| Joined: Jan 2015 Posts: 18 Member | OP Member Joined: Jan 2015 Posts: 18 | I am a survivor of base of the tongue cancer diagnosed and treated in 2002. I had chemo, radiation and a radical neck. My wife monitored this site for me and we gained a lot of helpful knowledge. Once through with my treatment, we fell away because I was doing well. I am back because I am now aspirating and had a bout with pneumonia. I am told I need a permanent feeding tube as my swallowing techniques are no longer viable. I am told that this is the result of the long term radiation effects. I would like any input from old timers like me.
Johnnie Stage 4 cancer survivor 2002 RND IMRT Chemo
| | | | Joined: Jan 2015 Posts: 37 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Jan 2015 Posts: 37 | Welcome back, Johnnie. As you know, this site is full of some very helpful and wonderful people with much knowledge and experience to share. While I can't offer any advice on a permanent feeding tube, I would certainly recommend that you get a second and possibly even a third opinion before you commit to what one doctor has told you. The more experienced people around here will also probably tell you to get at least one of those opinions from a CCC (Comprehensive Cancer Center).
I'm sure others can offer more specific advice relating to your issues. Best wishes and best of luck to you.
Andrew 4x survivor 1998 - SCC of larynx ...laryngectomy, tracheotomy, radiation, caries, HBO, teeth extr, TEP 2002 - lung cancer, wedge resection 2014 - SCC of BOT, pharynx, oropharynx, HPV-, stage IV, T2N0MX, invasive, poorly differentiated ...chemo (carboplatin, taxol), dc'd due to neuropathy 2015 - SCC of palate ...Feb-April IMRT (46 x 70 Gy) ...Jan 2015 - May 2016 cetuximab 500 mg q week x 55wks 2016 - metastases to mediastinum, lungs, spleen, pancreas ...Aug-? pembrolizumab q 3 wks
| | | | 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 | Hello again Im sorry you have returned due to having post rad issues. Aspiration pneumonia is common with OC radiated patients. It sounds like you have already been thru the testing. Just checking to make sure you have had a swallow test and consulted with a speech pathologist as well as a nutritionist? If not those are the avenues I would advise you to take. Ive seen some OC patients who have lost their ability to swallow and been forced to become dependent on a permanent feeding tube. In time, they have been very successful living a quality life even with the tube. Best wishes! 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: Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Dec 2003 Posts: 2,606 Likes: 2 | Johnnie, I am sorry to hear you are having swallowing issues. Depending on where you live, there are several swallowing boot camps that have popped up since your treatment plus some interesting options. Good luck.
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
| | |
Forums23 Topics18,168 Posts196,924 Members13,103 | Most Online458 Jan 16th, 2020 | | | |