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#192077 03-23-2016 12:19 PM
Joined: Apr 2016
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I have a question I have had cancer two times, the second time radiation was done. I was told that radiation can be done to the same area only once. I am waiting for a biopsy result, this would be the third time for cancer, if it is back. Is that true radiation to same spot only once? thank you


SCC 2005 floor of mouth and neck disection
SCC 2009 partial rt tongue RAD
PEG 2009
20 HBO treatments following surgery of three teeth and 10 more HBO to follow
2015 Diced food diet due to weak muscles long term effects of radiation
2018 Radiation Fibrosis of the jaw and neck, vocal cord dysfunction
#192097 03-25-2016 03:10 PM
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Multiple doses of radiation to the exact same spot are mostly avoided, though some people have had them done. If you have the radiation map from your previous treatments available, it might even be possible to find pathways to radiate that area and still avoid the same tissues and structures. They are also seeing that with a more targeted approach than even IMRT, Proton beam radiation which is very pin point and less penetrating, that it can have better outcomes if a re radiation has to be done. This is all a difficult decision making place to be, as the documentation of too many grays of radiation to the same area have known negative consequences. Many opt for surgery if it is possible as an alternative, but the places that might be accomplished are limited anatomically.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
#192197 04-07-2016 01:06 PM
Joined: Apr 2016
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Its a negative, but will take a long time for wound to heal thank goodness no Cancer


SCC 2005 floor of mouth and neck disection
SCC 2009 partial rt tongue RAD
PEG 2009
20 HBO treatments following surgery of three teeth and 10 more HBO to follow
2015 Diced food diet due to weak muscles long term effects of radiation
2018 Radiation Fibrosis of the jaw and neck, vocal cord dysfunction
Joined: Dec 2014
Posts: 55
Supporting Member (50+ posts)
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Joined: Dec 2014
Posts: 55
Great news!!!


Jeff - 41yrs old/previous smoker
SCC buccal mucosa/jaw bone Stage 4
Nov '14 Partial Mandibulectomy with fibula flap, neck dissection
Jan '15 Rads x35 Cisplatin x2
Apr '15 PET/CT concerning area Follow up MRI no mass.
July '15 PET/CT 11mm nodule in right lower lobe the lung.
Oct '15 PET/CT right lung nodule 3cm mass also new left lung nodules
Nov '15 erbitux
Mar '16 CT tumors are growing again, waiting on next step
June'16 hospice had 3 Opdivo infusions trying to regain health
Joined: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
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Posts: 1,024
Awesome news.
Tammy


Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!
Joined: Jan 2013
Posts: 1,291
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Patient Advocate (1000+ posts)
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Whew! Love to hear no cancer news.


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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