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Stily1 #176235 01-08-2014 08:46 AM
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So glad you had a good holiday... hopefully the colon issue is nothing... maybe an ulceration or something equally as unimportant.

With regards to your lung mets. Are you sure - have they biopsied one of the spots?

another of our members here had a scare a bit ago with something similar - she had lung spots for a bit and they were certain it was mets - (she still smokes) - they were saying the mets were too small to biopsy and she decided to forgo the chemo offered, so they decided to monitor her instead.

A few check ups later - her spots are resolving. It's important to know for sure if it is cancer.

If it is best of luck with the trial and hope you get in.

hugs

Last edited by Cheryld; 01-08-2014 08:47 AM.

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
Stily1 #176245 01-08-2014 12:51 PM
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Hi Cheryl,

They've not biopsied it yet, but will on the day I start the trial, so worst case if it was miraculously not cancer I would only have had one dose of the drug before this would be known.

But I'm not *that* optimistic! My PET scan was, shall we say, fairly dramatic, showing dark 'sugar uptake' in about ten areas around the *outside* of my left lung, in the pleural lining. And I do have some pain that fits the notion of something bad going on in there, although this is minor at this point. They can't think what else it could possibly be. That said, it's not changed much in the subsequent 6 weeks (baseline PET scan for the trial) which is also a bit of a surprise (in a good way, I think).

All will become clear in time.

Or not.

But hey.

Thank you for sharing the other friend's story - very interesting.

-Seth


47 yr old male non-smoker, social drinker, fit. Jan'10, Stg3 rt tonsil+rt neck SCC, HPV+, rad+chmo Vancouver Cda. 2yr clear Apr'12 London UK. Apr'13 mets recur to lymph btw left lung & aorta, 3x Cisplatin+5FUchemo+20 rad, was all clear but 6-mo PET-CT shows mets to pleura around left lung, participating in St 1 trial of GDC-0980. GDC lost effect and ended July'14, bad atrial fibrillation requiring hospitalisation, start more standard chemo 10 Sep 2014.
Sadly has passed away, notified Jan 2015.
Stily1 #176261 01-08-2014 05:43 PM
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Hi Seth-
Best of luck with the colonoscopy (there's a sentence that I don't believe I have ever written before). I hope you get some pleasant sleepy gas for that. (my husband was quite amusing upon awakening from the bronchoscope Monday; kept asking if we were in Chicago which made me at least remind him that we need to make a trip there, preferably in the spring).

All my fingers are crossed for clear sailing after tomorrow and into that trial. Thank you so much for updating us. I know there are many, many here rooting for you--on all sides of the various *ponds* (asterisks versus " " are in your honor as that is how your posts appear)

Best,
Mary


Mary
Caregiver to husband, 60
Dx Sept '12 SCC BOT T2N2aMo, Stage IV, HPV+
Oct '12 Sub.Gland transfer
Nov-Dec '12 IMRT x 33 + cisplatin x7
March '13 PET/CT: 2 spots on lungs; (BOT & neck lymphs NED)
April '13 Biopsy: 1 = malignant right hilar lymph (met from HNSCC)p16
9/13: 33 rounds IMRT to lungs; carboplatinx7
CT w/contrast 12/30/13: 2 spots left hilar lymph. biopsy confirms SCC
30 rounds IMRT to left lung; treatment ended 5/29/14
Sept 2014--CT clear; December 2014 CT clear
Stily1 #176898 01-25-2014 01:25 AM
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Ok! Time for an update.

The colonoscopy went fine (that was interesting......), they found a small 12mm nodule in an odd location and it didn't look like 'normal' colon cancer, they took a biopsy, and confirmed that it is the same SCC that I have had all along. This is a somewhat surprising result (to see a head/neck cancer appear in this location), but there you have it. This could be easily removed by 'keyhole surgery' but for now they've chosen to hold that option in reserve.

The good news is this didn't kick me out of the trial, and I started GDC-0980 on 15 January with a single dose and lots of monitoring and tests, this went fine, and then a week later, on 22 January I started taking it daily.

So far so good! I've had no side-effects to note (other than feeling hungry due to the fasting requirements; one hour before and two hours after each dose).

