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[quote=Uptown]So your question is whether anyone else came up with 40+% 3 year survival rate or worse 5 year?

I was given a 23% 5 year survival rate about 11 years ago,based on staging of T2N2bM0.

Maybe a suggestion of losing the chip might help. No one here is out to "get" you. We've all been down a road similar to you, as a patient or caregiver. We have nothing to hide and nobody to trick. I can't speak for anything before you came here, but I can assure you no one here has anything but your best interests at heart. [/quote]

Thank you for the "chip" advice. Nevertheless, I came here and posted a question. Now your belittling my attitude. I will give your comments the attention they deserve.


Last edited by Ron Silver; 09-18-2014 07:18 AM.

Tonsil Stage 4
7 weeks chemo/rad
4 months peg
NED Pet 9/13
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[quote=Maria]Hi, Ron
to add to the confusion, prognosis in a specific case is also impacted by the quality of the institution and the adherence to the treatment protocol by the patient. I *think* I saw a Dana Farber institutional study that indicated either a 3 or 5 year survival in the 60 or 70 percent range for HPV negative oropharyngeal cancer - the research noted that their institutional results were better than others published. So, whose stats are 'better' - the SEER data that looks at a much larger number of patients - but includes those that had treatment at less experienced institutions and broke protocol, or a smaller study at a top-flight institution where, I would imagine, the patients had sufficient medical and counseling support to stay on protocol and the adminstation of the therapy itself was correct? It's not an easy question to answer, and I have taken statistics at a graduate level.
Maria [/quote]

Yes, I seen other facilities make similar claims on their sites. More like advertisements. Sure, the SEER data is what it is. Look at the link I posted in my first post. Very interesting how the author "used" the data. I am also interested in finding any info as to whether in-country Vietnam impacts. Also interesting is I came across something about John Wayne. He did a movie in Nevada at the time of the nuclear testing and an extraordinarily of those involved in the film died of cancer.

Cancer is big business now-overshadowing the prior revenue generator-cardiovascular disease. I expect we will see much bolder "ads" from cancer "centers" trying to draw business.


Tonsil Stage 4
7 weeks chemo/rad
4 months peg
NED Pet 9/13
Joined: Jul 2012
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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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[quote=PaulB]http://www.cancer.org/cancer/oralca...-and-oropharyngeal-cancer-survival-rates [/quote]

Thanks. I saw that too. However it says "For cancers of the oropharynx and tonsil, the relative 5-year survival rate was 66%, but survival by stage is not available." So far the best info I found was in the link in my first post.

Thank you Paul for your responses. I will not post further on this board. Reading over and over again how the SEER stats are meaningless is tedious. But again, thank you for your understanding.


Tonsil Stage 4
7 weeks chemo/rad
4 months peg
NED Pet 9/13
Joined: Nov 2013
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[quote=PaulB]Here is a calculator.

http://lifemath.net/cancer/headneck/outcome/

http://www.cancer.org/cancer/oralca...-and-oropharyngeal-cancer-survival-rates [/quote]

Oh boy. Did the calculator 41%. Better spend my retirement money!! Thanks.


Tonsil Stage 4
7 weeks chemo/rad
4 months peg
NED Pet 9/13
Joined: Jul 2012
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I shopped til I dropped yesterday lol. I just did my info at diagnosis in 2009, but don't have a flash card with iPad to see all the graphs, etc. I probably did more looking into stats, numbers, after the fact. It energizes me beating the odds or whatever. I have this internal fight everyday to keep moving forward.

Breaking Bad Binge this past weekend, if you watch, had a good scene with Walt talking to another patient while waiting for their PET/CT scan. Some good quotes.

"Who's in charge? Me.That's how I live my life."


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
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Likes: 3
"OCF Canuck"
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Stats are a melting pot, however - studies aimed at specific things (exercise while in treatment? Continuing smoking? Drinking?) Those are stats that are worth paying attention to because they are indicators of what you should do to try and help your own situation.


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
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Paul, I have so outlived your calculator that it won't even work for me. smile


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
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Patient Advocate (old timer, 2000 posts)
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Not my calculator. I Never followed it. It's cool though.


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
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

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We haven't had such a lively discussion since the "Peg Wars" which I didn't start lol. This one is called Prognosis Determination Wars! Only joking.

I also think as time moves on a person's thought changes, mine did. and some may not care to discuss as much now, avoid the subject, dismiss, change facts, depending on how far out from treatment they are. Persons with recurrences, up coming anniversaries, scanxiety, have smoking history, other illnesses, even being non HPV related have different thoughts too, making us all different.

Another quote from Breaking Bad:

"To hell with your cancer. I've been living with cancer for the better part of a year. Right from the start, it's a death sentence. That's what they keep telling me. Well, guess what? Every life comes with a death sentence. So every few months I come here for my regular scans knowing full well one of these times, hell, maybe even today, I'm gonna hear some bad news, but until then, Who's in charge? Me. That's how I live my life."

Last edited by PaulB; 09-18-2014 01:49 PM.

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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