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#161521 02-12-2013 06:43 AM
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AnaD Offline OP
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From the wealth of experience in here, I'm curious, what's the longest you've seen a mouth sore hang on after treatment? During treatment, Vince was fortunate to be able to keep the mouth sores under control using a combination of washes; hydrogen peroxide/water, caphasol, mugard & pink stuff. He finished Aug 31 and has recovered amazingly well since, back to work in Oct, already logged 2 int'l business trips. The only real residual issues he's having are the dreaded dry mouth, some swallowing issues (headed to U of C today for a swallow study) and a mouth sore on the side of his tongue that will not heal. We're not worried about it being something bad, the docs have had several good looks at it, but he's wondering when he can expect it might heal. Any thoughts?


wife/caregiver to Vince, dx 4/12 Stage IV BOT HPV+ SCC, poorly diff.; T4N2cMo; U of C; Clinical trial, Everolimus; 6 wks ind. chemo (Cetuximab, Cisplatin & Taxol), 50 x IMRT, 75 gy chemorad w/5FU, Hydrea & Taxol; 5 years out, thankfully still NED
AnaD #161525 02-12-2013 06:52 AM
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Ana, it can take a couple months for all the mouth sores to heal completely. If this one sore still hasnt healed then he may need some help with it. I wouldnt rule out a biopsy just to ease your concerns. It probably is nothing but you want to be certain so it should be biopsied. When I had a problem area, I was referred to wound specialists who are experts in getting things that wont heal to mend. I would suggest asking the docs to send your husband to the wound specialists to see what they can do to help with the last stubborn sore.


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
AnaD #161528 02-12-2013 07:01 AM
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AnaD Offline OP
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Thanks Christine, I hadn't thought of a wound specialist. He's 6 months post tx now, we just didn't know how long we can reasonably expect his radiated tissue to take to heal. We're going to see both the Rad Onc and the ENT today for what the Rad Onc lovingly calls a "relatively well baby visit", will mention your suggestion.


wife/caregiver to Vince, dx 4/12 Stage IV BOT HPV+ SCC, poorly diff.; T4N2cMo; U of C; Clinical trial, Everolimus; 6 wks ind. chemo (Cetuximab, Cisplatin & Taxol), 50 x IMRT, 75 gy chemorad w/5FU, Hydrea & Taxol; 5 years out, thankfully still NED
AnaD #161532 02-12-2013 09:09 AM
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In addition to wound management, blood tests to see if there are any deficiencies in delaying healing or sign of infection. I had a combination, including scraping the tongue on a jaggered tooth, which was biopsied as a precaution, eating sharp textured foods. Hydrogen peroxide can dry the mouth. If used, rinse the mouth with water afterwards. Good luck with everything.


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






AnaD #161535 02-12-2013 09:58 AM
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Ana, please check back in and let us know how your husband made out today. I would like to hear what the doc says about a sore hanging on for 6 months after radiation. To me it sounds like a long time and it needs some help to heal.

Good luck!!!


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
AnaD #161540 02-12-2013 10:29 AM
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I had one for 8 weeks and it drove me around the bend!!!! It was on my old tongue -
It was caused by irritation to the area. I think initially it been there for a while even before I discovered it. I think it was a hang around from rads to be honest where it was exposed to the incoming rads "beam" but over time and not being treated and continuous irritation it became painful so I noticed it.

Anyway of course I had a meltdown first. Had my SO's fellow look at it. He kinda blew me off saying it looked like I'd bitten it (not! it could rub on my teeth but impossible to bite that area). Anyway I went to my back up ENT and he said it looked like a very small canker (it was deep though) So he prescribed Oracort, and told me if it doesn't go away in a few weeks come back he'd do a biopsy.

I picked up the prescription a few days later, then started using it according to the directions (once a day at bedtime) It seemed to be healing but very slowly. So I changed my plan. Cleaned and rinsed my mouth after every meal (acidic foods etc... irritated it more) then I applied the oracort, it dries the area and forms a barrier. After a few weeks of this it was almost completely gone. Now it's fine. There was an area next to it more lateral on my tongue that was always sensitive. I had them file two molars in that area that were rubbing on my tongue (they rounded out any sharpened edges) and it healed as well. Since then things have been fine.

My tongue was reconstructed and sometimes swells it's already a little too big for my mouth with the flap, so when it swells it can really get irritated when I am eating and rubbing on it all the time.


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
AnaD #161542 02-12-2013 10:36 AM
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AnaD Offline OP
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thank you Cheryl. They have mentioned the biting thing, V says that's not it. I'm glad I mentioned this to y'all, will make me more proactive during the visit today. And your timing is perfect, I'm waiting for him to get out of swallow study, then it's Rad Onc followed by ENT.


wife/caregiver to Vince, dx 4/12 Stage IV BOT HPV+ SCC, poorly diff.; T4N2cMo; U of C; Clinical trial, Everolimus; 6 wks ind. chemo (Cetuximab, Cisplatin & Taxol), 50 x IMRT, 75 gy chemorad w/5FU, Hydrea & Taxol; 5 years out, thankfully still NED
AnaD #161559 02-12-2013 08:05 PM
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"OCF Canuck"
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Good luck!


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
AnaD #161560 02-12-2013 08:28 PM
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AnaD Offline OP
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V had his swallow study today and saw the speech path, Rad Onc & ENT. Swallow study revealed a rigidity in the flap that closes over his windpipe, explaining some swallowing issues he's been having. They prescribed some more exercises and some PT.

Re: spot on his tongue. Both Rad Onc & ENT had a good look at it. Apparently, it's more of a thin spot than a sore, no open canker. It also appears to be rubbing on a tooth. They expect it will improve, just will take time. They prescribed Salagen to help with saliva production. He'll take it and see if it helps without creating bad side affects. (i.e. lots of sweat). That's it in a nutshell. Thank you for the advice today.


wife/caregiver to Vince, dx 4/12 Stage IV BOT HPV+ SCC, poorly diff.; T4N2cMo; U of C; Clinical trial, Everolimus; 6 wks ind. chemo (Cetuximab, Cisplatin & Taxol), 50 x IMRT, 75 gy chemorad w/5FU, Hydrea & Taxol; 5 years out, thankfully still NED
AnaD #161574 02-13-2013 09:52 AM
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"OCF Canuck"
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Do your hubby a favor and consider having the tooth filed a bit it works wonders!!!;o) so glad things are good!!!! YEAH!


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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