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Howdy all,
Can you all opine on recommended lotions/creams during treatment?

Thanks!
Joel


Age 49, HPV 16+ SCC, T1N2bM0, Stage IV R Tonsil, 2 nodes, nonsmoker, lite drinker, 100 mile/wk biker, workout, play hockey, Tx:10/26--12/15/09, IMRT x35 70Gy, no surgery, Cis 1st rnd til some tinnitus loss after day 2, carbo next 3 wks, Peg in 3rd wk;still ate some solids 6th wk. 2012/05 Still Clean
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Joel, your doc should prescribe some creams. There are so many that work very well. For me Aquaphor didnt work but BetaVal did. Remember do not put lotion on before your radiation treatment.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
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 xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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I used a pure Aloe gel from CVS morning noon and night and then put the Aquaphor over the top of that every evening.

Kelly


Kelly
Male
48, SCC (Soft Palet) Rt.,
Stage 1, T3n0m0,
Dx, 8-09, Start IMRT 35 9-2-09 end 10-21-09
04-20-10 NED
8-11 recurrence, node rt. neck N2b
10-11 33 IMRT w/chemo wkly
3-12-12 PET - residual cancer
4-12 5 treatments with Cyberknife & Erbitux
6-19-12 Pet scan CLEAR
12-3-12 PET - CLEAR
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I didn't have much of a sunburn type reaction but I did use Aquaphor briefly and it worked great for my mild irritation.


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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Aquaphor and Aloe gel did the trick for me. Very little burning and discomfort - but I do have olive colored skin.


DX 2/10/09; Stage 1 SCC side of tongue; Partial Gloss; PEG in 3/3/09; 3 Cisplatin; 35 IMRT; PEG out 7/17/09; Eating via mouth and walking 3 miles/day 4 wks after treatment end. 50 pound weight loss; Clear PET 09/09 and 09/10
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My skin is also a type that seldom burns in the sun.


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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I didn't burn until the very end and then used Biafine which was excellent. This cream is also supposed to help prevent radiation burn so can be prescribed before you start treatment. Aquaphor did not nothing for me.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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I used Biafine when I got sunburn on top of my radiation. My sister also gave me some Radioplex (sic) which helped prior to my sunburn.

That sunburn on my neck could have well been the worst effect I had during treatment.


Flip
_________________________________
Age: 54 SCC Tonsil + 3 nodes
Radiation and Carboplatin
Treatment 4/1 - 6/7/2009
No surgery, no PEG
Never smoked
Drink socially (brew my own beer and love wine. A bottle of scotch lasts me a couple of years)
CT 11/4/09 No sign of envolvement in Tonsil or nodes
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Joel

I used Silvadene cream for my burn (which got pretty bad toward the end). May want to ask your doc about it if you get to that point.


Kevin


18 YEAR SURVIVOR
SCC Tongue (T3N0M0) diag 06/2006.
No evidence of disease 2010
Another PET 12-2014 pre-HBO, still N.E.D.


�Remember to look up at the stars and not down at your feet. It matters that you don't just give up.�
Stephen Hawking
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Joel,

I too used Silvadene. It is gross, yukey cream. I hated using it
BUT.......
My neck was very burned, 40TX. It use to bleed and ozze(SP) at night. The stuff really worked, 3 weeks post tx my neck was 100% healed! now it is as soft as a baby's ass!

pain to use but worth it ( in retrospect)

Steve


70 male, athlete...again
SSC of undetermined orgin , early july 09
40 tx radiation, 8 chemo cisplatin and ebuterx
finished TX in mid Sept 09
Clear at the 6 year mark!
Back to swimming, biking and running! just a tad slower
never regained my weight, even when I eat lots and lots, just a skinny guy now

Just way glad to be seeing the green side up!




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MY husband used Cetaphil lotion. He has very fair skin and his skin didn't burn or dry up with the radiation. It is kind of greasy, but really did the job for him. After treatment each day we would put it on every few hours. You can get it over the counter.

