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#24366 09-25-2007 02:18 PM
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I feel the same as Jerry. I had 3 days of radiation and had to quit because of throat swelling. It was only insurance against future cancers because I was or am cancer free. I had clear margins and nothing in nodes.
Now, I have dental problems and am glad I did not have it. I think God was watching over me in that respect. No one can say for sure, but If you get it, you should have had it and if you don't you did the right thing. We must jsut have
peace with our decisions.
Good luck to you


Partial mandibulectomy and neck dissection 2/3/07. T2NOMO.
Had 14 hour operation which included reconstruction of jaw.
Reconstruction failed. Some radiation, no chemo.
#24367 09-25-2007 07:24 PM
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Robin was staged at T1 N2 M0 great diagnosis we were told.He had 62 nodes removed and 60 of them were clear.The ones that weren't were round his tumour site and removed at surgery to his neck.His upper body scan was clear for mets and he had 35 radiation treatments.

Get the picture Fran? There is no right or wrong with this disease every decision you make will only seem right or wrong in hindsight,thats what makes it so bloody difficult.

In England we dont get these choices to make ,just a treatment plan given at the onset by a multidisciplinary team after lengthy conferences between themselves.I cant say which i think is best,but with the benefit of 20/20 hindsight i wish they had thrown the kitchen sink at Robin despite his early staging.

Liz


Liz in the UK

Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.

Never take your eye off the ball, it may just smack you in the mouth.
#24368 09-26-2007 12:39 AM
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Me too Liz, love you.


Donna
CG to Mom, dx 4/25/07 with tongue cancer,T3N0,tx began 7/6/07, 31 tx's of IMRT, 8 cycles of Erbitux. Brachytherapy, surgery, left neck dissection and temp trach placed all on 9/17/07, trach removed 10/17/07. ORN of jaw, late effect of radiation symptoms. **lost my beautiful mother on 5/5/11.
#24369 09-26-2007 03:08 AM
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It's too bad there isn't also some magic way to determine who will or will not have a recurrence. (and how to prevent them for sure!) To Jerry's comments - I agree, if I don't have a recurrence then I know I did the right thing about not having radiation. However, if I do have a recurrence, who knows if it would have happened anyway even WITH R/T? Unfortunately we've seen our own members who have had recurrences after R/T.

Luanee - I have posted before about the clinical trial I am involved in - here's a link to a good explanation of the trial and what it involves.
http://www.clinicaltrials.gov/ct/show/NCT00402779?order=2

Please let me know if you have other questions on it once you read the description - and, as you can see, it's no guarantee that I will not have a recurrence, but I believe the research involved will at least help move this forward.


Ginny M. SCC of Left lateral tongue Dx 04/06,Surgery MDACC 05/11/06: Partial glossectomy with selective neck dissection. T1N0M0 - no radiation. Phase III clinical trial ("EPOC" trial)04/07 thru 04/08 because tests showed a 65% chance of recurrence. 10 Year Survivor!
#24370 09-26-2007 04:35 AM
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Me2, I found some info about Tarceva; in Italy it is only being experimented for lung cancer, at the moment. The trial you mention sounds interesting, I'll try and find something similar here.


woman, 32 y/o, 7/07 Squamous cell cancer stage 1, G2, N0, T0 - 8/07 partial glossectomy, neck dissection (all lymph nodes and 1 tonsil negative, 2,5 cm margins negative). Doubtful about radiation, I have had different opinions from the doctors.
#24371 09-26-2007 06:09 AM
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Hi Francesca,

I had a stage one tongue cancer two years ago, which was removed via surgery (along with lymph nodes). I was also told they had found a "speck" of malignant cells in one of my lymph nodes, although that particular slide of where those malignant cells were seen somehow got "lost" in the laboratory (long story). In any case, after talking to 8 doctors at two Comprehensive Cancer Centers (Inclusing MD Anderson, in Houston), I was told that radiation was not warranted in my case. Like I said, it has been two years and so far so good; in fact, I feel better than ever. So, if you're dealing with a stage one, I would definitely recommend NOT getting radiation.

Saluti,
Luigi

#24372 09-26-2007 06:59 AM
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Thanks Luigi, this is encouraging. I'll see another doctor tomorrow and then decide.
Ciao.


woman, 32 y/o, 7/07 Squamous cell cancer stage 1, G2, N0, T0 - 8/07 partial glossectomy, neck dissection (all lymph nodes and 1 tonsil negative, 2,5 cm margins negative). Doubtful about radiation, I have had different opinions from the doctors.
#24373 09-26-2007 07:30 AM
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That worked for you luigi but as i have pointed out Robin was staged at 1 in january and died in july so how do you justify a statemnt like "definately not".Like i said before in hindsight that is great advice but no two cases are the same.


Liz in the UK

Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.

Never take your eye off the ball, it may just smack you in the mouth.
#24374 09-26-2007 10:58 AM
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Luigi,
Respectfully, I have to agree with Cookey on this one.
Always, Never, and Definately Not are terms that should not be used in medicine and in the treatment of H&N and OC cancer. What works for one patient does not guarntee success in another.
Patients need to get all the opinions and weigh their options and then choose the treatment they feel is best for them.
I am aware of cases of T1, N0 cancer that have been successfully treated with surgery only, others with radiation only others with the terrible threesome (slash, burn and poison) surgery, radiation and chemo. I am also aware of patients that have not been so lucky in all of the above categories.

Luigi congratulations on your success, don't let my post take anything away from your choices and success. Afterall you made the right choices for you.

Just my 2 cents.

Cheers,

Mike


Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend.
Live, Laugh, Love & Learn.
#24375 09-26-2007 01:01 PM
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Leslie B ; My surgeon is affilated with about 11 other Drs at James Cancer Center. They all work together in making the decisions about their patients. I have a lot of confidnece in them and I sure hope they are right. I like Me2 am in a cancer study to research the reoccurence of oral cancer. I see this team at the Cancer Center the same day I see my Dr. Thanks for the interest.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
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