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Joined: Oct 2011
Posts: 805
KP5 Offline
"Above & Beyond" Member (500+ posts)
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"Above & Beyond" Member (500+ posts)

Joined: Oct 2011
Posts: 805
Hi Nancy,
So sorry you and your husband have become a member of our family. That's exactly what we are here, a family of fighters. We are here to support each other no matter what phase we are in.
You have gotten lots of good advice. I know it's hard to hear all the different opinions. I do agree with David regarding the surgery. Kevin had several nodes involved, testing positive for scc, but they didn't do any surgery other than to remove the primary BOT tumor. The MO felt it would weaken his immune system too much. Kevin pushed for surgery, but they refused and after the first round of induction chemo, you can see what we had from our signature at the bottom, the nodes shrunk down to the point you couldn't even feel them any more. We did one more round of induction chemo, then IMRT (x 60) and Erbitux. They wanted to do Carboplatin with the Erbitux but Kevin said no. Hopefully that won't bite us in the butt later.
Good to get the second opinion. The Erbitux has it's share of side effects as well.
Please keep in touch every step of the way. You are not alone.
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: May 2013
Posts: 63
"OCF Kiwi Down Under"
Supporting Member (50+ posts)
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"OCF Kiwi Down Under"
Supporting Member (50+ posts)

Joined: May 2013
Posts: 63
Welcome Nancy,
sorry you had to join our forum. As a new member myself I can say that everyone on here is amazing and so helpful. I had a neck dissection too as there was 1 highly suspicious node and 1-2 other rounded nodes. I ended up with 9 involves nodes out of 67 which means there was 6 in there that they really didn't know would be a problem until hey were removed so I wouldn't say the neck surgery was a waste of time. At least you've got peace of mind that its all clear there now.
Best of luck for your next appointment.
Cheers, Mel.


39yr old female, DX BOT SCC Stage IVA (T1N2bM0) HPV+
28 May 13 - Pharangoscopy & tongue biopsy
29 May 13 - BOT Surgery & right ND (lvls 2-5)
31 May 13 - Hemorrhage, emergency trach, critical care
BOT clr mgns, 9/67 nodes & extracapsular extension
Finished chemo (cisplatin) & 30 rads
Joined: Jun 2013
Posts: 15
ragz4u Offline OP
Member
OP Offline
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Joined: Jun 2013
Posts: 15
Today we meet with the Oncologist to discuss his opinion on adding chemo to the radiation. Have myself armed with tons of questions and information that I have gathered. They want to use Erbitux once a week. Husband is at his dentist right now getting a deep cleaning on one side of his mouth and returns Monday for the other side. He has begun Flouride (sp?) already.
Thank goodness he has great dental health right now. I am so consumed, angry and frightened that I find it very difficult to function. I do what has to me done, try and smile but the tears keep flowing. And we have only just begun this journey.
I will try and figure out how to do a signature at the bottom of my posts, but I do not have all of the proper diagnosis info at hand. We have not been given a formal sheet of paper with that information, just what our ENT has told us verbally.

Thanks for reading andf all of you support.

Nancy


Wife, caregiver
Diagnosed 5-7-13
SCC right tonsil HPV+
No node or tissue involvement
Surgery 5-20-13 removed both tonsils, neck dissection
Pathology Clear of cancer, no other involvement
tumor right at 4cm, so was staged T3N0M0
Treatments suggested both radiation and chemo
Have not begun that journey
Joined: Dec 2003
Posts: 2,606
Likes: 2
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Dec 2003
Posts: 2,606
Likes: 2
Good luck with the appointment Nancy. Don't be too hard on yourself, there is nothing easy about this and many of us went through this before the appointment with oncologists. You already have a good advantage.

Keep good notes and if you can't get it all, stop them and ask questions. No questions implies you have none. Keep copies of things if you want to document at home later. I can tell you are organized and will settle into all of this fine.

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
Joined: Jun 2013
Posts: 15
ragz4u Offline OP
Member
OP Offline
Member

Joined: Jun 2013
Posts: 15
Thanks Ed! Just tried my best to add my signature. Looks pretty lame, but gets the info out there! I will always question because that is who I am. I never just accept things as they are and I always am seeking more. However, I realize at some point my husband and I will need to make that all important decision on treatment and begin that journey.

Nancy


Wife, caregiver
Diagnosed 5-7-13
SCC right tonsil HPV+
No node or tissue involvement
Surgery 5-20-13 removed both tonsils, neck dissection
Pathology Clear of cancer, no other involvement
tumor right at 4cm, so was staged T3N0M0
Treatments suggested both radiation and chemo
Have not begun that journey
Joined: Dec 2012
Posts: 14
Member
Offline
Member

Joined: Dec 2012
Posts: 14
I just wanted to respond to the note that asked why the neck dissection when the rad/chemo would do the trick. We had the same question to our ENT.. after the surgery, and she said that she was sticking to the tried and true methods. I then had a conversation with another mom at my son's athletic event.. she works at a nearby biotech firm (ya know here in silicon valley/sf).. and mentioned that they are also working with new methods of treatment that would reduce/eliminate radical surgeries. Be sure to ask your dr if they are familiar with the new practices!


Joanna - caregiver (spouse) Init bio 11/12, gloss/neck dis 12/12, rad/cisplatin - 6 wks 2/13

"The most important thing is to keep the most important thing, the most important thing."
Joined: Jun 2013
Posts: 15
ragz4u Offline OP
Member
OP Offline
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Joined: Jun 2013
Posts: 15
I had already asked that question of our Surgeon and he does not believe in just radiating and chemo. He told us to go to MD Anderson if we did not want the surgery, but that he felt there was more risk of a reoccurance if we just did rad and chemo. He believes in removing the cancer and then aggressively following with tratments appropriate for each case. Our meeting with the oncologist went very well. He said with surgery and radiation we would have about a 75% suvival rate and if we add the Erbitux, it goes up to 90%. He has had nothing but excellent results combining both. The radiologist is Monday and our second opinion next Thursday at Siteman. Whew! Took lots of notes and asked tons of questions. Husband walked out and already scheduled the trial session for Ebitrux for the 25th. We can always cancel. If it is well tolerated then he will have 1 1/2 hours of it once a week along with the radiation. Husband is ready to go and I still want some answers! God love him!

Nancy


Wife, caregiver
Diagnosed 5-7-13
SCC right tonsil HPV+
No node or tissue involvement
Surgery 5-20-13 removed both tonsils, neck dissection
Pathology Clear of cancer, no other involvement
tumor right at 4cm, so was staged T3N0M0
Treatments suggested both radiation and chemo
Have not begun that journey
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