| | 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 | I would say less than that. If its broken through the skin it would likely be a high stage. I would find it hard to believe there wasn't more involvement - though I suppose anything is possible - but if she's so malnourished that sounds like a cross between cachexia - and maybe just the inability to eat - if it is cachexia that is the end stage of cancer. Regardless, if she's not eating tha cancer will take her quickly and they can put the peg in minutes its not a major surgery.
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: Oct 2012 Posts: 143 Senior Member (100+ posts) | | OP Senior Member (100+ posts)
Joined: Oct 2012 Posts: 143 | Just got an update this morning that the PEG tube will be inserted next week. She would need to be in the hospital for up to 2 days. No surgery will be done. However, they want the radiation to follow once she regains strength.
Joyce March 1940 to January 2014
A wife, a mother, grandmother and great grandmother.
She fought oral cancer from late 2009 to Early 2014.
2 Timothy 4:7 I have fought the good fight, I have finished the race, I have kept the faith.
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 7 | Ina, Im very sorry to hear everything Joyce is going thru. How I wish her condition was taken more seriously when she first became ill. Nobody can go back and change the past. But I sure wish I had that capability! Im sure it must be very difficult for you getting second hand limited info from other family members who arent always on top of everything.
Hoping for the best!
ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive  | | | | | Joined: Oct 2012 Posts: 143 Senior Member (100+ posts) | | OP Senior Member (100+ posts)
Joined: Oct 2012 Posts: 143 | Let us assume that she is strong enough to endure the radiation treatment. She has titanium implants on her lower right jaw. The 3 lesions are located near the right jaw. Do they need to remove the titanium plate before they perform the radiation? How about her upper jaw and teeth what will be the effect?
Thanks for all your help.
Joyce March 1940 to January 2014
A wife, a mother, grandmother and great grandmother.
She fought oral cancer from late 2009 to Early 2014.
2 Timothy 4:7 I have fought the good fight, I have finished the race, I have kept the faith.
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 7 | I dont see how the titanium plate could be removed for rads. There could be scatter radiation to the surrounding areas. That is not always a bad thing, it should kill any "straggler" cancer cells.
I know its hard for you being so far away. But it sounds like she has a good treatment plan this time around.
ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | | Joined: Oct 2012 Posts: 1,275 Likes: 7 Assistant Admin Patient Advocate (1000+ posts) | | Assistant Admin Patient Advocate (1000+ posts)
Joined: Oct 2012 Posts: 1,275 Likes: 7 | Is a nasal tube a viable option until they can put in the peg tube? I don't know, I am just throwing out this suggestion.
Ina, I am so sorry you are in this predicament. I feel your frustration.
Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards
Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
| | | | | Joined: Oct 2012 Posts: 143 Senior Member (100+ posts) | | OP Senior Member (100+ posts)
Joined: Oct 2012 Posts: 143 | Truthfully Gloria I do not have any say in any of this. I am not part of any conversation. I just get information that they want to share.
There are things that they are not saying.
Joyce March 1940 to January 2014
A wife, a mother, grandmother and great grandmother.
She fought oral cancer from late 2009 to Early 2014.
2 Timothy 4:7 I have fought the good fight, I have finished the race, I have kept the faith.
| | | | | Joined: Oct 2012 Posts: 143 Senior Member (100+ posts) | | OP Senior Member (100+ posts)
Joined: Oct 2012 Posts: 143 | Last question, if you say Stage 4 T4 and with skin lesions what does that mean? How serious is this condition? Is there truly hope? If there is then go for it!!
Joyce March 1940 to January 2014
A wife, a mother, grandmother and great grandmother.
She fought oral cancer from late 2009 to Early 2014.
2 Timothy 4:7 I have fought the good fight, I have finished the race, I have kept the faith.
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 7 | Skin lesions is the location where the tumor is showing up. Stage IV is the the last one. There are Stage I, II, III, and IV thats all. Ive seen Stage I patients pass away and Stage IV patients survive. I have been a Stage IV patient as has Brian and davidcpa and we are all here years after being treated.
Joyce does have a chance to beat this. But she is also elderly and not in good shape right now from being malnourished and probably dehydrated. That will make this harder on her. Hopefully the feeding tube will help her to quickly turn around and begin to feel better. At this point, its up to Joyce and her doctors to win this battle. Im a firm believer in positive thinking being helpful to the patient.
ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | | Joined: Oct 2012 Posts: 143 Senior Member (100+ posts) | | OP Senior Member (100+ posts)
Joined: Oct 2012 Posts: 143 | Update as of today (May 18)
The Peg Tube will be inserted next week. There will be NO surgery any time soon. Once they see her able to handle radiation and chemotherapy they will start.
According to the children, she is the one that wants all the treatment done. So it is the patient's right to be treated.
The questions is if she can handle the radiation and chemo. There is no way to tell. Based on the last chemo, she had a very difficult time.
Question:
If the tumor or lesion on her face is not removed, will radiation and chemo heal the wounds? Will it increase in size?
The tumor that she has is this fast spreading??
Thanks again
Joyce March 1940 to January 2014
A wife, a mother, grandmother and great grandmother.
She fought oral cancer from late 2009 to Early 2014.
2 Timothy 4:7 I have fought the good fight, I have finished the race, I have kept the faith.
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