| Joined: Apr 2016 Posts: 75 Likes: 2 Supporting Member (50+ posts) | OP Supporting Member (50+ posts) Joined: Apr 2016 Posts: 75 Likes: 2 | I have a question I have had cancer two times, the second time radiation was done. I was told that radiation can be done to the same area only once. I am waiting for a biopsy result, this would be the third time for cancer, if it is back. Is that true radiation to same spot only once? thank you
SCC 2005 floor of mouth and neck disection SCC 2009 partial rt tongue RAD PEG 2009 20 HBO treatments following surgery of three teeth and 10 more HBO to follow 2015 Diced food diet due to weak muscles long term effects of radiation 2018 Radiation Fibrosis of the jaw and neck, vocal cord dysfunction
| | | | Joined: Mar 2002 Posts: 4,918 Likes: 65 OCF Founder Patient Advocate (old timer, 2000 posts) | OCF Founder Patient Advocate (old timer, 2000 posts) Joined: Mar 2002 Posts: 4,918 Likes: 65 | Multiple doses of radiation to the exact same spot are mostly avoided, though some people have had them done. If you have the radiation map from your previous treatments available, it might even be possible to find pathways to radiate that area and still avoid the same tissues and structures. They are also seeing that with a more targeted approach than even IMRT, Proton beam radiation which is very pin point and less penetrating, that it can have better outcomes if a re radiation has to be done. This is all a difficult decision making place to be, as the documentation of too many grays of radiation to the same area have known negative consequences. Many opt for surgery if it is possible as an alternative, but the places that might be accomplished are limited anatomically.
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant. | | | | Joined: Apr 2016 Posts: 75 Likes: 2 Supporting Member (50+ posts) | OP Supporting Member (50+ posts) Joined: Apr 2016 Posts: 75 Likes: 2 | Its a negative, but will take a long time for wound to heal thank goodness no Cancer
SCC 2005 floor of mouth and neck disection SCC 2009 partial rt tongue RAD PEG 2009 20 HBO treatments following surgery of three teeth and 10 more HBO to follow 2015 Diced food diet due to weak muscles long term effects of radiation 2018 Radiation Fibrosis of the jaw and neck, vocal cord dysfunction
| | | | Joined: Dec 2014 Posts: 55 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Dec 2014 Posts: 55 |
Jeff - 41yrs old/previous smoker SCC buccal mucosa/jaw bone Stage 4 Nov '14 Partial Mandibulectomy with fibula flap, neck dissection Jan '15 Rads x35 Cisplatin x2 Apr '15 PET/CT concerning area Follow up MRI no mass. July '15 PET/CT 11mm nodule in right lower lobe the lung. Oct '15 PET/CT right lung nodule 3cm mass also new left lung nodules Nov '15 erbitux Mar '16 CT tumors are growing again, waiting on next step June'16 hospice had 3 Opdivo infusions trying to regain health
| | | | 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 |
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 | Whew! Love to hear no cancer news.
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 | | |
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