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#171536 09-24-2013 08:49 PM
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Katie B Offline OP
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I finished radiation at the end of February and chemo at the end of May. A pet scan in July showed a small something at the original tumor site. The radiation oncologist and ENT recommended either waiting 3 months to scan again, surgery, or more radiation (2-2400 more. I've already had more than 7,000). I'm not convinced that any of these options are good so I go to get a second opinion at MSKCC and upon the review of my pet scan and a physical exam, the radiation oncologist there says she sees no reason to further radiate without further testing. I have a ct scan, an MRI, and a needle biopsy under ct guidance. 3 weeks have gone by and in that time, I found out yesterday that it is a very large tumor at the base of my tongue. He tells me that surgery would involve removing my entire tongue, voice box, and part of my face. He won't do the surgery because there's not even a 5% chance of it working. It seems my only options now are more chemo, radiation, and/or a clinical trial. I meet with the medical oncologist on 9/26 and RO either Friday or early next week.

I started to develop throbbing pain along my tongue which I thought was late onset radiation side effects. The pain started at the end of July and has gotten so bad that I saw a pain management specialist and am on a steady of stream of Percocet and Lyrica. Now we now that the swelling in my neck is not lymphedema or scar tissue from the massive amount of radiation but the damn tumor growing from the size of a quarter to what now feels like an apple.

I just can't believe this. None of us believes this when we get the diagnosis cancer, no matter what stage we're at. But I just can't believe that this bitch just won't go away.

I'm reluctant to say this to anyone but I'm terminal. I have no idea if any chemo will work at this point. I was pretty much told it could keep the tumor at bay but I don't believe it will ever go away.

Why can't the very thought of my almost 5 year old daughter and 6 year old son make this go away? Like, if I hug them enough that will cure me? I'm not stressed. I'm on so much medication I'm floating through the days.

I've been trying to research this on the boards and am not coming up with much, probably because I'm high and unfocussed. Anyone out there have a similar aggressive tumor? What should we ask the doctors?

I'm so sad for my kids, my husband, and my poor mother.


10/2/12 Surgery Dx Stage II SCC RLT
11/12/12 Further tongue resec and SND. 3 of 22 lymph + SCC Stage IVa
11/22/12 Hospitalized for infection incision at neck
12/5/13 PET scan tumor at BOT
12/26/12-2/27/13 RT and Cisplatin
4/1/13-5/17/13 3 rounds of Cisplatin, Taxotere and 5-FU
7/19/13 Pet Scan possible recurrence
8/23/13 2nd op at MSKCC, CT Scan
8/31/13 MRI. Both show sizeable mass
9/11/13 CT-guided needle BX + SCC
10/1/13 Erbitux, Cisplatin and Taxotere
2/14/14 Passed away
Katie B #171541 09-24-2013 09:54 PM
Joined: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
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Katie,
I'm so sad to read this. Please chase a second opinion, especially on the surgical option.
My Kris had his original tumour recur at the BOT. We were told that he needed a total Glossectomy and laryngectomy , removal of the structures in his neck and a bilateral Neck dissection.
While we were shocked, we soon realised that this was the only curative option there was. It is now 19 months since Kris had this awful surgery and he is thriving.
Please, please get a second opinion.
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!
Katie B #171542 09-24-2013 10:06 PM
Joined: Jun 2013
Posts: 262
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Katie, I am so sorry. This is heartbreaking news. As Tamvonk suggests, a 3rd opinion could bring in new options for you. I wish I had more than these words to offer -- you are in my thoughts and prayers, Katie.


53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
Katie B #171547 09-25-2013 03:18 AM
Joined: Jul 2012
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I'm sorry to hear this. One of the things I can think of that may help is Intraoperative Radiation Therapy, IORT, similar to Brachtherapy, which I'm having next month. It's a 4 part process with a resection, radiation during surgery, possibly a flap, and then more Chemoradiation, are some of the ways, and possibly others. They do this even if you had prior radiation. My doctor is in Manhattan, and is one of the best in the country, and so is the Otolaryncolgy Department with patients coming from all over the world to see them. If you want, I can give you the names of the doctors, who are all are from MT. Sinai, MSKCC.


