| | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) |  Senior Patient Advocate Patient Advocate (old timer, 2000 posts)
Joined: Sep 2006 Posts: 8,311 | My first visit to my ENT resulted in an FNA. I wasn't in his chair more than a few minutes when he whipped out that 4 foot needle! lol
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | | Joined: Jun 2013 Posts: 262 Gold Member (200+ posts) | | Gold Member (200+ posts)
Joined: Jun 2013 Posts: 262 | A fine needle biopsy of the lymph node can diagnose conditions other than cancer, too. I would seek a second opinion and push to define what is causing the enlargement.
53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
| | | | | Joined: Jul 2013 Posts: 26 Contributing Member (25+ posts) | | OP Contributing Member (25+ posts)
Joined: Jul 2013 Posts: 26 | The node doesn't seem to be getting bigger, and the ENT didn't even mention FNA. Would they be able to do that without a CT or MRI? My health insurance doesn't really let me specify who I see so I'm not really sure how to go about seeing a specialist.
Jon, 28
Undiagnosed
Scoped - Clean, 7/13
Scoped - Clean, 8/13
CT - "acceptable" enlarged lymph node 9/4/13
| | | | | 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 | An ENT is a specialist, but as mentioned, maybe see one that deals specifically with H&N cancer, surgery, at a CCC. They can do a FNAB without a CT or other scan. Maybe some would order that first. I did without a scan before a FNAB many times but a CT was ordered anyway at the same time, and then PET was ordered after confirmation to see of any other involved. Actually, they knew there was since the node was matatadtic cancer from elsewhere, likely the oropharynx, which it was, and then a triple scope with direct biopsies under anesthesia. I don't understand If cancer cant be excluded from a suspicion, why no further work ups are not being done. Do they want you to come back in two weeks, prescribed antibiotics? Good luck.
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: 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 | An FNA is a basic needle into the node that's it nothing else is needed.  they can do it on the spot, unless they wanted to do a guided one. If your node is visible a straight up FNA is possible - good luck!
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 2013 Posts: 26 Contributing Member (25+ posts) | | OP Contributing Member (25+ posts)
Joined: Jul 2013 Posts: 26 | They didn't prescribe antibiotics or request a follow up. I have kaiser for insurance so everything is through them and I'm not sure if they have a CCC.
Cheryl - I just wasn't sure if they needed to have a scan to know where to stick the needle, but its good that they don't. No excuse not to do one!
Jon, 28
Undiagnosed
Scoped - Clean, 7/13
Scoped - Clean, 8/13
CT - "acceptable" enlarged lymph node 9/4/13
| | | | | 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 | Right sometimes they needs scan if the node, nodule or tumor lights up on a ct and its deep or not visible they need to know where to draw from - if your node is visible they can just grab a sample push for this and good luck. Christine gas a list of CCCs maybe you can compare to se what is available to you...
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: 4 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Jul 2012 Posts: 3,267 Likes: 4 | They use or should use the FNAB with ultrasound guidance. Ultrasound is even more specific than any of the other scans, especially for lymph nodes in the cervical neck.
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: 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 | Here is the list, Cheryl mentioned. List of CCCs
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: Jul 2013 Posts: 26 Contributing Member (25+ posts) | | OP Contributing Member (25+ posts)
Joined: Jul 2013 Posts: 26 | Thanks, Christine. Looks like I have a few to choose from around here. I just want to figure out what's going on!
Jon, 28
Undiagnosed
Scoped - Clean, 7/13
Scoped - Clean, 8/13
CT - "acceptable" enlarged lymph node 9/4/13
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