#28105 10-08-2006 05:56 PM | Joined: Aug 2006 Posts: 15 Member | Member Joined: Aug 2006 Posts: 15 | I found my recurrance myself when I felt and saw a white sore appear at the site of the orignal resected area of my tongue. I had another major surgery and I have had two small ones to remove oral granulation tissue. Fortunatley they have been clear | | |
#28106 04-02-2007 09:04 AM | Joined: Oct 2005 Posts: 14 Member | Member Joined: Oct 2005 Posts: 14 | Does anyone out there have new info on timeframe when the first post-treatment-(chemo) PET scan should be done. My husband just finished a clinical trial of gemcitabine and paclitaxol the end of February. He had a PET exactly one month later Mar 27 which shows cancer still lights up in same areas. Is it possible the chemo is still working and hasn't had time to kill the cancer. I know this is probably a stretch.
Tom Stage 3, T3,N1,M0, Squamous Cell Carcinoma, Base of Tongue. Surgery, Radiation 6 weeks. Completed Treatment Sep 2005. Recurrence Jun 2006 - Chemo Gemcitabine/Paclitaxol Nov 2006
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#28107 04-02-2007 12:45 PM | Joined: Mar 2002 Posts: 4,912 Likes: 52 OCF Founder Patient Advocate (old timer, 2000 posts) | OCF Founder Patient Advocate (old timer, 2000 posts) Joined: Mar 2002 Posts: 4,912 Likes: 52 | I think that one month later the area is still in repair, and as such would have a higher SUV. There have been tons of threads here about early PET's after treatment that were hot and there was no disease in the area. Remember that PERT's are not diagnositic of cancer. Lots of things from healing to infection, to damaged joints will light up a PET. By the by, a PET right after his surgery would have shown that area hot from the healing....this is not a baseline that would have helped anything.
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. | | |
#28108 04-02-2007 01:57 PM | Joined: Apr 2006 Posts: 378 "Above & Beyond" Member (300+ posts) | "Above & Beyond" Member (300+ posts) Joined: Apr 2006 Posts: 378 | Tom, it took Jack 3 PET scans until he got one that was clear. That was 5 months post treatment. What is the MO saying that it means? It's possible that the area is still irritated from treatments and lighting up from that.
I can understand why this would be upsetting for you, hang in there.
Regards JoAnne
JoAnne - Caregiver to husband, cancer rt. tonsil, mets to soft palate, BOT, 7 lymph nodes - T3N2BM0, stage 4. Robotic assisted surgery, radical neck dissection 2/06; 30 IMTX treatments and 4 cycles of cisplatin completed June 06.
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#28109 04-02-2007 05:56 PM | Joined: Oct 2005 Posts: 14 Member | Member Joined: Oct 2005 Posts: 14 | Brian and JoAnne...thank you for responding. The MO says the March 2007 PET scan shows no change from the June 2006 PET scan. The Jun 2006 PET showed a 1.3cm node in the right lung and a 1cm node in the left neck that were hot for metastasis. By Nov 2006 the neck node had increased in size to 3cm and the lung node to 1.6cm. The chemo regime Tom began in Nov and completed in February reduced the neck to 2cm and the lung to 1.3cm according to the CT scans. The PET says - still hot.
Tom Stage 3, T3,N1,M0, Squamous Cell Carcinoma, Base of Tongue. Surgery, Radiation 6 weeks. Completed Treatment Sep 2005. Recurrence Jun 2006 - Chemo Gemcitabine/Paclitaxol Nov 2006
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