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#83991 11-11-2008 05:19 PM
Joined: Oct 2007
Posts: 5
lucorno Offline OP
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Posts: 5
I have been diagnosed with squamous cell carcinoma on the right floor of mouth/tongue. I had surgery to remove as well as a follow-up of radiation and followin that, chemo therapy. During radiation I had a sever flare-up and had to stop the IMRT treatment. It was resumed and I concluded the treatment.

My question is if re-radiation of this same area, especially the head and neck, is possible and if so, how many times has this been done before. My understanding was that when you had radiation you cannot reradiate the same part over again? it is true?
Sofar my doctors has suggested IMRT, stereotactical radiation, proton treatment and I have difficulty deciding which would be the best, could you let me know your opinion?

Thank you for your help.
pino

lucorno #84225 11-15-2008 08:58 AM
Joined: May 2007
Posts: 666
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Pino,
I am bringing this up to the top again for more responses.
When did you have RT before, since you say that it was IMRT I presume that it was not more than 6 years ago?
I would expect that the time plays and important role here as well. We have seen more re irradiation with IMRT recently.
Hopefully more knowledgeable people will pipe up.

M




Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
Markus #84254 11-15-2008 05:56 PM
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Posts: 5,260
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I sure wish you well Pino, but sure can't give you any advice.


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
EzJim #84316 11-16-2008 10:10 PM
Joined: Jul 2008
Posts: 507
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Re-radiation may be possible. There is a discussion of doing so at these links:

Re-irradiation of head and neck carcinoma
http://www.ncbi.nlm.nih.gov/sites/e...;list_uids=18846001&tool=MedlinePlus

Re-treatment after full-course radiotherapy: is it a viable option?
http://www.ncbi.nlm.nih.gov/pubmed/10606415?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=5&log$=relatedreviews&logdbfrom=pubmed

Re-irradiation of head and neck tumors. Benefits and toxicities.
http://www.ncbi.nlm.nih.gov/pubmed/10494516?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=4&log$=relatedreviews&logdbfrom=pubmed

(along side some of these articles are links to others studies on this subject)


Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11


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