Vanessa


Jeff age 49 DX 5/8/09 Tonsil cancer T2N2BMO. Tonsillectomy 5/14/09. TX: Cisplatin 3x's every 21 days w/ 33 Rad concurrent. 2-3 nodes on right neck affected. PEG 7/10/09. Chemo/rad start 6/12/9, TX finished 7/28/09. Extended TX
3 more chemo/Cisplatin/5FU/Docetaxil start 9/11, Clean PET 10/29/09.
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I've been using just aloe and aquaphor. It's okay. The doctor said it looks good so since I just have one more week of tx, I'll roll with this.

Thank you all on this site for opining (I always wanted to use that word!). It was very helpful.

Joel


Age 49, HPV 16+ SCC, T1N2bM0, Stage IV R Tonsil, 2 nodes, nonsmoker, lite drinker, 100 mile/wk biker, workout, play hockey, Tx:10/26--12/15/09, IMRT x35 70Gy, no surgery, Cis 1st rnd til some tinnitus loss after day 2, carbo next 3 wks, Peg in 3rd wk;still ate some solids 6th wk. 2012/05 Still Clean
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That is all that I used too Joel. It worked for me buy as we know, we all are differently made and require different methods of survival modes.


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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I had neck & chest radiation that produced open bleeding, oozing areas. No cream helped at that point. My perceptive Rad Onc nurses offered Vigilon, a cooling, breathable dressing.I would remove the inner backing of the Vigilon and drape it over my shoulder and neck. It comes in large pieces that can be cut to size. With Vigilon, I needed no pain meds during treatment. The only times I felt pain was when the Vigilon was removed for treatment. Has anyone else used this during radiation?


Hx of stage IV non-oral cancer tx with radiation, chemo & surgery in 2005. Currently a research nurse with National Institutes of Health working on a clinical trial using gene therapy for radiation-induced xerostomia. [email protected]
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Linda

I used Vigilon the last month of radation as well as the next month after all radiation treatment. It was a godsend. My wife and I had to really search for it as none of the pharmacies near us carried it nor would even order it. We ended up driving out to a medical supply store.
The creams, lotions, potions etc that other posters swear by here were entirely worthless for my skin. I even used to prominently display it in my signature line, but had to delete it to make room for the cancer coming back a second time and the resultant devastating surgery.
I found that keeping the Vigilon in the refrigerator also added tremendously to the pain killing effects. It took some creative wrapping to keep it on my face but since it came in sheets and you could cut it to any shape with scissors, my wife worked it all out. I needed to change my dressings twice a day. Once when I got up , then take it off for radiation and then put it on again once I got home.
I only wish I had discovered Vigilon months earlier than I did.
Charm


65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin

Passed away 4-29-13
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I too had the oozing, bleeding face and neck by the time I finished Rads. In addition to the Vigilon, my Docs gave me Silver Sulphodine cream (prescription only) to apply to the burns after radiation treatments were done. It was miraculous in clearing up the burns in about two weeks time. The hint about keeping the Vigilon in the refrigerator is spot on.
I ordered it on line much cheaper than I could find it locally, and in 8-by-8 sheets, which could be cut to the shape of my neck. great stuff!! I ordered it on line from an outfit named Allegro Medical.
They had it cheaper than anyone else I found. Beware, it is expensive, about$7.00 US each for the larger sheets, so if you are changing the dressing twice a day as I had too, the cost can add up quickly. To my mind though, it was worth the cost for the improvement in quality of life it provided.

Good Health,
Chuck

Last edited by ChuckF; 12-30-2009 09:24 AM.

SCC Stage IV right tonsil T3N3M0. Dx 08/03. Clinical Trial:8 weeks Taxol, Carboplatin then Hydrea, 5FU, IMRT x's 48, SND, Iressa x 2yrs. Now 20 years out and thriving. Dealing with a Prostate cancer diagnosis now. Add a Bladder cancer diagnosis to all the fun.
It's always something
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When I had radiation for breast cancer the nurse told me that she recommends MedLine SkinRrepair cream to all her radiation patients and had the hopspital pharmacy carry it. When the retail pharmacy in the hospital closed she had the gift shop get it in. I now buy it at a local discount pharmacy and also know that it can be ordered from Walgreens. It is quickly absorbed and non-greasy. I had almost no sunburn affects from the radiation. I now use it for dry skin on my feet and in the winter to prevent "snowflakes" on my armes and legs. My husbnnd likes it better than anything else he has tried for his chronically dry elbows. The surgeon I see for followup on the breast cancer told me to use it on the site of my fibula free flap and my neck after the surgery last year and I have had very good results.


