Hi All
Thanks for posting back...
The chemo 2 cycle was completed yesterday (Docetaxel(instead of Paclitaxel) + 5 Flurauracil + Cisplatin.)

Doctor told to have injection NewFill Safe for 5 days.

However next chemo cycle is planned on 7th May, as chemo 1 cycle was incomplete(only consisting of
5 Flurauracil + Cisplatin only. My father had reaction (low blood pressure for Paclitaxel)


As of now Doc did not advised for MRI scan...

Kindly advise.

Hi All

The chemo 3 is started cycle started today, similar to cycle 2, consisting Docetaxel(instead of Paclitaxel) + 5 Flurauracil + Cisplatin.)

As chemo 1 cycle was incomplete(only consisting of
5 Flurauracil + Cisplatin only. My father had reaction (low blood pressure for Paclitaxel)


Also by physically examining doctor told there are postive effects with chemo cycles...

Doctor told to have MRI/PET scan after 10days of current chemo cycle 3.

Kindly advise.

Rahul,

Thanks for the update. Hope he is doing alright with the side effects and the triple combination is pretty tough. don

Rahul, thanks for posting. I hope your father is doing fine.

Hoping for good news after MRI.

Hi Team

Here is the report details for PET SCAN performed today 13th Jun 2013. Kindly advise how to proceed now.


- Persistent heterogeneously ehhancing FDG avid(SUV max 12.2 <- previous SUV max 13.6) ill defined lesion is seen in left half of mid and posterios third tongue, left tonsilar fossa and left lateral oropharyngeal wall. The lesion shows areas of central necrosis within. The lesion now measures TRA 2.5 X (AP) 5.2 X (CC) 4 cm (<- previous size (TRA) 2.5 X (AP) 4.7 X (CC)3.8cm. Caudally the lesion extends upto hyoid bone. However no obvious erision seen.

-Impression:
-Persistent heterogeneously enhancing hypermetabolic recurrent lesion seen in left side of posterior tongue and left tonsilar region. There is increase in central nerotic areas within the lesion.
-No significant metabolically active disease seen elsewhere in the body in current PET-CT study.


Thanks
Rahul

Sorry I may have missed something but why aren't they operating to remove this tumor and why aren't they using IMRT? Necrosis means dead cells and that typically means cancer and this cancer will not be killed off by chemo alone.

Hi David

Thanks for reply.

Kindly note my father already operated 2 times followed by IMRT and 2 chemo. But later during investigation it was found that there is Recurrance happened. So they told it is risky to operate or to have IMRT again and they advised chemo cycles.

Kindly advise.

Thanks
Rahul.

Rahul, sorry to give you the bad news, the chemo did not serve the purpose of reducing/killing the tumor. Almost similar to results that my dad got.

Discuss with oncologist regarding Erbitux, it is an option but very expensive. Alternatively, your father will have to be on palliative chemotherapy for rest of the life. The journey is going to be difficult from here. All the best.

If you are looking for a potential cure - radiation or surgery may offer you that - but only if the day will do it. chemo will not cure this cancer. Hugs. And best of luck.

Please understand that chemo alone will at best only prolong his life but if it's possible to reradiate that should be considered. Many on this site have been radiated more than once.