| 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 | Im very sorry to read further about your fathers situation. Please understand this site is not made up of medical professionals, we are fellow oral cancer survivors and caregivers. We do not have the knowledge or medical experience to second guess what the doctors are suggesting. From what I understand surgery is the only curative option. Chemo alone will not eliminate the cancer but could shrink it enough to make surgery an option a little later. Ask the docs if this is an option to do surgery after trying a few rounds of chemo. Im not aware of any medications that will control the cancer???
Best wishes! 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: Jan 2013 Posts: 1,293 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2013 Posts: 1,293 Likes: 1 | I am very sorry to hear the reports of the latest visits. Since it has been just two months since chemoradiation therapy and the PET shows the original cancer has spread and a new cancer is discovered, this is a very aggressive cancer.
The doctors there are far better at assessing what the options are and if surgery has been ruled out and radiation too, then only chemo seems like an option.
I know you are totally involved and push for all that can be done to help your father. Hopefully they can at least control the spread and shrink it back some. If that shows good results there may be other options.
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 | That's crap they can remove it from both - once it moves out of the head and neck area that's different but they should operate !
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: 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 | I just want to tell you that my husband had both his tongue and voice box removed. This surgery is possible and quality of life is good. Keep pursuing this option. 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: Jan 2013 Posts: 1,293 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2013 Posts: 1,293 Likes: 1 | Thanks for reporting in the option of surgery. I know the term "salvage" surgery which is done after traditional surgery and radiation, so yes it is possible.
Of course, we are not doctors here nor have any specifics to this or any case, so should pursue the best doctors and trust their recommendations, whatever they may be.
Surgery in one instance may offer great prognosis and QOL; in other situations, the outcomes can be very different.
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 2014 Posts: 5 Member | OP Member Joined: Oct 2014 Posts: 5 | Thanks for all your comments and feedbacks. Really feel happy to see so many of you are caring here and i'm getting more confidence. I will fight till the end. There are few more updates after our visit yesterday.
Met the Chief doctor and he advised to provide Chemo via Tablets (2-0-2) for the next twenty days & asked to return on 20th Nov. Yes, surgery is an option if the chemo helps to shrink it and showing better results they might go for the surgery little later but not for now.(50-50 Chance for surgery)
However after returning home last night, We received our tablets in the noon today. My Father completed his Prayers, Lunch in noon and went to take some rest. After another one hour returned with bleeding in his mouth :'( told us that he had bleeding from his mouth like in clotted way and in lots, He had washed his mouth and showed us thereafter. We really got panicked and called our relatives close-by home. Spoke to doctor over the phone and he said it is okay and nothing to worry and asked to take the medicines for tonight and if case of bleeding asked to take another tablet to control. It did not bleed from the wound in his tongue, However Father feels like it may be from the tumour in his right jaw area. And after the bleeding he feel his pain on the right side has reduced to some extent. Tomorrow morning we are planning to take him to doctor to further diagnose it.
Has anyone of you had similar incidents like this before ? Please clarify.
Father 62:Non-Smoker/Non Drinker/ Non- Veg/ Carcinoma Tongue / Biopsy 25 May'14 / Radiation+Chemo 25 June till 8 Aug'14 /Next Visit 5 Sept Consultation - Normal / 5 Oct'14 Consultation - Pain and recurrence of small tumour in neck / Re-radiation = NA /
| | | | Joined: Sep 2013 Posts: 105 "OCF Canuck" Senior Member (100+ posts) | "OCF Canuck" Senior Member (100+ posts) Joined: Sep 2013 Posts: 105 | Thinking of you and your father. Keep fighting and supporting your father Shariff. Keep heart, Sophie
husband 61@diagnosis painter 6/9/13 Exophylic invasive SCC IV(ext.gingivobuccal) 3cm+ mandibular/lytic/erosion, jugular/node9mmshort-axis 17/9/13 Dx(moderately aggressive) 24/10/13 left madiblectomy, mod radical neck disct, leg flap, NGtube 2/01/14 (30 tx)rads 60gy N2b (2nodes under jaw) (rem. in tiny nerves) (rem. 30 nodes) Clear margin, close 2mm inner cheek 15/05/14 cellulitis 3/12/14 Chest CT Clear 27/02/15 cellulitis 8/6/15 cellulitis 10/6/15 Osteomyelitis
| | | | Joined: Oct 2014 Posts: 5 Member | OP Member Joined: Oct 2014 Posts: 5 | Hi, Since yesterday my Father had bleeding for 4 times. Doctor informed nothin to worry and asked to take a tablet in case bleeding. May I please know if anyone had similar situation and what was suggested to be done?
