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#161601 02-13-2013 04:54 PM
Joined: Nov 2012
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Posts: 2
Hello, all.

I have just had an MRI of the my mouth/neck done due to a lump on the floor of my mouth that could only be felt. Turns out it was only a bit of a lymph node. No other masses were found.

With that said, I am a very paranoid person, and I was just wondering how reliable are MRI with the detection of oral cancer?

Thanks, Mike.


MaikuBano #161622 02-14-2013 08:18 AM
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I forget it's percentages, but it's higjly accurate to identify suspicions, but depends on the area being scanned, and some scans are better to use than others depending on that. MRI is usually good for soft tissue, vascular, nerve invasion, Lymph nodes, etc. and CT is good for bony structure, and others. The MRI is just as good, if not slightly better than a CT for identifying lymph node involvement. Sometimes doctors use a combination of scans for diagnosis if not satisfied with one or is inconclusive. The only thing that can really tell if it's cancer or not is a biopsy.

There is probably a link on OCF that describes the MRI better. and other imaging techniques used or use the search function.

Also, just as important is the interpretation of the scan by the RO or Technician to identify abnormalities, and their experience in doing so. If you have any concerns, ask the doctor. You can always get a 2nd opinion, if you get a cd of the MRI, and the report.

I hope this helps. Good luck with everything.


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






MaikuBano #161631 02-14-2013 11:39 AM
Joined: Apr 2003
Posts: 122
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Posts: 122
Also it seems to me that until a biopsy of the mass is done to show for sure if it's cancer or not I wouldn't worry about it. Worry and waiting are two of the main culprits that those of us with cancer have to deal with. Have your doc do a biopsy if you're that concerned but try not to worry excessively about the results. Chances are pretty good that you have nothing to be concerned about and you have found the best place POSSIBLE to bring those concerns if it turns out otherwise. Hopefully you won't have to come back, but we're here for you if/when you need.
I noticed from another post of yours that you were a smoker-thus the paranoia, right? I'm right there with ya, my friend! Feel free to post any further concerns or suspicions but get on and enjoy your life!
Gordon


SCC right tonsil Dx 14 Feb 03
No surg till Apr 03
Lip resection Sep 05 "frankenface"
Recurr Apr 10
2/3 tongue removed Jun 10
SPEECH/SWALLOW/DROOL challenges FUN!
Dec 10 Tumor @ nodes/larynx/cart artery growing
Erbitux Mar 11 Hyoid bone regrows!?
recur Dec 12
begin taxo chemo
10yrs-still kickin!

PaulB #161640 02-14-2013 04:35 PM
Joined: Jan 2013
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Patient Advocate (1000+ posts)
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thank you Paul for all your really knowledgeable replies here on the forums. It feels like I am now off the bench and on the field now, having completed cycle one of induction TPF. What you write is finally starting to make more sense. LOL don


Don
Male, 1955
Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
donfoo #161642 02-14-2013 04:57 PM
Joined: Jul 2012
Posts: 3,267
Likes: 4
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Jul 2012
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Thanks.


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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