| Joined: Mar 2011 Posts: 22 Member | OP Member Joined: Mar 2011 Posts: 22 | Hi,
Yes, I am being seen in a cancer center. The doctor explained that there is a 5% chance that it will affect the neck as it is a 2mm size cancer. So they won't need to remove anything from the neck.
I am wondering.. is it common practice to have a second surgery for wider margin? I am worried about doing the second surgery.
Last edited by joucads; 03-24-2011 12:48 AM.
joucads
DX: T1N0 Tongue Cancer 23/3/2011 Partial Glossectomy 30/3/2011 Clear margins. | | | | Joined: Dec 2010 Posts: 5,264 Likes: 4 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 4 | Well if they don't get wide enough margins then it's best to go back in and remove more, not sure but it shouldn't be any better than the first and its small so it should heal quickly. Best of luck,,,
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Mar 2011 Posts: 22 Member | OP Member Joined: Mar 2011 Posts: 22 | Hi,
I have done the partial glossectomy. My margin is all clear. Now praying that there are no recurrence. Currently, having difficulty in speaking and swallowing. But doctor say it will recover by 2 weeks and speech will improve by 2 months.
joucads
DX: T1N0 Tongue Cancer 23/3/2011 Partial Glossectomy 30/3/2011 Clear margins. | | | | Joined: Dec 2010 Posts: 62 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Dec 2010 Posts: 62 | My initial SCC was on the floor of my mouth on the right. The ENT didn't take sufficient margins and they did a resection a couple months later including a partial glossectomy after discovering a second SCC on the side of my tongue.
My surgeon said that with cancers of 2mm or less that have not entered the nerves there is minimal occurance of spread to the lymph nodes. Still, as Cheryl says, become familiar with how your neck feels and let your doctor know if anything feels unusual. My surgeon also is having me keep a close eye on my mouth. Any new areas that are red or white for periods longer than two weeks need to be looked at by a professional.
Best of luck!!
Catherine, SCC floor of mouth DX 2010,unclear margins, PET scan clear, no chemo or rad,biopsy in 9/2010, 2nd excision 10/2010 didn't get all carcinoma in situ; partial gloss & excis. right floor 2/2/2011 margins clear. Part.gloss-10/5/2011 sev dys clean marg. HPV neg. Don't smoke or drink. SCC floor of mouth left side 4/2016. Dysp excis. rt palate 7/2017 Part gloss sev dys lat marg 2/2019 Part gloss free flap rt neck disc 5/2020 Part gloss bilat neck disc 7/2020 33 rad 3 cis.
| | | | Joined: Mar 2011 Posts: 22 Member | OP Member Joined: Mar 2011 Posts: 22 | Hi, It has been almost 6 months. I have since recovered from the surgery and can now eat and talk normally. Still going for check up every 1 and a half months. Hopes everyone is doing fine. Keep rocking!! 
joucads
DX: T1N0 Tongue Cancer 23/3/2011 Partial Glossectomy 30/3/2011 Clear margins. | | | | Joined: Jul 2011 Posts: 945 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2011 Posts: 945 | Great news, joucads! Thanks for the update.
CG to husband - SCC Tonsil T1N2M0 HPV+ Never Smoker First symptoms 7/2010, DX 12/2010 TX 40 IRMT (1.8 gy) + 10 Cetuximab PET Scans 6/2011 + 3/2012 clear, 5 year physical exam clear; chest CT's clear of cancer. On thyroid pills. Life is good.
| | | | Joined: Dec 2010 Posts: 5,264 Likes: 4 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 4 | That's awesome I'm so happy for you! Keep going!
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: May 2011 Posts: 287 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: May 2011 Posts: 287 | Hi Joucads, good to hear from you that you have been free so far. Don't become too easy and stop going for regular checkup as you had a close shave. Also, discuss with your doctor regarding PET-CT scan in maybe 3 months from now.
Father; 67 yrs; RIP: 2012/05/26
TX:SCC pT2N1M0G2;Glossectomy+SND+CCRT(59.3Gy+6xCis.)[2009] TX:Nodal Mets; 3xDCF[2011/05/05] TX: RND + PMMC Flap[2011/07/11] DX:SCC PNI+ECE TX:Re-RT 60Gy[2011/09/21] TX:Gefitinib 250mg[2011/12/18]
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