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#177562 02-17-2014 07:17 PM
Joined: Feb 2014
Posts: 2
Dith Offline OP
"OCF Down Under, Kiwi"
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"OCF Down Under, Kiwi"
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Posts: 2
Hi All
I have recently been diagnosed with tongue cancer and have spent a lot of time reading all your posts so thought I had better stop looking and say hello.

In Oct 2013 I noticed a small lump (less than 1 cm) on the side of my neck. Doc sent me for a FNA which came back inconclusive. I then had a scan assisted FNA which again came back inconclusive.
By this time the lump on my neck had grown to approx 5cm and I had a consistently sore throat.

Dec 30th 2013, I had another scan assisted FNA and they took a core sample. The pathologist was not happy with the "material" so I wasn't expecting too much as far as progress with results.

Results came back positive for SCC with 2 involved nodes and one suspicious.

I then had a PET scan which showed uptake in my tongue but no where else. Strange what can pass for good news sometimes. On visiting the ENT specialist he has me scheduled for removal of my left tonsil and surgical tongue biopsy... that is in 6 days and counting. He did say I would then be on a course of Radio/Chemo.. but yet unknown how much. I will have the results of the biopsy on 26th Feb so I guess they will know more then.

I'm in good positive health and when I read everyone's stories I can't help but admire your courage. I am worried most about the effects of Radio. I'm in Sales, I can't imagine not being able to talk! Yes, I know that might not happen. I hope to share good news.


FNA inconclusive - Nov 2013
Scan FNA inconclusive
Scan FNA Confirmed SCC suspected BOT
PET Scan Confirmed SCC suspected BOT and Left Tonsil
Tonsillectomy and tongue biopsy (tongue clear)
PEG inserted
6 weeks treatment 7/4/2014
6 chemo / 30 Rads
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Welcome to OCF!

Where is the primary? Is the 5cm tumor one of the nodes or the tonsil? Sounds like BOT (base of tongue)?

Glad you have been reading up and getting informed. Rads and chemo are rough as you have surely read but you will get through it. Your voice may be weak for awhile but should return fine. There are a lot of factors but your case has little complications.

Good luck next week. 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: Oct 2013
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"Above & Beyond" Member (500+ posts)
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Hello Dith - Welcome to the family, though I'm sure we would all rather meet under different circumstances.

Don't worry too much right now about the radiation or chemo. In fact, don't worry any about it. It won't help to do so, it will just keep you awake at night, sleepless over something you absolutely have no control over. It will be what it will be (didn't that line come from a song somewhere). That being said, there is no guarantee it will be bad. I read what everyone wrote to expect and for me, little to none of that stuff happened. Radiation truly wasn't bad for me. Now, everyone is differnet, so we can only hope it will go smoothly and easily for you. The best thing you can do to prepare for it is to maintain a positive attitude and eat, eat, eat. You will lose weight and the more you can put on right now the better off you will be at end of treatment.

Here in the U.S. seems I've heard most people get either 33 or 35 treatments, five days a week, so it usually takes 7 weeks to finish. That you are also having some chemo, I'm not sure whether that wil extend the time it takes to complete your radiation.

Right now, don't worry about whether it will affect your ability to work. Some people are able to work without time off, others it affects badly, requiring sometimes significant time off. Like before, it will be what it will be, so wondering or worrying about it won't help any.


Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

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Dith,
Sorry you had to find us, but this is the place to be. More will be along soon. The fine people here help me thru it, and we will do the same for you. You are going to be very busy for the next few month. Use you time wisely. Get an apointment at your nearest CCC. There is a list on the main site. You will not feel well for several months. Doing jobs around the house will become difficult. You will need help. Make sure you get as much stuff done while you can. Battling cancer is a full time job for now. Get to the dentist ASAP. You will need a clean bill of health before you begin.

I am 15 months out and doing very well. You will get thru it. Good luck and keep us posted.



Hockey Dad
43, No smoke, Small BOT HPV+16
8/30/12 Biopsy found SCC in Lymph node (removed)
9/19 DX 4a T1N2aM0
10/1 TX 2x Cisplatin 35 IMRT 70 gry (Done 11/15)
PEG tube in 11/7. Out 1/4, Back at work 2/4/13
PET 2/13 Clear, 10/16 all Scopes Clear, 4/14 Chest X-ray Clear, 5/14 Abdominal ultrasound Clear, 8 yrs clean!!!
Joined: Feb 2014
Posts: 2
Dith Offline OP
"OCF Down Under, Kiwi"
Member
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"OCF Down Under, Kiwi"
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@ Don
It is base of the tongue and know I'm very lucky to have a non complicated case.

@Tony and Hockey Dad... thanks for the encouraging words. It is good to hear your thoughts. I will make sure I get to the dentist, at least that is in my control so far. Will have to see if there is an equivalent CCC service here in NZ.

Mere(dith)


FNA inconclusive - Nov 2013
Scan FNA inconclusive
Scan FNA Confirmed SCC suspected BOT
PET Scan Confirmed SCC suspected BOT and Left Tonsil
Tonsillectomy and tongue biopsy (tongue clear)
PEG inserted
6 weeks treatment 7/4/2014
6 chemo / 30 Rads
Joined: Mar 2011
Posts: 1,024
"OCF Kiwi Down Under"
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Hi Meredith,
Welcome and also sorry to meet you here.
NZ does indeed have the equivalent of a CCC. These are the tertiary referral hospitals of Auckland Hospital , Waikato, Palmerston North, Wellington, Christchurch and Dunedin. Not sure on Invercargill.
Your ENT should refer you to one of these centres to see the Head and Neck Tumour Board. They will come up with your treatment plan .
Usually BOT is treated with 7 weeks of radiation and 3 chemos of Cisplatin.
You will be referred to the teams dental oncologist for treatment and in fact will meet them at your H&N meeting..
Hope all goes smoothly.
Tammy ( in Whangarei)


Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!
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Patient Advocate (old timer, 2000 posts)
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Welcome Dith. They should also test if it's HPV-16 or not from the samples of the biopsies, which if positive, has better outcome, prognosis than non HPV related oropharygeal cancer, although treatments are usually the same, except for clinical trials, which some are doing deescalation of treatments.

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






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Administrator, Director of Patient Support Services
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Welcome to OCF! Im sorry you have joined the club but glad you are here. You found the best place online to get info and support for OC. We will help you get thru everything you are facing.

Best wishes!


Christine
SCC 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 smile
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"OCF Canuck"
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Welcome... it seems everyone here has everything in hand!!! so I will just say... sorry you have to be here but it is a great resource... hugs and luck 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

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