SCC stage II Partial mandibulectomy w. neck dissection- July 2005. Renal cancer w. partial nephrectomy-Jan 2004. Breast cancer discovered in routine mammogram. Successful lumpectomy, sentinal nodes clear, RT only-2008 Reconstruction of mandible w fibula free flap-Jan 09. TORS removal of begnin pappiloma from esophagus-2010. Masectomy,rt breast 2013.
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Agree ! The Vigilon really saved me from extensive,debilitating pain. I was able to drive myself 2 hours x2 daily to radiation therapy and even stop at IKEA on the way home as my reward. Although Vigilon is expensive, it may be cheaper that $70 tubes of cream and Duragesic patches. I don't think enough practitioners know about Vigilon and how well it helps people going through radiation.
Thanks.
Linda


Hx of stage IV non-oral cancer tx with radiation, chemo & surgery in 2005. Currently a research nurse with National Institutes of Health working on a clinical trial using gene therapy for radiation-induced xerostomia. [email protected]
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I for one never heard of Vigilon until I just read about it here. I will remember that name. Thanks all.


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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We were prescribed a bit vat of a cream that had no brand name but was called aqueous cream. it felt like E45. it worked miracles. I did smother Martin's neck with it and he had a fine gauze scarf that he used to stop the clothes collars rubbing. The skin went a bit brown and smelly but when he went in the shower after the treatment had finished and the old skin fell off and there was nice new pink skin underneath.


Girlfriend to Martin 49 years old at diagnosis
Diagnosed with SCC unknown primary June 2008.
Cancer found in single node Stage N2A (3 to 6cm).
Tonsilectomy 16th june, Radical modified neck dissection left side 30th june.
30 TX radiotherapy ended 9th October
First comparative study scan came back clear
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While my husband, Bill, was having the radiation treatments on his neck to remove a cancerous tumor, his neck started getting large burn scabs. We tried the Cetaphil lotion and did not work. Luckly, we have aloe vera plants in our back yard and I found the ones that had the larger leaves, sliced them open and applied the gel to the infected area. I would literally drench his neck with the gel from the plant. His neck was always hot, like a really bad sunburn, so the gel would give him immediate relief. Within days, the scabs would dry up. His doctor was amazed how soft his neck felt and left him no scars.

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Aloe was the best for me..there also a aloe gel from (fruit of the earth) brand that I would use right after therapy and after I showered.


37/female dx:1/15/08 SSC patial glossectomy of tongue and 7 lyphm nodes removed...6 weeks of radiation...
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We have several aloe plants in our yard and appreciate hearing others have used them for radiation burns w/good results. The RO's RN recommended Aquaphor over aloe and supplied a couple of coupons. I bought a couple jars of Aquaphor (14oz) as part of the arsenal.

Carol goes in Monday for her Simulation and will inquire if any scripts would be written for her burns.

Just as a side note, when leaving the hospital last night after Carol getting her PEG, the brakes went out in the van. Looks as if we'll be using the Transportation Services the hospital offers. Thank god we're only 20 minutes from the facility, with traffic.

Let the stress continue... smile

Linda


CG/Carol 57;SCC Stage IV L Tonsil T4N2bM0 12/2009
Recur 7/2010 - 2cm mass Invasive SCC L Floor Lower Jaw
Surgery 8/10 - Trach,ND,p. mandibulectomy,pec flap
ypT4aN0 HG Mucoepidermoid carcinoma
2nd Recur 1/18/11 - Tumor lower left lip
Surgery 2/9/11 - Canceled - Inoperable
3/29/11 - Died




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Hi. Check with your RO. We were told absolutely no aloe. Not sure why. They gave us a tube of cream that John used through treatment and he never got badly burned. I will look up the name of it when I get home.


