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Alpaca #176289 01-09-2014 01:25 PM
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Hi again. All go now: dental x-ray today and CT scan on Monday. Seems to be a lot of confusion about what I have to drink or not drink for the scan. Latest is to go and have a blood test but don't have to pick up the gloop before Monday. Hmmmm. There's something disconcerting about the preparation, maybe because I haven't seen an actual doctor to talk about the process and diagnosis since the biopsy on 11 December. I'm very good at taking a core of genuinely motivated anxiety and making it bigger with vague probably unfounded worries and imaginings. Very hard to get understanding support from those who have not ridden the cancer roller coaster so I'm glad I can express myself here.


1996, ovarian cancer surgery + cisplatin and taxol.
September, 2007, SCC of left lateral tongue. Excision.
October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT.
February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
Alpaca #176352 01-10-2014 11:57 PM
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Hello. At least thing are moving along. I trust the CT scan appointment came with a printed sheet of what to expect, what to do etc.?? You know, getting another appointment to see the doc to get this moving would have delayed things happening. So don't worry. They know you and are doing what is best.
I hope someone will accompany you to the multidisciplinary meeting on Friday. Both for an extra pair of ears and to support and comfort you. There's always lunch out afterwards.
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!
Alpaca #176357 01-11-2014 05:06 AM
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Maybe it's a CT scan with contrast (iV infusion) to better highlight areas. I can't have it due to my kidneys, so I always have a non contrast CT scan. Some places, give you some barium swallow flavored drink too, to highlight the gastrointestinal area, which I had for an abdominal CT, and with my full body PET/CT scans. They always have eating, drinking restrictions before so e scans, usually nothing after midnight, so is best to find out before since they can send you home, especially with PET/CT scans.

Good luck.


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






Alpaca #176376 01-11-2014 10:15 AM
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Thank you, people. The instructions for the CT came in the post at the 11th hour - no fluid to drink after all but a blood test was needed for kidneys.
My son is coming with me to the multidisciplinary panel ... a friend offered but I thought that it would be an educational experience for my son as well as family support for me. I remember finding it quite overwhelming before but you learn quite a lot and its reassuring that medical professionals work together in this manner. When I had ovarian cancer that didn't seem to happen and there was some conflict between different hospitals involved.


1996, ovarian cancer surgery + cisplatin and taxol.
September, 2007, SCC of left lateral tongue. Excision.
October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT.
February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
Alpaca #176388 01-11-2014 04:42 PM
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Good luck... I hope their solution is quick ans does what it's supposed to.. Hugs


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
Alpaca #176549 01-15-2014 03:06 PM
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Hello. Just want to say I'm thinking of you and that I hope all goes well tomorrow at the tumour board meeting. Such a daunting morning I have found the two times we have been.
What a good idea to take your Son. It will give him a much better understanding of what this all involves for you. I'm sure the experience will enable him to support you well through this.
Give our regards to Rajan if you are talking to him.
I will look for your next post with the treatment plan. Take care,
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!
Alpaca #176597 01-16-2014 10:19 PM
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Alpaca Offline OP
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Just got back from Auckland City where I had the tumour board meeting and pre-admission. Unfortunately it is going to be bigger than I expected: wide local excision of left buccal mucosa plus marginal mandibulectomy and left selective neck dissection. (Some "shiny" nodes showed up in CT scan.) I'll have some teeth removed and a forearm free flap to cover the area. I might not need a trache but it's a big possibility. Six to seven hour operation.

Six to eight weeks later they'll give me radiotherapy to prevent cancers reappearing (new primaries) on that side.

I'm disappointed, but have been very assertive about my post-surgical needs. I know I'm luckier than many oral cancer patients but I'm getting old now and I've always been a tempestuous patient ...

Maureenxxx


1996, ovarian cancer surgery + cisplatin and taxol.
September, 2007, SCC of left lateral tongue. Excision.
October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT.
February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
Alpaca #176640 01-17-2014 09:01 PM
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Posts: 1,024
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Hi Maureen, yes when we dont expect it they can shock us with the size of the surgery required to cure. I think what gets us through is that they still consider it curable. That's really great news.
So I see you have a month to eat up large. The time will go fast. I guess you will spend a few weeks in the hospital, then I hope your son will take you back to his house for a while until you are able to cope alone. I hope the surgeons gave you both a good explanation of the surgery and recovery and it's expectations. I'm sure your son will be there for you through this next phase. Thinking of you,
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!
Alpaca #176645 01-17-2014 11:42 PM
Joined: Aug 2007
Posts: 1,301
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I am so sorry that you are again going through surgery Maureen.
Hopefully the 4 week wait is not too stressful for you but you know how to keep busy.
Your nowhere near old and I am wondering what a tempestuous patient gets up to?
Keep us posted on how you are going.
Love and hugs,
Gabriele


History Leukoplakia bx 8/2006 SCC floor mouth T3N0M0- Verrucous Carcinoma.
14 hour 0p SCC-Right ND/excision/marginal mandibulectomy 9/2006, 4 teeth removed, flap from wrist, trach-ng 6 days- no chemo/rad.
6 ops and debulking (flap/tongue join) + bx's 2006-2012.
bx Jan 2012 Hyperkeratosis-Epithelial Dysplasia
24cm GIST tumour removed 8/2013. Indefinite Oral Chemo.

1/31/16 passed away peacefully surrounded by family

Alpaca #176654 01-18-2014 06:41 AM
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Administrator, Director of Patient Support Services
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Maureen, Im very sorry the surgery is more involved than originally suspected. Make sure you tell your docs to give you a possey muir valve trach if you need one so you can talk with it. Wishing you all the best with everything!


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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