| | Joined: Sep 2009 Posts: 701 Likes: 1 "Above & Beyond" Member (500+ posts) | OP  "Above & Beyond" Member (500+ posts)
Joined: Sep 2009 Posts: 701 Likes: 1 | Hello All,
Clark has been dealing with recurring infection in the soft tissue above his jaw. He has had numerous surgeries to remove a fistula. It keeps coming back. He is 5+ years out from DX. So my question is this:
Could this be indicative of a recurrence of cancer and should we be requesting an MRI? I should add that I have asked this question and so far no one thinks it is related but I worry, you know....
I welcome your comments.
Last edited by AnitaFrances; 03-20-2013 06:24 AM.
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: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | | "OCF Canuck" Patient Advocate (old timer, 2000 posts)
Joined: Dec 2010 Posts: 5,260 Likes: 3 | He's been clear for so long I think it's unlikely but it wouldn't hurt to have to ease your mind. It sounds to me - based on his surgical history and jaw issues - like its post rads fall out and he's healing compromised - have the suggested HBO again?
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: Jul 2012 Posts: 3,267 Likes: 1 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Jul 2012 Posts: 3,267 Likes: 1 | Radiation can delay wound healing, cause wound complications, and would ask about HBOT. Questions also to consider are, have they done any blood testing to see about any deficiencies that may be causing delay in healing, chronic infections, and is he obtaining the right among of nutrients, protein, to assist in healing, maintaining immune system. What type of infection keeps returning, and has an ENT made any ruling on the situation, and no need for any diagnostic scans? Many hospitals have wound management specialists, sometimes associated with HBOT dept, may also be considered
Pentoxifylline is sometimes given for non healing ulcers, ORN, fibrosis from radiation.
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
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