Please advise. Thanks alot.
Father 62:Non-Smoker/Non Drinker/ Non- Veg/ Carcinoma Tongue / Biopsy 25 May'14 / Radiation+Chemo 25 June till 8 Aug'14 /Next Visit 5 Sept Consultation - Normal / 5 Oct'14 Consultation - Pain and recurrence of small tumour in neck / Re-radiation = NA /
| | | | Joined: Jan 2013 Posts: 1,293 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2013 Posts: 1,293 Likes: 1 | Sorry to hear about the continued issues. The bleeding is not reported much so not much advise to offer. Many have surgery treatments so I'm assuming the wounds are treated so they don't bleed much as I suspect if it was a concern it would be posted here.
What specific medications and chemo is he prescribed? Giving chemo orally is unusual in USA as it is almost always administered via IV bag.
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: Sep 2013 Posts: 105 "OCF Canuck" Senior Member (100+ posts) | "OCF Canuck" Senior Member (100+ posts) Joined: Sep 2013 Posts: 105 | Hi Shariff, sorry not to be of more help: bellow is a list of how to care for a bleeding mouth. I just copied this info from a medical site. Sophie
Bleeding in the mouth is generally caused by mouth sores, gum (periodontal) disease, or by a low platelet count (cells that help the blood clot). Low platelet counts can be a side effect of chemo or radiation treatment. This is usually a short-term problem (if the platelet count is low, see the section called �Blood counts�). Cancers that affect the blood-forming system, such as leukemia, can also cause a drop in platelets. A person with low platelet levels might bleed easily. Everyday actions such as brushing or flossing teeth can cause bleeding. Side effects of chemo or radiation can include dryness in the mouth or small mouth ulcers, which can bleed.
What to look for
Blood or bruises in mouth (from or on the gums, tongue, etc.) Rash or bright red pinpoint-sized dots on tongue, under tongue, on roof of mouth, and/or on inside of cheeks Blood oozing from mouth What the patient can do
Rinse your mouth gently with ice water every 2 hours. Suck on ice chips (avoid hard candies if your mouth is bleeding). Rinse your mouth or brush your teeth with a soft toothbrush after eating. Rinse the toothbrush in warm water to soften the bristles even more. Use soft foam mouth swabs or gauze wrapped around a Popsicle stick or tongue depressor to clean teeth if a soft toothbrush causes bleeding. Avoid store-bought mouthwash. See the section called �Mouth dryness� to learn how to make a gentle mouth rinse. Eat foods that are soft, smooth, and high in calories and protein. Refrigerated soft foods, such as ice cream, applesauce, puddings, and yogurt, are helpful because cold helps to control bleeding. Puree hard foods, such as apples, pears, etc., in the blender. Avoid hot drinks, such as coffee and tea. Heat enlarges blood vessels and can make bleeding worse. Put cream or salve on lips to prevent dryness. If you wear dentures, keep them out of your mouth, especially if they do not fit well. Avoid aspirin products. Check labels of over-the-counter drugs to be sure they don�t contain aspirin, or check with your pharmacist. What caregivers can do
Offer the patient cold water mouth rinses before each meal. Keep ice water nearby. If the mouth is oozing blood, keep a bowl nearby for spitting out mouth rinses. Make milkshakes or smoothies in the blender, and offer other soft frozen treats. Avoid nuts, caramel, sharp or crunchy foods (such as chips or crackers) and foods with hard coatings. Freeze a few wet tea bags, and have the patient press one on any bleeding area. Call the doctor if the patient: Is bleeding from the mouth for the first time Has bleeding that lasts for more than a half-hour Vomits blood or material that looks like coffee grounds Feels light-headed or dizzy
husband 61@diagnosis painter 6/9/13 Exophylic invasive SCC IV(ext.gingivobuccal) 3cm+ mandibular/lytic/erosion, jugular/node9mmshort-axis 17/9/13 Dx(moderately aggressive) 24/10/13 left madiblectomy, mod radical neck disct, leg flap, NGtube 2/01/14 (30 tx)rads 60gy N2b (2nodes under jaw) (rem. in tiny nerves) (rem. 30 nodes) Clear margin, close 2mm inner cheek 15/05/14 cellulitis 3/12/14 Chest CT Clear 27/02/15 cellulitis 8/6/15 cellulitis 10/6/15 Osteomyelitis
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