| Joined: Aug 2013 Posts: 15 Member | OP Member Joined: Aug 2013 Posts: 15 | I am Carol. My significant other, Tim, has been diagnosed with SCC at the BOT with mets. FNA last year showed inflammatory cells so a round of antibiotics was prescribed. He had a tooth that had broken then healed so the ENT felt it might be an infection. So.. had the tooth extracted (he was in no hurry to get this done since it was not bothering him and the ENT didn't even mention cancer). Fast forward 1 year- back at the ENT and another round of antibiotics. 3 weeks later an FNA which then showed atypical cells suspicious for non small cell carcinoma. Next(2 weeks later) a needle core biopsy of largest lymph node. Results- non small cell carcinoma. one week later- PET with glucose. Showed very small BOT tumor with reactive lymphoid tissue. 2 large metastatic lymph nodes and several smaller right level 2 lymph nodes that are suspicious but obscured by the intensity of the first 2. The ENT did a scope and looked at the BOT and said "it appears as just a slightly different color and size as the rest, and "if he didn't know what he was looking for it would appear basically normal to him". He is referred to radiology oncologist now. We chose a different one than "recommended" that is more familiar to me and highly recommended thru my medical contacts. This appointment is tomorrow. We had been researching non small cell and thought it would most likely be lung cancer so all of this took us by surprise!! I guess at this point we really need a bit of hope that the treatment will be successful! We are very anxious, of course, about the next phase. I have been trying to familiarize myself with all of this. I will be his caretaker during and after treatment. So ..... I guess "Help" is what I am asking for!!
Caregiver to Tim(Best friend and love of my life)55 years young!! Small BOT SCC (HPV+) with mets to 2 large and 1 "cluster" of right neck lymph nodes. DX 7/2013 Treatment started 8/2013. Completed 10/9/2013 IMRT 70GY over 31 days X2. Cisplatin X3 No PEG. PET Scan 1/15/2014 NO Evidence of Disease 5/18/2015 NED with follow up visits to oncologist and Radiation oncologist every 3 months. Cautiously Optimistic and starting on the journey to recovery!
| | | | 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 | Non small cell at base of tongue???? interesting normally its squamous cell - I would ask them to double check that. I've read the small cell lung cancer can move up into the base of tongue area but that's very rare, are they saying this is a primary or lung mets? Assuming its non small cell that would imply non small cell lung cancer as well. Regardless I would look for treatment at a CCC - why? Because they do cancer all day every day, and your husbands cancer if it is not squamous cell carcinoma and is in fact non small cell lung mets - is unusual in its location this would be another reason to be seen at a CCC (if possible) - and it should probably be a lung cancer specialist - not ENT because I believe lung cancers are first off - treated with chemo primarily (my mom died of lung cancer - her treatment was chemo, and then a few rad sessions to the head to hopefully zap any cells at may have migrated) and secondly treating it as a base of tongue would do nothing to solve the actual problem (lung cancer mets) It is possible its squamous cell carcinoma - in which case you are in the right place - welcome - sorry you have to be here,  hugs
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: Aug 2013 Posts: 15 Member | OP Member Joined: Aug 2013 Posts: 15 | I think I miss typed. The biopsy showed squamous cell. (the fna was suspicious for non small cell)
Caregiver to Tim(Best friend and love of my life)55 years young!! Small BOT SCC (HPV+) with mets to 2 large and 1 "cluster" of right neck lymph nodes. DX 7/2013 Treatment started 8/2013. Completed 10/9/2013 IMRT 70GY over 31 days X2. Cisplatin X3 No PEG. PET Scan 1/15/2014 NO Evidence of Disease 5/18/2015 NED with follow up visits to oncologist and Radiation oncologist every 3 months. Cautiously Optimistic and starting on the journey to recovery!
| | | | Joined: Aug 2013 Posts: 8 Member | Member Joined: Aug 2013 Posts: 8 | Hi Carol, I'll just reply to let you know that I read your post, and that I also have a recently-diagnosed family member. My father just told me today that he has "cancer" - he didn't say any more than that, other than that he starts chemo/radio tomorrow. It sounds like it might be tongue cancer, based on his description. Most of our communication is by email because we live on opposite sides of the world. But, in his email today, he asked me not to telephone him because speaking is painful. I;m guessing that pain that is strong enough to interfere with his ability to speak might mean the lump is quite big. I'll look out for your posts. I wish you well Deborah
Daughter of Dieter Dieter Dx 08/2013, stg 4 throat and BoT. starting chemo/radio September 9, 2013.
