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#109370 12-26-2009 02:22 PM
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Bill C Offline OP
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I was diagnosed with metastatic tumors in both lungs on 15 October. I had 5 sub 1 cm growths, 3 in the right and two in the left. I was told by my care providers from the first round of treatments that my only choices were palative care or a clinical trial.

Went to Johns Hopkins, Bleumenthal Cancer center on 3 November for a consult. This is the place that made the initial HPV-16 SCC connection. The folks at Hopkins informed me that I wasn't able to qualify for a clinical trial due to lack of tumor mass, they do have a protocol for mets to the lungs and Started treatment on 10 November. I am about half way through. Treatment is IV Carboplatin and Taxotere followed by a 96 hour infusion of 5FU.

The cycles are three weeks long. Treatments for four days, followed by a Neulasta shot on day 7 or 8. Rest until next round. I will get PET/CT performed right before the fourth round. Plan is to go 4 to 6 cycles depending on tumor response.

During the long month between diagnosis and start of treatment I read the Newsweek article "What You Don't Know can Kill You". How germane. You should get rare cancers treated a reknown cancer center, If anything goes awry the varsity team can make adjustments that will save your life.


Bill age 47 at Dx, non-smoker

1st DIAG: 8/06/2008 SCC BOT T4N1M0

2nd Diag 10/14/09 Mets in lungs

3rd diag 06/23/2010 Primary Site malignant
Hemi-glossectomy July 2


In surveillance post re-IMRT and Carbo. Lots of scar tissue, hi-FDG Uptake on PET, no lump. Feel Fine, CLEAR for now.
Bill C #109397 12-27-2009 08:10 AM
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Good luck Bill. We are all in your corner!!


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.
davidcpa #109400 12-27-2009 08:34 AM
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Bill I am so sorry to read your post. I had also gotten clear scans and then had a recurrance within a very short amount of time. Your treatments sound pretty rough. Wishing you the best possible outcome with your current battle.


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
Joined: Aug 2008
Posts: 38
Bill C Offline OP
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I have been getting some good news recently regarding my nodules. I had a PET/CT after the third round of chemo. When I went to the hospital for the fourth round the Oncologist decided to cancel since the response in my lungs was complete after 3 treatments of Carboplatin/Taxotere IV + 5FU 96 hour pump. I was shocked. My first prognosis wasn "10-12 to live, we can't stop this". Fortunately we went for the second opinion and went to Johns HOpkins in Baltimore. The folks at JHH are so with it as far as treating HN SCC caused by HPV-16.

This week I had a needle biopsy ih the neck and another in the BOT as well as removal of a pesky Aphthuous ulcer. I will know next week what course of action remains for my treatment. The Dr. stated she was thinking of just 5FU by capsule. She apologized for over medicating me! Getting chemo without radiation is a walk in the park. I also went with loads of supplements prescribed by a naturopathic doctor. The ND is key to my keeping strength in between. Neulasta shots are great as well.

Still in the fight. I'd like to hear about any folks that have good results working with N.D.s.


Bill age 47 at Dx, non-smoker

1st DIAG: 8/06/2008 SCC BOT T4N1M0

2nd Diag 10/14/09 Mets in lungs

3rd diag 06/23/2010 Primary Site malignant
Hemi-glossectomy July 2


In surveillance post re-IMRT and Carbo. Lots of scar tissue, hi-FDG Uptake on PET, no lump. Feel Fine, CLEAR for now.
Bill C #110908 01-24-2010 07:36 AM
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Unbelievable Bill, that sounds so great!!!


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.
davidcpa #111099 01-27-2010 07:12 PM
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Wow Bill. Way to get a second opinion and way to fight this shit. Awesome.


Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
EricS #111103 01-27-2010 07:53 PM
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Bill, you just made my day!!!! Congrats on the fantastic news. Wishing you continued good health for many more years smile


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
Joined: Aug 2008
Posts: 38
Bill C Offline OP
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Joined: Aug 2008
Posts: 38
Had a PET/CT on 9 March, Lungs CLEAR. Will biopsy in the BOT to make sure all is well there. My tongue is healing still, the site where the ulcer was removed is still healing but it is still way better than the ulcer.

Blood counts are recovering. Decided to stop treatment on the third cycle. Now it is surveilance time.

Thanks to all. Gotta love the folks at Hopkins.


Bill age 47 at Dx, non-smoker

1st DIAG: 8/06/2008 SCC BOT T4N1M0

2nd Diag 10/14/09 Mets in lungs

3rd diag 06/23/2010 Primary Site malignant
Hemi-glossectomy July 2


In surveillance post re-IMRT and Carbo. Lots of scar tissue, hi-FDG Uptake on PET, no lump. Feel Fine, CLEAR for now.
Bill C #114057 03-13-2010 10:48 AM
Joined: Jul 2008
Posts: 507
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Bill
It sounds like you have a great team at JH and it is good to hear that you are responding so well to their protocol.

I am curious about your Naturopathic Doctor(ND)and the supplements he has you on. Is he associated with your JH team?


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

DonB #114079 03-14-2010 07:14 AM
Joined: Nov 2009
Posts: 396
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Posts: 396
great news bill!!


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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