| Joined: Sep 2009 Posts: 618 "Above & Beyond" Member (500+ posts) | OP "Above & Beyond" Member (500+ posts) Joined: Sep 2009 Posts: 618 | I had a routine PET/CT scan today and it was not great. Started with the scan and then went to see the MO. He said he was seeing some areas light up but he did not feel it was a recurrence. We looked at the scan together and he showed me what was going on. I have had an ulcer that has been very slowly healing along the tonsilar pillar. It is almost gone except for a pocket that has formed about 1/8 in. in diameter in width and depth. He showed me where that area was lighting up and then worked though a few slices of scan to show how that was connected to the nearest lymph node (brighter on the scan) which is the one that was treated for cancer. The lymph node also was lit up. The MO felt it was a situation where the ulcer was inflamed and infected and that had worked its way to the lymph node. He said that the head of the team, the ENT/Surgeon, wanted to see me also.
The ENT was not so sure about this being infection and seemed genuinely concerned that this was a return of the cancer (although he did not say this outright). He did a fine needle biopsy right there to see what the lab would find. He was non-committal on the diagnosis and said he had no gut feeling about this one way or the other and he was just as anxious to see the results as I am. He put a rush on the biopsy order and we hope to get the results in 24-48 hours. So here we go with the waiting game.
Very strange situation for me as I am praying for an infection.
Kelly Male 48, SCC (Soft Palet) Rt., Stage 1, T3n0m0, Dx, 8-09, Start IMRT 35 9-2-09 end 10-21-09 04-20-10 NED 8-11 recurrence, node rt. neck N2b 10-11 33 IMRT w/chemo wkly 3-12-12 PET - residual cancer 4-12 5 treatments with Cyberknife & Erbitux 6-19-12 Pet scan CLEAR 12-3-12 PET - CLEAR
| | | | 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 | Kelly, I just want to let you know that I am thinking of you and hoping and praying that this is indeed just an infection. 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 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 hope for the best. Glad your doctors are on top of this, and did a FNAB to be sure. Although, waiting is the worst. Hang in there.
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: Jan 2009 Posts: 476 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Jan 2009 Posts: 476 | Waiting sometimes is the hardest part. Prayers for an infection.
Wanda (47) caregiver to husband John (56) age at diag.(2009) 1-13-09 diagnosed Stage IV BOT SCC (HPV+) 2-12-09 PEG placed, 7-6-09 removed Cisplatin 7 weeks, 7 weeks (35) IMRT 4-15-09 - treatment completed 8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear 4-2013 - HBO (30 dives) tooth extraction 10-2019 - tooth extraction, HBO (10 dives) 11-2019 - Left lateral tongue SCC - Stage 2
| | | | 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 | Me too--- I have my fingers crossed you have an infection. I would say based on your history, it's a good chance it is. They cooked that area nicely so necrotic tissue is very possible, and healing etc.. is compromised, and frankly you had a similar occurrence recently where you had a non healing necrotic ulcer. Thankfully the first dr. showed you why and what he suspected. Hopefully the FNA gives you some good news - infections suck but the C word sucks more. If it was my vet you know - the results would have been back in an hour!! Full biopsy 24-48... bizarre but true! hugs dude.
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 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Kelly
Man, that sucks. I am dreading my MRI and Petscan in mid April . You and I are in uncharted territory as far as radiation TX goes. They have no benchmark to compare us to. with everyone else getting half the doses we had. The radiologist who did my last MRI told me that there was so much damage she really could not tell what was what anymore. As I mentioned, she thought the cancer was back, but after the RO and tumor board went over it with her, said it was edema and swelling. and I do not even have as much radiation as you did. The needle biopsy should be more accurate for you. I'm praying for an infection also. That ulcer sounds painful. I'm still on a baby fentanyl (12 mcg) patch due to constant pain. I had to cut down the nebulizer when I started coughing up really bloody sputum. Back to just ropey choking kind and back on baby steroids (predisone)
No matter how tough we are, we can not help but worry in situations like this. Hang in there. We are all rooting for you brother. Charm
65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | So sorry that you have to go through this anxiety again. Wierd how it just never gets any easier. Sending my prayers and good thoughts that you get an all clear.
Hugs Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Sep 2009 Posts: 701 Likes: 1 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Sep 2009 Posts: 701 Likes: 1 | Geez, Kelly, I am sorry to be reading this. The scans are scary enough. I hope and pray it is an infection. Sending you all the best in hugs, prayers and positive vibes.
Anita
Anita (68) CG to husband, Clark, 79, DX SCC 11/07, T4N0Mx, PEG 1/08, RAD, post rad infection 3/08, HBOT 40 dives, ORN, Surg 11/09 mandibulectomy w/fibular graft. Plastic Surg 4/10, 12/10, 3/11, 10/11, 4/12, 10/12. All PETS clear, PEG out 1/11. 6/11 non union jaw fracture Fractured jaw w/surgery 7/14 Aspiration pneumonia 7/21, 10/22 PEG 7/21 Botox injections
| | | | Joined: Jun 2009 Posts: 875 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jun 2009 Posts: 875 | My prayers are with you Kelly for good results. Who ever imagined we'd be praying to have an infection. Geez, will it never end. Anyway, prayers headed your way from the biggest wimp on the Forum.
julieann
Julieann Nov 2007 SCC on right tonsil following tonsillectomy. Was smoker, QUIT. (Stage IV T2 N2b) 7 weeks radiation one day/wk chemo (carboplatin and 5-FU). Allergic to Taxol; PEG in, lost 30 lbs. TX completed January 2008. PEG out mid- 2008. PET/CT 1/17/2011;2/3/12 NEGATIVE for cancer | | | | Joined: Oct 2011 Posts: 805 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Oct 2011 Posts: 805 | Hi Kelly, So sorry to read this. Can't imagine how reeling this is right now! Will be praying for good news. Kathy
Kathy wife/caregiver to: Kevin age:53 Dx 7/15/11 HPV16+ SCC Stage IV BOT/R Non smoker, casual drinker 7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11 PEG placed 9/1/11 Removed 11/8/11 Clear PET 10/12 and 10/13 and ct in 6/14 | | |
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