 12-19-2010 09:04 AM
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Welcome to OCF. Towards the end of treatments it does get difficult. I wanted to quit too. Please dont even think about that, its really a bad idea. You have come so far and have a few more, you can do it.

About the magic mouthwash making you nasueous. Are you swalloing it? MM is made to swish in your mouth for maybe 10-20 seconds then spit out. The ingredients can vary, mine was made of lidocaine, malox and benedryl. If nasueous ask your docs of anti-nasuea meds, they work wonders.

If the pain is bad tell your docs. There are stronger pain eds. Alot of us have used the fentayl patch. Its the strongest pain killer and comes in alot of different doses. Its also very simple as it gets changed every 72 hours. So for 3 days you dont have to take meds unless you have occassional break thru pain.

Best of luck with everything. Never give up!!!!


Christine
SCC 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 smile
ChristineB #126497 12-19-2010 10:23 AM
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Get used to no taste or bad taste food Expresso, It will be this way for a long while maybe, but you need the nourishement to keep your body going. You even have to forcefeed when it hurts so bad you want to reach in your mouth and rearrange it. LOL After 3 1/2 years I still get that ungodly burn and bad taste but I am here to at least try. You can do it and get used to it. There are hundreds if not thousands of us that understand what you are feeling. Good luck ..


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
davidcpa #126532 12-19-2010 10:00 PM
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The lump under my tongue was diagnosed as mucoepidermoid carcinoma. The ENT Dr. Ford in all his wisdom decided not to do a biopsy on the tumor but to remove it. It came back cancer, mucoepidermoid carcinoma. According to my surgeon Dr. Eisele, if they had done a biopsy back in 07 I would be in alot better shape than I am now. Also according to my RO Dr. Ally if they had caught back in 07 it might have been low grade and I wouldn't have had radiation. It was definitely mucoepidermoid carcinoma back in 07 there is no question regarding my diagnosis. Just that some doctors are bumbling idiots who shouldn't have a licence to practice medicine. I was told this cancer is very rare and aggressive by my surgeon. After diagnosis I went in for for my 2nd surgery. No Chemo isn't indicated because I have no metatasis. Don't know my complete timeline have to get on that. Happy Holidays, Shelly


43,T1N0M0
Mucoepidermoid Carcinoma Int/high
9/10-1st surgery
10/13/10-2nd surg,UCSF Dr.Eisele rmv tumor,L floor mouth excised, muscle moved under chin,skin graft L thigh to cover. Neck disct 16 nodes
11/29/10-IMRT 30under chin
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Posts: 87
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Hi Shelly,

I am so sorry you are having to go through this. You are right, mucoepidermoid CA is very uncommon. I am assuming yours was high grade by the time they diagnosed it? I had high grade mucoepidermoid CA of the sublingual salivary gland. There aren't a lot of us on the forum with that particular type of CA, but the radiation treatments and side effects are the same for everyone! My RO told me there are about 400 cases of mucoepidermoid CA in the USA per year-- aren't we the lucky ones (LOL!). My understanding from my team at Moffitt CA Center and my RO here is that chemo is not used with this type of cancer as it does not respond to it. Do you still have a feeding tube or was that just for the surgery? As everyone here will tell you, make sure you are getting plenty of fluids and calories and protein! Supplements are great-- protein powder, ensure, boost, carnation.

Where exactly is your pain? I am also going through the radiation. I had treatment number 17 Friday, so we are neck in neck (no pun intended). A week ago I was having severe pain in my mid-neck area with swallowing and ended up in the hospital due to vomiting. While I was there they determined I probably had a yeast esophagitis (even though there was no evidence of yeast infection in the mouth/throat), or at the least a bad esophagitis. They put me on oral diflucan and high doses of prevacid and gave me a magic mouthwash composed of lidocaine and carafate (I am supposed to swish and swallow this one). I'm not sure what did it but within two days I was off the narcotics. I have been fine with ibuprofen since then. Just something you might want to look into if that is where your pain is. Everyone's pain tolerance and response to pain med is different, though. Best of luck to you and many prayers!


Susan
Age 51, married with four kids age 11-18, 9/1/2010, Bx: high grade mucoepidermoid CA left sublingual gland.
10/8/2010, wide excision left floor of mouth, modified radical node dissection left neck.
T1N0M0. IMRT started 11/22.
Never smoked, light social drinker
Also happen to be ICU RN
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Wow Susan you and I are almost identical in diagnosis and treatment. Mine was intermediate to high grade in my submandibular. They removed all the glands but left the parotid. I had treatment number 16 today so yes we are neck and neck. I have been on morphine and magic mouthwash. I develeoped mucositis and was unable to swallow, which is still a challenge. I only had the feeding tube in the hospital. I also have the mouthwash for yeast infection, which I do, and floride treatments daily. My neck and jaw are getting very sore right now and I noticed new sores popping up so tomorrow I have my weekly appt with the RO. My sense of taste is fading in and out. I can't wait for 3 days off coming up! If you want to email me privately please do. I'm so glad to finally meet someone with the same cancer in the same area as me. I'm also on the boards on cancer survivors network, it offers a ton of support also. It was nice of you to message me back. Happy Holidays. Shelly


43,T1N0M0
Mucoepidermoid Carcinoma Int/high
9/10-1st surgery
10/13/10-2nd surg,UCSF Dr.Eisele rmv tumor,L floor mouth excised, muscle moved under chin,skin graft L thigh to cover. Neck disct 16 nodes
11/29/10-IMRT 30under chin
Joined: May 2010
Posts: 224
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sadly i know the feeling of being misdiagnosed. I was told from november 09 to march of 10 that i didn't have cancer, no way it could be cancer cuz i was too young, and it didn't look a thing like cancer. Sure enough when i put my foot down and made them do the biopsy it came back as stage 3. I am in the process of malpractice suit, which i suggest you look into if you are intersted. 3 years is a lot longer then i had to endure, and my lawyer is almost guaranteeing me things from this suit. i am not sure if I am going to go through with it, but my family wants me to.
it's not fair that doctors do this to people, and we are the ones who suffer in the end. If they would have got mine in november when i found it, i may have not had to go through radiation, and may not have had to have the neck dissection, but who really knows.

As for pain, when I was going through radiation, I was in severe pain, until they put me on a fentanyl patch and oxycodone, so if you are still in some pretty bad pain, tell that to your docs, they are supposed to have your pain under control!! I also had to have a peg tube, because 3rd week in i was no longer able to take anything by mouth because of all of the sores. Magic mouth wash and lidocaine did nothing for me.

One thing that worked nicely, if you are developing sores, redness or peeling on ur neck/face area, try using a warm wet wash cloth on the area for like 30 mins, and then take that off and put on some aquaphore!! That worked wonders for my neck and chin. I tore a normal hand towel in half, and would get it nice, warm and wet, and wrap it around my whole neck. I left mine on for almost an hour cuz it felt good. It would take off dead skin, and any scabbing. And then i would smother my neck in aquaphore. I did this probably 3 times a day, maybe more when it was really bad. So maybe give that a try if your skin starts peeling and developing sores.

Wishing you luck with your treatment, and hoping the rest goes as smoothly as possible!!


25/female at diagnosis
Dx;stage 3 SCC tongue 03/25/2010
Surgery 04/13/2010
Trach,ng tube, peg feeding tube
Hemiglossectomy, right side neck dissection, 40 lymph nodes removed. Free-Flap transplant to tongue.
30 rounds IMRT ended July 15,2010
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