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Joined: Feb 2013
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Posts: 78
If I remember correctly 4.5 isn't a terribly high suv right? Thats a good thing as well


Andrew
age 25

early 10/12 - enlarged lymph node area
01/13 SCC of L tonsil, L BOT, 2 L lymph nodes
stage IVa, T2N2bM0, HPV+

2/13 2 doses cisplatin big bag, 2 doses weekly cisplatin + 35x IMRT
4/13 TX finished
7/13 PET/CT - NED!
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PaulB Offline OP
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Anything above 2.0 SUV uptake is suspicious for cancer. Not sure about size=uptake value, but may as they may take in more glucose due their size. PET's are so sensitive. I heard them being able to detect up to 5mm, while a CT, MRI it may be 1cm, and that's why I would rather have a PET/CT, a Sonogram is better than all three in the cervical neck, and had similar size detected before by PET that wound up being cancerous with uptake of 2.3, 2.5. I just hope the pathologist can get a sample, and doubt it's a nodule, but I have several other pathologists I dealt with elsewhere. I'm never short of doctors lol.


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






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PaulB Offline OP
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FNAB scheduled on Aug 29th. Follow-up with the ENT on Septebcer 12th. Had to cancel my RO and MO appt next week to reschedule after the 29th.


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: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
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Posts: 1,024
Oh Paul, bugger.
More waiting.
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!
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PaulB Offline OP
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Waiting is the worst! My radiation oncologist follow-up is September 9th. I have to see how I'm goi g to sneek out my report, being this place is unfamiliar territory. I'll just ask or go to medical records.


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: Jun 2007
Posts: 10,507
Likes: 6
Administrator, Director of Patient Support Services
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Im very sorry the report came back with some suspicions. Hoping it turns out to be just some scar tissue.


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
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PaulB Offline OP
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Thanks, Christine.


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: Dec 2010
Posts: 5,260
Likes: 3
"OCF Canuck"
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"OCF Canuck"
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Joined: Dec 2010
Posts: 5,260
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Hopefully it's an unhappy scar? Healing area? Hugs and hope its nothing. You deserve that at this point.


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: Jul 2012
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PaulB Offline OP
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Thanks. Hopefully it's one of the lesser scenarios, scar tissue, inflammation, necrotic tissue. Had a lot done to this area, plus alloderm to protect the carotid, and that was removed, so who knows, but it wasn't there in February, at least not picked up. I do have a tooth/gum infection, which I'm taking antibiotics for, and had swelled up my neck last week, but is a concern being I had cancer in level III, three times.


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: Jul 2012
Posts: 3,267
Likes: 1
PaulB Offline OP
Patient Advocate (old timer, 2000 posts)
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Joined: Jul 2012
Posts: 3,267
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Well, I had my biopsy on August 29th. Was told prior with a sonogram, and always had with ultrasound? Find out they are both the same, but technically different, which I'm not going to try and figure out. After the pathologist took the sample, I think there were two nodes, she said my doctor will have the results the next day. I was usually told something on the spot from my prior 6 FNAB's elsewhere, like it is recurrent cancer, it's the same as before and interesting lol, I asked if it was "interesting?" The Pathologist kind of hesitated, saying she had to look at it further being reconstruction is difficult to tell, and my doctor will have the report the next day, which was Friday. Being a holiday weekend, I didn't inquire by telephone, not that I was told to do that, until Tuesday. The administrate aide said the nurse has to give me that info, and would call me back. No one called back after a reminder several hours later, so I made a trip to the hospital yesterday, Wednesday, and met with the Physician Assistant, who said all the results are not back yet from further testing, my ENT was not in, and hopefully when I see my radiation oncologist on Monday, the 9th, they will release the test results to him instead of me waiting until Thursday the 12th when I follow-up with the ENT, and will have some treatment plan in place, corrected herself, probably after my eyes popped open lol, and said or maybe it's not needed.

Before that I ran into the SLP and exchanged greetings, and asked me what I was there for? I said to pick up some biopsy test results, and she asked me if the doctor looked at then yet, and said I didn't know. She then said they are not going to give them to you like that, and hand you a piece of paper to figure out, but said I have no problem with that and can handle it.

I really like getting the results back before seeing the doctor for piece of mind, know what direction I'm going in, and if needed, able to ask the right questions, with a little research. So now I have to wait until Monday for the surprise results. Waiting is the worst.


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






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