| Joined: Apr 2008 Posts: 117 Likes: 1 Senior Member (100+ posts) | OP Senior Member (100+ posts) Joined: Apr 2008 Posts: 117 Likes: 1 | I'm trying to get hold of my records to see how many of these PET/CT scans I've had. But I'm also curious. What kind of schedule are you on post-treatment?
Squamous cell carcinoma base of tongue. Lymph involvement unclear; staging placed at "2 or 3." Biopsy 4/18/2008. Treatment: IMRT every day for 7 weeks. Cisplaten once a week to sensitize cancer to radiation. Treatment ended 7/16/08. PET/CT shows no more cancer.
| | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 5 | Mine said after 2 clear scans... NO MORE... I go to my family dr. every 6-8 months to have them done. ;o) I also have check ups every three months.
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: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 |
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.
| | | | Joined: Mar 2011 Posts: 1,024 "OCF Kiwi Down Under" Patient Advocate (1000+ posts) | "OCF Kiwi Down Under" Patient Advocate (1000+ posts) Joined: Mar 2011 Posts: 1,024 | Kris has had none post surgery. I asked that question last week. The docs said that his anatomy is so changed that a scan would be impossible to interpret . I'm happy with that. They are too stressful. Last year his PET was clear, only to have a reoccurrence a few months later .so, why bother. I think symptoms are the way to go. Pain and /or bleeding - of which he has none. Tammy
Caregiver/advocate to Husband Kris age 59@ diagnosis DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT. PET 6/11 clear. R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in. March 2017 - 5 years disease free. Woohoo!
| | | | Joined: Jul 2008 Posts: 507 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2008 Posts: 507 | Andrew, I was also treated in the summer of 2008 and I have had four follow-up PET/CT scans.
My last one was in July of 2011, nearly a year and half ago and no more are planned.
The only reason for the fourth and last scan was precautionary since I had an Unknown Primary.
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
| | | | Joined: Jul 2012 Posts: 3,267 Likes: 4 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jul 2012 Posts: 3,267 Likes: 4 | I read it's one PET or CT preferably after 6 months, no later than a year. Really no standard number for PET's every year or other scans after that, but ENT exams, yes. Doctors rely on the physical exam mostly, and scopes, and if something is suspicious then a scan maybe. I had 8 PET/CT scans in three years, a few CT's, and two MRI's.
10/09 T1N2bM0 Tonsil 11/09 Taxo Cisp 5-FU, 6 Months Hosp 01/11 35 IMRT 70Gy 7 Wks 06/11 30 HBO 08/11 RND PNI 06/12 SND PNI LVI 08/12 RND Pec Flap IORT 12 Gy 10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux 10/13 SND 10/13 TBO/Angiograph 10/13 RND Carotid Remove IORT 10Gy PNI 12/13 25 Protons 50Gy 6 Wks Carbo 11/14 All Teeth Extract 30 HBO 03/15 Sequestromy Buccal Flap ORN 09/16 Mandibulectomy Fib Flap Sternotomy 04/17 Regraft hypergranulation Donor Site 06/17 Heart Attack Stent 02/19 Finally Cancer Free Took 10 yrs
| | | | Joined: Nov 2012 Posts: 7 Member | Member Joined: Nov 2012 Posts: 7 | After tx (3mo) I had a PET/CT May 2012 it came back with a few hot spots but belived to be rad affexts. August 2012 I had a CT with contrast head/neck only, came back ned.
November CT neck only...clear, but onco / radiologist saw some stuff just in the left upper lung...so they did a full lung CT w contrast...onco thinks its infection....but I go back in 6 weeks for a rescan of lungs CT w/ contrast. I took Levaquinn for 7 days 500mg.
I also had a lung X-ray September 2012 due to cough, came back clear at that time.
I also had an MRI of the brain due to severe heaches in June 2012...came back clear.
The insurance company denied a PET this November (I understand why) but did approve the CT of neck only.
I get a monthly scope from my ENT (who is not affiliated with my onco, cancer center) and I also get a almost monthly scope from my onco.
I personally don't know what is normal care...I am however the "very engaged type, but always nice" and I ask for the monthly scope and the ENT has obliged so far.
I have just pulled my recoreds and will going to the UW/SCCA center in Seattle for an appt Dec. 13th bc I want follow up care and 2nd opinion on this lung thingy that is going on.
I do know there is a link (someone on here probably has it) National Cancer Institue has the guidelines for follow up care. To me they seem a bit weak...but that's me.
Tim Cogdill Base of Tongue Stage III w/ 1 lymph node SCC HPV + DX October 2011 Last Radiation January 2012 Most Recent Scans have been NED
| | | | Joined: Oct 2012 Posts: 118 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Oct 2012 Posts: 118 | My husband otolaryngologist that did his lary saw him every month for 1 year. Every 2 months for the next year and he had just progressed to every three months when the third cancer appeared. As far as scans go and scopes go, more is better in my book.
Bette/CG to husband Reggie 66
dx 1: SCC Soft Palate (12/06) tx: chemo and rad
dx 2: SCC 6 cm tum rt. vocal chord (12/09) tx: total laryngectomy with stoma, 2 nodes
dx 3: SCC 4 cm tum BOT (10/16/12) Tx: partial gloss w/ mod deck dis 4 nodes incl. part. pharyngectomy
| | | | Joined: Jul 2009 Posts: 1,409 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jul 2009 Posts: 1,409 | PET-CT every 6 months for first two years post-rads and surgery.
Now it's once a year and I believe my RO said that after 5 years total I wouldn't need any more. (sob..... I'll miss her!)
I also see my ENT every 3-4 months for a quick peek.
David 2 SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 15 years all clear in 6/24 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
| | | | Joined: Dec 2011 Posts: 126 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Dec 2011 Posts: 126 | I got a CT and chest x-ray every 3 months for the first year, but I am moving to once every 4 months for my second year. I think if all scans are clear, I will continue to have CT scans/chest x-rays twice a year after that until I reach 5 years, then once a year going forward. It's weird how there is no real standard, I guess it just depends on your doctor's discretion.
Emily - 24 years old at diagnosis HPV-, no risk factors T2N2b Squamous Cell Carcinoma Left oral tongue, poorly differentiated Hemiglossectamy, reconstruction, partial neck dissection 30 Radiation treatments, weekly chemo (cisplatin) 1/13/12 last day of treatment Diagnosed October 2011
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