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#186147 10-22-2014 09:24 PM
Joined: Apr 2014
Posts: 236
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My mother seemed to be doing well with the Chemo"Cisplatin+5-FU" until the end of day 2 .The nausea seems to be kicking in pretty good and she is complaining of her Jaw feeling like it is locking up. She can hardly open her mouth to eat. She says its very painful. Has anyone had this type of side effect from Chemo.

She was admitted into the hospital to take a 5 day drip then off for 3 weeks before starting round 2.

Thanks
Heidi


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


sweetpe1 #186152 10-23-2014 06:11 AM
Joined: Dec 2003
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I had the same chemo hit never experienced jaw pain or locking up. I would guess it's part of the healing process from surgery but I would make sure the doctors are aware.


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
sweetpe1 #186154 10-23-2014 07:06 AM
Joined: Jul 2012
Posts: 3,267
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Could also be Mucocistis, infection, other oral changes from chemo. Chemo has just about the same side effects as radiation does. Mine were worse than radiation with high dose Taxotere, Cisplatin, and 5-FU starting after completing one week of TPF Induction chemo, which eventually required the hospital burn unit to debride the inside of my mouth, face, hands. 5-FU is also known to cause hand and foot syndrome, so watch that too. Whatever ailment it is always tell the oncologist.

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






sweetpe1 #186158 10-23-2014 08:29 AM
Joined: Apr 2014
Posts: 236
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Joined: Apr 2014
Posts: 236
As of last night the Oncologist stopped the Chemo drip and is going to start it back up this morning on a slower drip. I hope my mother can get through this.

Thanks
Heidi


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


sweetpe1 #186159 10-23-2014 08:54 AM
Joined: Jul 2012
Posts: 3,267
Likes: 1
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Jul 2012
Posts: 3,267
Likes: 1
That's good. Toxicities can be effected by the type of chemo, the amount given, frequency and speed of infusion. Hope that helps.


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






sweetpe1 #186164 10-23-2014 11:10 AM
Joined: Jan 2013
Posts: 1,291
Likes: 1
Patient Advocate (1000+ posts)
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Patient Advocate (1000+ posts)

Joined: Jan 2013
Posts: 1,291
Likes: 1
The nausea is very common when getting chemo. Maybe since she has had quite a bit of surgery in these areas, the chemo might be triggering some nerves or muscles in ways not normally experienced. Please keep us updated if lowering the 5FU helps. 5FU is on the harsh end of the toxicity scale so maybe not too surprising it is causing issues.


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
sweetpe1 #186177 10-23-2014 05:57 PM
Joined: Apr 2014
Posts: 236
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Joined: Apr 2014
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Tonight the Oncologist is starting the treatment up again and on a slower drip . This is bag No.3 . He decided to give her 4 bags instead of 5 because of her tolerance. Her jaw seems to be feeling better but I hope I doesn't start up again I guess we will see and at least we will know if it was a side effect from the treatment.

Thanks for the support
And Good Luck To All.
Heidi


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


sweetpe1 #186183 10-24-2014 01:53 AM
Joined: Nov 2009
Posts: 644
Likes: 1
"OCF Down Under, Kiwi"
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Thinking of you and your mother. Best wishes, Heidi.


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.
sweetpe1 #186226 10-25-2014 09:29 PM
Joined: Apr 2014
Posts: 236
Gold Member (200+ posts)
OP Offline
Gold Member (200+ posts)

Joined: Apr 2014
Posts: 236
Well my mother completed the 4 bags of Cisplatin +5FU and was release from the hospital today. After the MO slowed the drip down it seemed she tolerated it better. She is still pretty nauseated but Zofran seems to be helping some. She is having some pain in her neck and face so Norco has become her best friend lately.
She will see the MO in 2 weeks to be set up for a repeat Chemo round 2.

Praying it helps
Heidi


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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