| | | | Joined: Aug 2013 Posts: 15 Member | OP Member Joined: Aug 2013 Posts: 15 | Thank you Deborah! I had read your post about your father also! I know with Tim that he isn't understanding all of the medical information being given to him, so he isn't conveying information to his family (only two daughters) very effectively. I will follow your posts, and I wish for you strength and some peace as you progress through this with your father.
Caregiver to Tim(Best friend and love of my life)55 years young!! Small BOT SCC (HPV+) with mets to 2 large and 1 "cluster" of right neck lymph nodes. DX 7/2013 Treatment started 8/2013. Completed 10/9/2013 IMRT 70GY over 31 days X2. Cisplatin X3 No PEG. PET Scan 1/15/2014 NO Evidence of Disease 5/18/2015 NED with follow up visits to oncologist and Radiation oncologist every 3 months. Cautiously Optimistic and starting on the journey to recovery!
| | | | Joined: Jan 2013 Posts: 1,293 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2013 Posts: 1,293 Likes: 1 | [quote]But, in his email today, he asked me not to telephone him because speaking is painful. [/quote] Hi Debo, Is it correct to assume that he is alone there and there are no relatives or friends who are involved with his cancer and treatments?
Hopefully, there is someone who is assisting or at least aware of what is going on. You really benefit having another contact than him as he appears to be the personality type to not wanting to "bother" family with his illness.
If he is the sole contact then press your Dad to get you onto the records as being able to receive and contact his care providers. That way, you can get the accurate and timely status from them directly if your Dad is not directly and accurately communicating his status to you.
Best to you, Don
Don Male, 57 - Great health except C Dec '12 DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes 1 tooth out Jan '13 2nd tooth out Tumor Board -induction TPF (3 cycles), seq CRT 4-6/2013 CRT 70gr 2x35, weekly carbo150 ended 5/29,6/4 All the details, join at http://beatdown.cognacom.com | | | | 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 | Hi debo - I responded to your other post. He is going to need help if he's on his own. Hugs.
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 2011 Posts: 945 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2011 Posts: 945 | Carol - you wrote - "I guess at this point we really need a bit of hope that the treatment will be successful!"
The fact that the tumor is very small is good from a prognostic and a treatment stand point.
If you are like me, you are probably wild to move forward after all the lost time. Getting a second opinion (especially if the treatment will not be at an official CCC) is probably worth it. It is important to get it right!
Best wishes - we'll do our best to help!
Maria
CG to husband - SCC Tonsil T1N2M0 HPV+ Never Smoker First symptoms 7/2010, DX 12/2010 TX 40 IRMT (1.8 gy) + 10 Cetuximab PET Scans 6/2011 + 3/2012 clear, 5 year physical exam clear; chest CT's clear of cancer. On thyroid pills. Life is good.
| | | | Joined: Aug 2013 Posts: 15 Member | OP Member Joined: Aug 2013 Posts: 15 | Thank you for responding Maria! The appointment today is in central Florida. I hear and read very good things about them, and I have had one family member treated there (prostate cancer). We are anxious to hear what they have to say as far as the plan for treatment then perhaps go to Moffitt or even Shands for a 2nd opinion. Tim is the love of my life, and I "found" him again 3 years ago at our 35th high school reunion. I will be by his side through whatever it takes! This support group, in 2 days, has given me so much information, and hope. Thank you all for being here for us!!! Carol
Caregiver to Tim(Best friend and love of my life)55 years young!! Small BOT SCC (HPV+) with mets to 2 large and 1 "cluster" of right neck lymph nodes. DX 7/2013 Treatment started 8/2013. Completed 10/9/2013 IMRT 70GY over 31 days X2. Cisplatin X3 No PEG. PET Scan 1/15/2014 NO Evidence of Disease 5/18/2015 NED with follow up visits to oncologist and Radiation oncologist every 3 months. Cautiously Optimistic and starting on the journey to recovery!
| | | | 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 | Carol,
I sent you a PM reply.
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.
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