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Joined: Feb 2004
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As a counterpoint on the Amifostine, I had it daily for 39 IMRT treatments. I would have a small bit of nausea about 40 minutes after they completed giving it to me. Usually just after I had completed radiation and was walking to my car. You could almost set your watch by it. It passed by the time I got home.

I had the two submandibular salivary glands removed as part of the neck dissection, so this may have been more important for me than for others.



Jeff
SCC Right BOT Dx 3/28/2007
T2N2a M0G1,Stage IVa
Bilateral Neck Dissection 4/11/2007
39 x IMRT, 8 x Cisplatin Ended 7/11/07
Complete response to treatment so far!!
JeffL #97344 06-14-2009 01:34 PM
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Jeff is right on.
You need to consider the irradiation volume and location with respect to the submandibular, sublingual and parotid (major) saliva glands. If they are fully in the irradiation field the probably are going to be nuked regardless (your RO should know more). If they are not in the radiated volume then they are fine anyway. In my case the submandibular an sublingual were in the radiation field and were fully toasted while one of the parotids was totally spared and the other received partial rads (from which at least a portion if not all was expected to recover. Which it did.
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 #97368 06-15-2009 02:07 AM
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Since my cancer is in the upper maxilla/palate area (I don't know the technical terms), that would mean sparing the lower salivary glands, wouldn't it? Are there upper salivary glands, too? Also, IMRT is supposed to spare surrounding tissues, isn't it? Or is that just an "at best" scenario? I suppose these are all questions for the RO...


Chrissy

Stage 2 SCC upper right palate
Hemi-palatectomy and maxillectomy 5/28/09
Six teeth gone
IMRT x30 starts July 13. Completed 8/26/09
Carboplatin and Taxol x6 starting 7/14/09. Completed 8/25/09.
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Chris,

Your RO will be the best to answer your particular radiation field questions and I'm sure he will be able to give you a pictured guide as well. You may also experience some scatter radiation damage but the IMRT is designed to limit the damage of our good tissues but again whatever is in the way of killing the bad cells may be destroyed.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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