Wanda (47) caregiver to husband John (56) age at diag.(2009)
1-13-09 diagnosed Stage IV BOT SCC (HPV+)
2-12-09 PEG placed, 7-6-09 removed
Cisplatin 7 weeks, 7 weeks (35) IMRT
4-15-09 - treatment completed
8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear
4-2013 - HBO (30 dives) tooth extraction
10-2019 - tooth extraction, HBO (10 dives)
11-2019 - Left lateral tongue SCC - Stage 2
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Slim,

That's strange. I was told pure aloe and was given a tub of Aquaphor for when it got bad. I did have discomfort but nothing more painful than a bad sunburn.

Kelly


Kelly
Male
48, SCC (Soft Palet) Rt.,
Stage 1, T3n0m0,
Dx, 8-09, Start IMRT 35 9-2-09 end 10-21-09
04-20-10 NED
8-11 recurrence, node rt. neck N2b
10-11 33 IMRT w/chemo wkly
3-12-12 PET - residual cancer
4-12 5 treatments with Cyberknife & Erbitux
6-19-12 Pet scan CLEAR
12-3-12 PET - CLEAR
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I was also told to use pure aloe and Aquaphor - which I did. I came away with just an odd looking tan on the bottom of my face and neck. No burning. I am sure that is partially because of my olive colored skin. Good Luck


DX 2/10/09; Stage 1 SCC side of tongue; Partial Gloss; PEG in 3/3/09; 3 Cisplatin; 35 IMRT; PEG out 7/17/09; Eating via mouth and walking 3 miles/day 4 wks after treatment end. 50 pound weight loss; Clear PET 09/09 and 09/10
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I suppose it depends on the Doctor's preference. I believe I read on one of the threads here someone had used lotions from day one of Tx to help against burning? Is this recommended? I understand all lotions, creams must be removed prior to treatments. Carol begins her 7 week rad TX 2/8. As Carol will be doing 2 rad Tx per day (one early am, one late pm), would it be recommended to apply the lotion after each treatment?

Linda


CG/Carol 57;SCC Stage IV L Tonsil T4N2bM0 12/2009
Recur 7/2010 - 2cm mass Invasive SCC L Floor Lower Jaw
Surgery 8/10 - Trach,ND,p. mandibulectomy,pec flap
ypT4aN0 HG Mucoepidermoid carcinoma
2nd Recur 1/18/11 - Tumor lower left lip
Surgery 2/9/11 - Canceled - Inoperable
3/29/11 - Died




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Another thing to remember is DON"T SCRATCH IT! You can get a very nasty infection with a weakened immune system. When the skin starts to recover it may get itchy. The docs can give you a steroidal cream to mitigate that. That phase should pass quickly. I only had to use the cream a few times. I believe it was called Desonex.

The skin is the fastest to heal.


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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Biafine, which is also a deep wound cream, is supposed to help prevent radiation burn besides healing it. I think the brochure said you can start using it two weeks prior to radiation. This is a prescription cream. It was brand new in 1997 when I had my treatment. I was not given it until the end of my treatment so cannot attest as to how good it is at preventing the burns. It was real good at healing them.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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linda,
personally i would just apply the lotion after the last tx. let it soak in all nite.


Teresa
-----------
CG to ANDY. Nasopharyngeal Carcinoma (NPC)
T2N2cMxG4 stage 4. 43 @ dx 8/31/09
tx 9/21/09-11/06/09 cispatin/docetaxel/5-FU X3
PORT 9/9/09, PEG 12/07/09
35 IMRT-1/wk carbo 11/30/09-2/3/10
tx stopped due to complications
IMRT BOOST 3/08-3/12/10
PET 4/12/10 CLEAR!
PEG out 4/14/10
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I used Biafine and Aquafor. They also gave me a sample of Aloe Vesta, but for me, it didn't seem to work as well.

I never tried Aloe from the yard, but I have used it before on burns.


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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