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#182425 06-13-2014 09:34 PM
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I was wondering why my mother had to take two Radiation treatments a day. I asked the RO and he said in the Pathologist Report the Margins were questionable . Could that mean all the cancer was not removed during surgery ? One of her main complaints from the beginning was ear pain and recently her ear has started to hurt again. Maybe the pain is from the Rad I'm not sure but its starting to worry me and my mother.

Last edited by sweetpe1; 06-13-2014 09:42 PM.

Sweetpe
Caregiver
RE:My Mother
Age 70
Non Smoker
SCC 3/4/2014 Left rear jaw
Mandiblctmy 3/25/2014
35RAD Completed on 06/03/2014
MRI 9/3/2014
25mm lobulated recurrence left mandible/floor of mouth carcinoma
9/23/14 Salvage Surgery
MET(s)
9/23/14 Salvage Surgery Not Successful
Chemo Recommended
1st Round of Cisplatin Chemo Started 10/20/14
Cisplatin stopped 11/20/14. Side affects to bad.
Chemo started again 1/22/15 Carbo/Docetaxel
Passed Away April 22,2015


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Hi Sweetpe, yes if the report says questionable margins it means that there may be some residual cancer cells that were not removed by the surgery.
I would talk to your radiation Oncologist about the ear pain. This could well be due to the radiation but you should mention it. Also so that he can give your Mum adequate pain relief.
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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2 a day or 1 a day, they still deliver the same appx amount of radiation. Some RO's differ in their delivery techniques.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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The application of rads is a complex technique, well planned and timed. It is not unusual to have two rads in a day, in my case it was timed around the availability of the machines on public holidays. The rads have to be 7 hours apart (I think it was 7, near enough).

Ask the docs about the ear pain, also does your Mother have any tinnitus? Report that to the docs too, as with any other new symptoms or changes.


Cheers, Dave (OzMojo)
19Feb2014 Diagnosed T2N2bM0 P16+ve SCC Tonsil.
31Mar2014 2 Cisplatin, 70gy over 7 weeks (completed 16May2014)
11August2014 PET/CT clear.
17July2019 5 years NED.

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