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






Katie B #171548 09-25-2013 03:42 AM
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Katie,

I am really sorry to read this. It just isn't fair nor right! I would also recommend going for a 3rd or even 4th opinion. Over the years, I've been to 4 different surgeons at 4 different hospitals, and ultimately ended up at Johns Hopkins, which is also one of the best H&N centers in the country. Look into clinical trials and other options.

You and your family are in my thoughts and prayers.


Susan

SCC R-Lateral tongue, T1N0M0
Age 47 at Dx, non-smoker, casual drinker, HPV-
Surgery: June 2005
RT: Feb-Apr 2006
HBOT: 45 in 2008; 30 in 2013; 30 in 2022 -> Total 105!
Recurrence/Surgeries: Jan & Apr 2010
Biopsy 2/2011: Moderate dysplasia
Surgery 4/2011: Mild dysplasia
Dental issues: 2013-2022 (ORN)
Katie B #171554 09-25-2013 09:14 AM
Joined: Dec 2010
Posts: 5,260
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Katie - please don't give up - do get a second opinion, and if surgery is required do it. Just because one dr. says he doesn't think it will work doesn't mean another can't do the same surgery with much success. I would save any potential chemo and rads for later if needed. I know the surgery sounds horrible - and debilitating but if it means you can spend the rest of your life watching your children grow up you deserve to try it. As Tammy said her husband is thriving. Hugs, I am so sorry to hear what is going on, and I know I am an eternal optimist but you have so much to live for hon.


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
Katie B #171561 09-25-2013 12:59 PM
Joined: Oct 2011
Posts: 805
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Katie,
There are no words. I'm so glad you are here sharing with us and getting it off your chest. It just freakin' sucks.
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
Katie B #171563 09-25-2013 01:43 PM
Joined: Jun 2007
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Katie, I am so sorry!!! Please try to go for a second opinion as soon as you can. I suggest seeking out one of the CCCs. Johns Hopkins isnt that far, neither is Sloan Kettering and both are top rated CCC's.



PS... It was great meeting you at the walk last weekend. (((HUGS)))


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
Katie B #171565 09-25-2013 02:16 PM
Joined: Oct 2012
Posts: 33
Katie B Offline OP
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I had my second opinion at MSCKK and am now their patient, just to clarify. I was previously treated at the Carol G. Simon Cancer Center at Morristown Hospital in NJ.


10/2/12 Surgery Dx Stage II SCC RLT
11/12/12 Further tongue resec and SND. 3 of 22 lymph + SCC Stage IVa
11/22/12 Hospitalized for infection incision at neck
12/5/13 PET scan tumor at BOT
12/26/12-2/27/13 RT and Cisplatin
4/1/13-5/17/13 3 rounds of Cisplatin, Taxotere and 5-FU
7/19/13 Pet Scan possible recurrence
8/23/13 2nd op at MSKCC, CT Scan
8/31/13 MRI. Both show sizeable mass
9/11/13 CT-guided needle BX + SCC
10/1/13 Erbitux, Cisplatin and Taxotere
2/14/14 Passed away
Katie B #171566 09-25-2013 02:26 PM
Joined: Jun 2008
Posts: 475
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Katie, I am so sorry to hear this news. Please go for as many opinions as you can. Don't give up. It was so great to meet you at the walk this past weekend. Thank you and Team Katie for coming!

Stay strong, and listen to these wise people on this forum.

I am praying for you and your family..

Susan


Susan Lauria - OCF Director of Events - Always looking for volunteers to help spread the word about early detection! Contact me if you can help!

*Brother passed away from tongue cancer in 2006 at age 47, was co-caregiver, he was non-smoker/casual drinker

LETS MAKE ORAL CANCER HISTORY!
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