Maybe a slight twinge of nausea, but not even sure about that, and this could be simply the fasting.

Time will tell if side effects come on, and if this drug helps me, but so far so good!

-Seth


47 yr old male non-smoker, social drinker, fit. Jan'10, Stg3 rt tonsil+rt neck SCC, HPV+, rad+chmo Vancouver Cda. 2yr clear Apr'12 London UK. Apr'13 mets recur to lymph btw left lung & aorta, 3x Cisplatin+5FUchemo+20 rad, was all clear but 6-mo PET-CT shows mets to pleura around left lung, participating in St 1 trial of GDC-0980. GDC lost effect and ended July'14, bad atrial fibrillation requiring hospitalisation, start more standard chemo 10 Sep 2014.
Sadly has passed away, notified Jan 2015.
Stily1 #176901 01-25-2014 04:23 AM
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Thanks for sharing Seth, and showing a connection between the two areas, which was thought possible, but not sure if I ever read such a case, and changes my thoughts about getting a colonoscopy. Good luck with the rest of the trial, and keep us updated.


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






Stily1 #176906 01-25-2014 06:27 AM
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After-my-husband-was-diagnosed-with-cancer-of-the-vocal-cord-the-team-decided-on-a-colonoscopy-and-upper-GI.Since-he-never-smoked-or-drank-and-is-non-HPV-they-wondered-if-it-had-originated-somewhere-else.Thankfully-no,he-just-was-the-lucky-one-to-have-a-rare-cancer-with-less-than-50-cases-ever-in-the-world.


Husband diagnosed Oct '11 Cancer of the vocal cord Nov '11 removed right vocal cord. Neck Dissection, cancer in one node, .2, very small & contained) Jan '12 Radiation and Cisplatin, 6 doses. June '12 & Dec '12 clear Pet scan. April '13 Celebrating 1 year cancer free since treatment ended.
Stily1 #176914 01-25-2014 09:23 AM
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"OCF Canuck"
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Good luck Seth... Did they delay the colon decision so they could start you on the chemo?


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
Stily1 #176918 01-25-2014 11:20 AM
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Hi Cheryl,

That's a fair question. I figure, if I have SCC throughout the pleural lining all around my left lung, then what's the rush in surgically removing one tiny nodule of SCC in my colon? Remember, it's not 'colon cancer' so any SOP likely doesn't apply. So in a sense, yes, I figure they didn't want to delay my start of the trial by doing a surgery, or perhaps they just don't see any advantage to performing a surgery at this time (which I think is more likely the reality).

-Seth


47 yr old male non-smoker, social drinker, fit. Jan'10, Stg3 rt tonsil+rt neck SCC, HPV+, rad+chmo Vancouver Cda. 2yr clear Apr'12 London UK. Apr'13 mets recur to lymph btw left lung & aorta, 3x Cisplatin+5FUchemo+20 rad, was all clear but 6-mo PET-CT shows mets to pleura around left lung, participating in St 1 trial of GDC-0980. GDC lost effect and ended July'14, bad atrial fibrillation requiring hospitalisation, start more standard chemo 10 Sep 2014.
Sadly has passed away, notified Jan 2015.
terrib #176920 01-25-2014 04:49 PM
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Terrib,
I also was diagnosed with SCC of vocal cord with NO risks either, HPV-, they could only come up with reflux being the cause? Wonder if your husband had an issue with reflux. Don't want to hijack the thread but really curious if he did. Mine was Stage T1N0M0 for which I'm thankful, will be going on 2 years, so holding my breath as we all do! Sorry for the intrusion!
Mrs. Sarge

Stily1 #176936 01-26-2014 07:13 AM
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"OCF Canuck"
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My father in law is a wine drinker, and has had acid reflux for years.... Dx'd this fall with esophageal cancer - the three precursors for esophageal cancer - alcohol consumption - (wine is a staple as he's italian and it is lifestyle - he's not a roaring drunk, he had likely half a litre to a litre daily over lunch and dinner and was perfectly sober) - (check!) a history of acid reflux (check!)- and often older black males - (he's older and male but not black) acid reflux depending on the length of time you've had it can definitely cause chronic irritation and cell change.

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
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