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#193683 - 01/04/17 02:09 AM Husband had 11/9/16 hemiglossectomy, now rads
wheeliegal79 Offline
Member

Registered: 09/25/16
Posts: 8
Hi all, just wanted to give an update on my husband and see if anyone has feedback or suggestions as he makes his way through this journey. He had his right hemiglossectomy with neck dissection on 11/9/16. It was a pretty large tumor, I believe the dimensions were 5x4x2 cm. He was hospitalized for 13 days, and was swallowing and eating pureed foods by the time he came home. He has a g-tube in his stomach for medications, water and tube feeding (IsoSource 1.5 cal formula). Currently eating pretty much whatever is comfortable. I track his intake on MyFitness Pal and supplement with tube feeding when necessary.

44 lymph nodes were removed, 4 were malignant. None of them had extra capsular extension, so he did not need traditional chemo. He would have been a candidate for Cetuximab but unfortunately he developed pulmonary embolisms from his forearm donor site a few weeks after surgery, and could not safely receive the treatment as a result.

Today was Day 6 of his 30 TomoTherapy sessions. It's going ok so far, but we both know the side effects will worsen. He's doing a good job with oral care (baking soda/salt water rinse every few hours and Peridex twice daily, plus brushing with a soft child's toothbrush) - no mouth sores yet. We're using a combination of Aquaphor and alcohol free aloe vera gel on the right side of his neck for skincare. February 7th should be his last session.

He'll see his surgeon for follow up within 12 weeks after radiation. He may have a debulking procedure depending on how the flap is looking.

That's about all for now, I appreciate all of the support and information from everyone in this group!!! I was lucky enough to find my way here a few days after his diagnosis. Wishing everyone a Happy New Year!
_________________________
09/23/2016 39 year old husband dx w/SCC BOT, HPV negative, keratinizing, T4A N2B M0.
11/09/2016 Right hemiglossectomy w/neck dissection. 44 lymph nodes removed, 4 malignant. No extra capsular extension, no chemo.
11/15/2016 Received g-tube.
11/23/2016 Dx w/pulmonary embolisms both lungs.
12/27/2016 Started 30 rads (TomoTherapy). No Cetuximab due to PE's.

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#193688 - 01/04/17 12:29 PM Re: Husband had 11/9/16 hemiglossectomy, now rads [Re: wheeliegal79]
ChristineB Offline
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)

Registered: 06/23/07
Posts: 9396
Loc: PA
Ask his doc if he can safely use a waterpik on its lowest setting. It may help tremendously with his dental care. Best wishes with your husbands continued treatments.
_________________________
Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07, no caregiver
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 extended hospital stay, ICU & burn unit
PICC line w/ IV antibiotics 8 mo
10/4/10, 2/14/11 reconst surg
OC 3 times in 3 years
very happy to be alive smile

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#193702 - 01/06/17 06:01 PM Re: Husband had 11/9/16 hemiglossectomy, now rads [Re: wheeliegal79]
bjmpittsburgh Offline
Supporting Member (50+ posts)

Registered: 09/12/16
Posts: 54
Wheeliegal -

If your husband is still able to swallow food, even pureed, then he is doing great at this stage. Keep an eye out for any aspiration as he progresses through his treatments. His ability to swallow may become compromised as the soft tissue damage from the radiation increases.

Good Luck
_________________________
1997 SCC Tumor on tongue - Partial Glossectomy
1997 Met to Lymph
Radical Neck Dissection / 2nd Partial Glossectomy
6 weeks chemo and radiation
Brachytherapy
2011 Stroke
2014 Recurrence SCC at Base of Tongue / Hemi-glossectomy
Free Flap reconstruction from thigh
PEG Tube inserted
6 weeks radiation
Trisimus
Pump Feed
Permanent Issues with speech and swallowing


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