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Joined: Feb 2007
Posts: 61
Supporting Member (50+ posts)
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Supporting Member (50+ posts)

Joined: Feb 2007
Posts: 61
Around 4 years after radiation my ENT had a baseline ultrasound done on my carotid artery. The results should nothing significant. Then at 6 years, he pronounced me cured and set me free from his care. I'm now at 9 years post treatment. The only doctor monitoring me is my super dentist (prosthodontist), and endocrinologist (growing thyroid nodules). I'm going to call the ENT's office and ask, but I'm curious if others have had follow-up ultrasounds on their carotid artery, and at what intervals.


SCC, right tonsil, T1N0MO, G3, HPV-33 positive, 7 wks IMRT 2/21/07-4/13/07, 48 year old female when diagnosed, non-smoker, weekend wine drinker, tumor and both tonsils removed. Ethyol for 3 weeks; no peg; only minimal longterm side effects
Joined: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
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"OCF Kiwi Down Under"
Patient Advocate (1000+ posts)

Joined: Mar 2011
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Kris is 5 years post radiation now. I have asked about getting an ultrasound scan of his Carotids, but was told that he did not meet the criteria. Given that he doesn't have any symptoms, dizziness/fainting, I guess I'm ok with this.
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: Oct 2006
Posts: 383
Platinum Member (300+ posts)
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Joined: Oct 2006
Posts: 383
After my second fight, when I got to five years out my surgeon told me he would now see me just once per year and nothing like that even came up. Of course two and a half years later it all started over again.....


SCC right side BOT/FOM; DX 1-25-06; Neck dissection/25% of tongue removed 2-17-06. Stage 2 Recurrence 7-06: IMRTX35 & 3X Cisplatin ended 10-18-06. Tumor found 03/18/13; Partial Glossectomy 03/28/13 left lateral tongue. Nov. 2014; headaches,lump on left side of throat. Radical Neck Dissection 12-17-14; Tumor into nerves/jugular; Surgery successful, IMRTX30 & 7X Erbotux. Scan 06-03-15; NED! 06-02-16; Mets to left Humerus bone and lesion on lungs-here We go again! Never, Ever Give Up!

**** PASSED AWAY 10/8/16 ****

Joined: Feb 2007
Posts: 61
Supporting Member (50+ posts)
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Supporting Member (50+ posts)

Joined: Feb 2007
Posts: 61
I called the ENT's office, and was told unless I'm having symptoms they don't do anything more. They monitored me for six years, which was one more than usual, and there was no reason to return. I guess the "baseline" is only used as a reference if there are future issues or perhaps to pick up problems that present within the baseline.


SCC, right tonsil, T1N0MO, G3, HPV-33 positive, 7 wks IMRT 2/21/07-4/13/07, 48 year old female when diagnosed, non-smoker, weekend wine drinker, tumor and both tonsils removed. Ethyol for 3 weeks; no peg; only minimal longterm side effects
Joined: Jul 2012
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Patient Advocate (old timer, 2000 posts)
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I had a doppler ultrasound a year ago, upon my request, at my cardiologists office being I only have one side with blood flow since the left internal and external carotid arteries were removed during cancer surgery, which came back with no blockage.

I have read literature that suggests this test maybe should be done yearly, 3 or 5 years after treatment, when stenosis may begin, and risk increases as we age, and the further we are out from radiation, and depending on where you were radiated, amount of radiation, and other risks, and some maybe sooner that are at higher risk for artherosclerosis who smoke, have diabetes, high cholesterol, high blood pressure and such.

That's my brief understanding, and guess it's something to discuss with your health team, but here is the OCF page on Carotid Artery Stenosis that explains it better.

http://www.oralcancerfoundation.org/complications/carotid-artery-stenosis.php

Last edited by PaulB; 05-27-2016 04:08 AM.

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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