| |         |   |   |  |   |  Joined:  Jan 2013 Posts: 1,294 Likes: 1 Patient Advocate (1000+ posts) |   |   Patient Advocate (1000+ posts) 
 Joined:  Jan 2013 Posts: 1,294 Likes: 1 |  Sorry to hear about the trial failing. Although chemo is palliative at this point there is pretty good response to control the cancer resulting in good QOL out in the future. 
 I had induction TPF and then carbo with rads. The response during induction was amazing in terms of tumor size reduction. It was so effective the final report stated "complete or near complete resolution..." meaning the chemo worked extremely well on my cancer.
 
 Good luck with the new treatment.
 
 
 
   Don
 Male, 1955
 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
 |  |  |   |   |   |  |   |  Joined:  Jun 2007 Posts: 10,507 Likes: 8 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: 8 |  Gloria, Im very sorry to hear about the trial not working better for John.  Thank you both for making the effort and encouraging others to at least give the trials a shot if its an option.  
 Wishing you both all the very best with everything.
  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    |  |  |   |   |   |  |   |  Joined:  Mar 2011 Posts: 1,024 "OCF Kiwi Down Under"  Patient Advocate (1000+ posts) |   |   "OCF Kiwi Down Under"  Patient Advocate (1000+ posts) 
 Joined:  Mar 2011 Posts: 1,024 |  Gloria, I am so grateful to you both for blazing this trail for all who are still to come and who hopefully will one day benefit from Immunotherapy. Without people like John, new treatments would never get off the ground.I'm sorry John has not benefitted himself and wish him well on the next phase of his treatment.
 Time to readjust your sails.
 Tammy
   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!
 |  |  |   |   |   |  |   |  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 |  Good luck with the next step. I had Taxotere/carboplatin in 2012. Today I see an article that this combination may be better for HNC than Cisplatin. 
 Thank you for updating, and being in the immunotherapy trial.
   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 |  Did they discuss maybe removing he node and continuing the trial? If it's keeping the lungs stable that's great. Sorry about the outcome so far. 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:  Oct 2012 Posts: 1,275 Likes: 8 Assistant Admin Patient Advocate (1000+ posts) |   | OP   Assistant Admin Patient Advocate (1000+ posts) 
 Joined:  Oct 2012 Posts: 1,275 Likes: 8 |  Cheryl, the general feeling is that the trial isn't working, so surgery at this point is not going to achieve anything.  Besides, the protocol for any trial is very stringent and doctors cannot do anything outside what is mandated and that includes surgery because it will confuse the outcome.  The cancer is terminal and the senior medical oncologist was very clear about the fact that anything done at this point, including the trial, is palliative.  
 Tammy, yes, I do think it is time to adjust the sails.  It is a motto I have been living by for the last eight months or so.
 
 I thank everybody who has posted for their kindness and support.  You indeed feel like family to me.
   Gloria
 She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards
 
 Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015.  Phase 2 trial of Selinexor April to  July 2015. At peace Jan 15, 2016.
 
 |  |  |   |   |   |  |   |  Joined:  Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) |   |   Patient Advocate (old timer, 2000 posts) 
 Joined:  Dec 2003 Posts: 2,606 Likes: 2 |  Sorry to hear the news, Gloria. Thank you to you and John for being pioneers in something new.    SCC Stage IV, BOT, T2N2bM0
 Cisplatin/5FU x 3, 40 days  radiation
 Diagnosis 07/21/03 tx completed 10/08/03
 Post Radiation Lower Motor Neuron Syndrome 3/08.
 Cervical Spinal Stenosis  01/11
 Cervical Myelitis 09/12
 Thoracic Paraplegia 10/12
 Dysautonomia 11/12
 Hospice care 09/12-01/13.
 COPD 01/14
 Intermittent CHF 6/15
 Feeding tube NPO 03/16
 VFI 12/2016
 ORN 12/2017
 Cardiac Event 06/2018
 Bilateral VFI 01/2021
 Thoracotomy Bilobectomy  01/2022
 Bilateral VFI 05/2022
 Total Laryngectomy 01/2023
 |  |  |   |   |   |  |   |  Joined:  Apr 2013 Posts: 76 Supporting Member (50+ posts) |   |   Supporting Member (50+ posts) 
 Joined:  Apr 2013 Posts: 76 |  Gloria-I am so sorry to hear this news about the immunotherapy trial. I wish you and John all the best as you move on to new therapies. You have been so kind to keep us all updated on the process; your selfless sharing of information has helped me so much--and I know many others.  Now we are all here to send hugs and hold you in our hearts.
 
 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
 |  |  |   |   |   |  |   |  Joined:  Jan 2013 Posts: 80 Supporting Member (50+ posts) |   |   Supporting Member (50+ posts) 
 Joined:  Jan 2013 Posts: 80 |  Gloria - You and John continue to be in my thoughts and prayers on a regular basis, especially now with this bad news. There are not enough words to express my sadness for you both, words to give you support and encouragement, but know that you are not far from our hearts and mind.
 John and you are a strength to each other and to so many of us here.  It is easy to loose our sense of being so please take care of yourself also.
 
 All my best,
 Nancy
 
 
 
   Nancy
 Age 56 at diagnosis
 Neck Lymph node removed 11/2012
 Tonsillectomy perfomed 12/2012 - identified as primary
 SCC Left Tonsil with Left Node involvement, DX 12/2012
 RX started 1/29/2013, finished 3/23/2013;
 Daily IMRT (35 Sessions)
 Weekly Taxol/Carboplatin (6 weeks)
 PEG placed after week 4 (3/1/2013)
 PEG removed 6 1/2 months later (8/12/2013)
 
 |  |  |   |   |   |  |   |  Joined:  Oct 2012 Posts: 1,275 Likes: 8 Assistant Admin Patient Advocate (1000+ posts) |   | OP   Assistant Admin Patient Advocate (1000+ posts) 
 Joined:  Oct 2012 Posts: 1,275 Likes: 8 |  Uptown, Nancy and Mary, thank you so much for your messages. It is so nice to know that I have friends that care.     Gloria
 She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards
 
 Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015.  Phase 2 trial of Selinexor April to  July 2015. At peace Jan 15, 2016.
 
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