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#160883 01-26-2013 08:25 AM
Joined: Jan 2013
Posts: 65
LilyFoo Offline OP
Supporting Member (50+ posts)
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Supporting Member (50+ posts)

Joined: Jan 2013
Posts: 65
My husband was diagnosed with stage 4 tonsil cancer (squamous cell) in 2001. It had metastasized to at least four lymph nodes in his neck on the same side. We realized something was wrong when a lump the size of any egg appeared suddenly below his ear. The first doctor told us he probably wouldn't make it. Our four grown sons found dad a new doctor. The new doctor was full of optimism. So in 2001 Charles underwent surgery and six weeks of radiation. No chemo.

In 2011 Charles noticed a lump in his tongue. A biopsy came back negative. But, the biopsy wound never healed and has become very painful plus the wound has developed hard edges. The doctor was a bit alarmed and has scheduled another biopsy. This time the doctor will make a clean wound and stitch it up.

My BIG concern is will a radiated tongue ever be able to heal? I have searched and searched and cannot find an answer.

Sheryl

Joined: Jul 2012
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Patient Advocate (old timer, 2000 posts)
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Congratulations on 12 years! To my understanding, wound healing can be more difficult or delayed.in a radiated area due to reduced blood flow, reduced oxygen, necrosis and fibrosis. Other factors may compound matters like poor diet, lack of protein, smoking, alcohol, diabetes, and other lowered immune system disorders. Some need to see a wound care specialist, and may need HBOT, Hyberbaric Oxygen Therapy. I had 30 HBO for a tooth infection that was not healing properly, 20 before, and 10 post extraction. Post neck dissection, stitches are left in longer for healing, if you had prior radiation.

Good luck with everything, and hope the tongue finally heals properly.


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






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"OCF Canuck"
Patient Advocate (old timer, 2000 posts)
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"OCF Canuck"
Patient Advocate (old timer, 2000 posts)

Joined: Dec 2010
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Yes it should heal with tlc - it may take longer but it should heal. Tell him to keep it as clear as possible and avoid irritating foods. There also HBO for wound healing as a as resort! Congrats on the survorship!!!


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: Jan 2013
Posts: 65
LilyFoo Offline OP
Supporting Member (50+ posts)
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Supporting Member (50+ posts)

Joined: Jan 2013
Posts: 65
Thank you PaulB and Cheryld. During Charles' diagnosis, surgery, and radiation it was a chat board like this that kept me sane. I am ever grateful.


Wife/caregiver to Charles
ENT diagosed SCC Rt Tonsil Stage IV, MET 6 lymph nodes in neck 1/2001
Tonsillectomy, RND and six weeks RADS 2/2001
ENT diagnosis from CT scan, SCC in Rt tongue 2/13
25% of tongue removed 2/13 (clear margins)
SCC BOT with mets to 2 level 2 nodes and Lt. Delphian node 8/2014
Surgical biopsy shows cancer in larynx 9/2014
Laryngectomy, resection & rebuilt tongue w/ pectoral muscle, selective neck dissection 11/2014
Recurrences '16 HPV Neg No EGFR Mutations Detected

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