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#186265 10-28-2014 09:36 PM
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"OCF Canuck"
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"OCF Canuck"
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Hi everyone
Hope everyone is doing well. It's been awhile since I have posted because my husband has been doing really good. All through radiation he was strong, still helping around the house, going to social events and dealing well with the radiation. He has been so strong and I am so proud of him. His radiation finished July 16 and we both went back to work Sept 22.
He was recovering well and enjoying being at work and not at home. About 3 weeks ago he started getting severe headaches. Prior to radiation he was using the dynasplint and had made great strides. He increased his mouth opening cold start from 15 to 25 in just 1 month. During radiation it was too painful to use and the saliva and the trismus was making it hard to use. He started using it again Sept 3. He was religious but we did not see any gains. But yet we were hopeful. Then the pain set in and prevented the use totally.
Now he feels the scar tissue in his cheek hardening. He is feeling similar symptoms as he did during radiation and the headaches are debilitating.
He is still working. We ant to emergency a few weeks ago and they did 2 ct scans and found nothing. But told him he was having migraines. Just wondering if any of you can shed a light on this.

We have a lymphodema clinic here and we have been there many times for physio and hey do nothing other then tell him to do exercise. We have an appointment with them again this Friday where we hope they will do some therapy on his jaw.

Sorry to rant. But a few issues scar tissue back with a vengeance, migraines and trismus getting worse.
Hopefully some of you may be able to help me out.
Wishing everyone well and thanking each of you for the support you provide c
Thanks.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
Joined: Apr 2014
Posts: 236
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Cantbelieve

The side effects from Radiation last a long time. For what I understand it can actually last for years. After my mother finished her RAD treatments she also suffered and still suffers with headaches . It was so bad that I was beginning to think that the cancer could possibly be spreading to the brain but that was not the case. A prescription of Fioricet which is for headaches helped a lot.

Good Luck
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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I know radiation side effects come in different forms at different times. The lymph node area in my neck that was radiated has gotten more stiff over time and tightens up and will have a spasm now and then. I bend and stretch my neck many times during the day and that helps alot.

Not sure about migraines as that is something I've not had. As far as helping with mouth opening issues, why not just try popsicle sticks. It seems so much more practical and easier to use. Just add a few to get the right thickness, add another as you can tolerate. Cut and tape together to make a nice compact device.

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
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Cantbelieve, ranting is good. This cancer is a horrible rollercoaster and you need to grab hold of something solid like this forum from time to time:) Have you called the RO or ENT about the headaches and other side effects or are you like me waiting faithfully for the next appointment? I wonder if headaches can result from jaw pain. Trismus exercises can give me a strong pain in my jaw, albeit briefly.

I had a buccal mucosa cancer operated on in February too. I didn't suffer too much from the radiation, probably because it wasn't directed at the back of my mouth and throat. The long lasting side effects are still there though, the trismus, tooth problems, a hardening of the radiated tissues.

I hope others have more light to shed and if migraines become a regular problem there are some great meds for them out there now.

Best wishes


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.
Joined: Mar 2014
Posts: 286
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Rant away! Plenty of understanding ears here. Take heart, I was diagnosed in February, and I'm not back at work yet. Recovery takes a very long time, its always frustratingly slow. I hope one of the surgery patients can shed light on the headaches.


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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So we did another CT scan and we got the results last Thursday. ENT said it wasnt cancer but it was fluid in the jaw. Nothing to worry about. The ENT took out the fluid and sent the fluid for a biopsy just in case. He also booked us for an appt yesterday to see the other surgeon who operated on him for a second opinion. Well they found that the biopsy came back with suspicious cells for squamish cell carcinoma and they need another larger sample to be sure. I am so worried. The docs said that if its back so soon after an agressive dose of radiation and they say they got it in surgery as well, then this may be a very agressive form of cancer and could be terminal. I am so worried. I cant go through all of this again. Any advise? Have any of you went through something like this.


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
Joined: Jan 2013
Posts: 1,291
Likes: 1
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I'm very sorry to hear the outcome of the last tests. There are many here who have experienced first hand the shock of recurrence. If radiation was not done the first time that is maybe an option this time. Having more options is always good.

Just like the first time nobody wants to go through it but you did and you made it. Just try to focus one day at a time. Look down and watch each foot with the boots on taking one step at a time. You can make it. When it gets overwhelming you need to get your list of a few things to concentrate on. Each day will come and go and you will get through this journey.


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: Sep 2014
Posts: 87
Likes: 2
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Sorry to hear about the potentially bad news. I know it is not easy to just turn off your mind and not worry. However, there is nothing you or your husband can do about it now - you've already done your part going back to Foothills (I'm assuming). You have a great team of doctors, nurses and support folks working to determine what's up, and take the next steps if further action is necessary. I hope the results of this next sample come back soon so you don't have to worry much longer.


Dx 2014Jan29 (42 yr old otherwise fit nonsmoker)
SCC tongue stage III T3N0M0
subtotal glossectomy, partial neck dissection, RFFF, trach, NG tube 2014Feb25 16 days in hospital
RAD 25 zaps 2014May5-2014Jun9
Back to work, paddling & hiking shortly afterwards
Joined: Apr 2014
Posts: 236
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Posts: 236
Cantbelieve

I'm sorry to see there may be a recurrence. My mother had only 35 radiation treatments after her first surgery. There was no Chemo ordered. In three months after her RAD treatments a CT scan was ordered yes it showed positive. Well the doctor ordered a MRI to get a clearer picture and it also showed the cancer was back. How ever the doctor couldn't feel any new lumps or anything. The doctor didn't want to believe it himself. So my mom was sent for a biopsy in the spot that was showing. Well yes the cancer was back. This spot was rite below her chin on left side. So back to "Emergency" surgery she went . The doctor took out what he could but closed her up. While the surgeon and Pathologist had my mothers face opened he discovered there were many many cancer cells all in the Cheek of her face. It was to much to remove.
Im new to this also but my understanding is it wasn't tumors all over it was cancer cells . But I guess it would form tumors in time. The Radiation treatment was a very aggressive treatment also. My mother actually went for radiation twice a day on the last two weeks of treatment. We are so shocked and in disbelief that this happened.

As of now my mother has been ordered Chemo Treatments and we are praying it helps. But in the mean time my mother is suffering with horrible headaches . She is on Fioricet which is a prescription headache medication. It helps a lot. Her headaches are so severe that I'm going to insist it being looked into. My mother said please don't even mention it because she don't even want to know. That's how upset she is I guess.

But Please look into this quickly. Your husband may need to start Chemo to slow down any spread.

Best wishes
Heidi

Last edited by sweetpe1; 11-13-2014 03:42 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


Joined: Feb 2014
Posts: 24
"OCF Canuck"
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"OCF Canuck"
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Posts: 24
So the second biopsy showed the same thing suspicious squamous cells. The surgern is very worried and he wants to do a PET scan.
I have bunch of questions ... Can radiation be done again to site where radiation has been done.
Can things look like Squamous cells but not be squamous cells.
The biopsy wasnt diffinitive ... like the first one when we first find out he had cancer ... it came back for sure with cancer. This is so vague ... not sure what to think.
any advise would help


Caregiver to Husband
Hubby Age 43
Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014
T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes
Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site.
37 nodes removed. 3 at level 1 malignant.
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