| | Joined: Oct 2014 Posts: 6 Member | OP  Member
Joined: Oct 2014 Posts: 6 | Thank you very much for the advice.
I wish it is not cancer. I want it to be biopsied but i am afraid. I afraid of the expenses, the physical and emotional pain, and also afraid for my family. I dont want my younger brother and sister to stop studying especially now that they are studying in a private school.
Also, i have shown this lesion to the dentist and she said that it was not a canker sore. I have searched that there is what they call brush biopsy, is that really accurate? | | | | | Joined: Jun 2007 Posts: 10,507 Likes: 6 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 6 | Its best to get a regular incisional biopsy. Often a brush biopsy will be inconclusive and the patient will still require the regular type anyway. Why waste time and more money by having to go thru it twice.
There is no price on a persons life. Try your best not to worry about things out of your control. Im sure your siblings would want you to take care of this situation. Its nice you are concerned about them but you must take care of your own health.
Bite the bullet and get a biopsy. Then get whatever it is taken care of right away. If it would turn out to be oral cancer, this can be a fast moving disease. By delaying it only gives it time to grow. Please help yourself by speaking up and advocating to get the biopsy.
ChristineSCC 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  | | | | | Joined: Jan 2013 Posts: 1,291 Likes: 1 Patient Advocate (1000+ posts) | | Patient Advocate (1000+ posts)
Joined: Jan 2013 Posts: 1,291 Likes: 1 | Hi Ren,
Your situation is complicated for certain and the opinions are very different if you are looking out from that culture or looking in.
Your mother is a doctor and she agreed something was not normal and listened to your concern and had you visit one, maybe more, ENT specialists who determined it was something other than cancer.
The only way to be sure is by taking a biopsy that is a standard and proven save procedure. This procedure is not expensive even in the Philippines so please stress that at least to get this test. Your mother can be convinced this is a harmless procedure and it will make you much less stress and worried.
If nothing is possible anymore with your family, then just make sure your family really sees the condition and if it changes over time then be very firm to get them to agree is is not going away and getting worse or changing. Hopefully that helps get you that biopsy.
You can not worry about "what if" as this is just a big wall you put in front of you before knowing. I know there are major issues with medical care in the Philippines and most do not understand how such a large country can have such a broken down system.
Get the test and it will likely be something else. If it is cancer, you and your family can decide what to do then. Just don't think that now. I know you love your family and want them to stay in school but you do have to know they love you dearly and would delay school to get you treatment if that is what it comes to. Keep trying, Don
Don Male, 57 - Great health except C Dec '12 DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes 1 tooth out Jan '13 2nd tooth out Tumor Board -induction TPF (3 cycles), seq CRT 4-6/2013 CRT 70gr 2x35, weekly carbo150 ended 5/29,6/4 All the details, join at http://beatdown.cognacom.com | | | | | Joined: Oct 2014 Posts: 6 Member | | OP Member
Joined: Oct 2014 Posts: 6 | Thank you very much for the advice. I teared up a little hehe
Is the biopsy painful? Will the doctors put you to sleep? My father was biopsied two years ago for prostate cancer, and he was put into sleep. Fortunately, the results was just BPH.
In my situation, the lymph nodes came out first. Will they get the biopsy sample on the lymph node or on the sore?
| | | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | | "OCF Canuck" Patient Advocate (old timer, 2000 posts)
Joined: Dec 2010 Posts: 5,260 Likes: 3 | No.l. They will freeze your mouth snip a bit of tissue and send you on you way. Go have it done, it will ease your mind.
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: Jan 2013 Posts: 1,291 Likes: 1 Patient Advocate (1000+ posts) | | Patient Advocate (1000+ posts)
Joined: Jan 2013 Posts: 1,291 Likes: 1 | Biopsy on a lymph node is often done via a Fine Needle Aspiration (FNA). It is simple as the doctor takes a needle and pokes into the neck node and extracts a bit of the material. It is fast and hardly hurts and you are awake and done in a few minutes.
I did have a biopsy where I was put under sleep but that was because they went through my mouth to extract sample far inside my throat.
In your case it seems the biopsy should be pretty straightforward.
Good luck
Don Male, 57 - Great health except C Dec '12 DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes 1 tooth out Jan '13 2nd tooth out Tumor Board -induction TPF (3 cycles), seq CRT 4-6/2013 CRT 70gr 2x35, weekly carbo150 ended 5/29,6/4 All the details, join at http://beatdown.cognacom.com | | | | | Joined: Jul 2012 Posts: 3,267 Likes: 1 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Jul 2012 Posts: 3,267 Likes: 1 | Also, with an FNAB, I had all mine, about 10, under ultrasound guidance done by a pathologist, not an ENT, who looks at the sample right then and there. Sometimes they may tell you the results, but is always sent out for in-house for further pathology and confirmation. All mine were 100% correct, either good or bad. Mainly bad  but at least there was no monkeying around fishing or need for a surgical biopsy. 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
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