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#196555 06-04-2018 07:00 PM
Joined: Jun 2018
Posts: 2
Ms.Lisa Offline OP
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Joined: Jun 2018
Posts: 2
Hey Gang...
I'm sure this intro will be the same as the thousands before me. But greetings from the newly diagnosed world - My name is Lisa!!

Recently Diagnosed with State 4 Pyriform Sinus / Hypopharynx (throat cancer).
All my initial tests have been completed and now I am off to see the chemo/radiation specialist to discuss treatment
One night while taking a shower one night, I noticed a lump on the left side of my neck. Called my regular physician and he gave me some antibiotics and told me to make an appointment with an ENT.
Next was a needle biopsy which came back inconclusive, then a CT scan with Contrast...which showed up "concerning" which prompted an internal biopsy..which concluded as Squamous caused by HPV.
However, the PET scan showed that it has not spread. My doctor has no idea why/how I got this as I've never been a drinker, smoker, nor have any health issues outside of being Type 2 diabetic.
As far as sickness - I don't get sick...colds/coughs, never had the flu shot...so this is a real sudden smack in the face.
My ENT is sending me to an oncologist and said that a feeding tube is in my future with Chemo once a week and Radiation 5 days a week with a mask.
I know I need to wait...but my head is spinning and everything I read to try to educated myself on only seems to be a toss up in the air as there are so many variables.
I have a lot of work ahead of me and thought joining a support group might be helpful on this road, so here I am. :-)

Ms.Lisa #196557 06-04-2018 07:25 PM
Joined: Jun 2007
Posts: 10,507
Likes: 7
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Jun 2007
Posts: 10,507
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Welcome to OCF, Lisa! Im very sorry you have a need for our group! Im very glad you have found our site. We're the very best place you can go for info and support for anything relating to oral cancer (OC). Learning about your illness will help to make you a strong advocate for yourself.

Best thing you can do to help yourself at this point is to eat. Have all your favorites, desserts too smile Dont worry about calories or gaining a few pounds. During your upcoming treatments you will probably be like most of us and lose weight. If you're on the average or slim side having a few extra pounds going into this is a smart thing to do. Once you get going with treatments, you will need to focus on your intake as much as you can. The better you do, the easier things will be for you.

If you can, go for a second opinion at a comprehensive cancer center (CCC). They use a team based approach so all the specialists are on the same page. The doctors get together and discuss each individual case (tumor board meeting) where patients can attend and ask questions. This is how the US's top treatment facilities operate and patients who are treated at those places do better than those treated at small facilities.

As you share your bad news with friends, loved ones and co-workers you will have many offers to help you. People are genuinely good and you definitely will need help to get thru everything so its a good idea to take down their contact info and begin a list of helpers. Hopefully you will have someone who can be your caregiver. Anyone who has offered to help, take them up on it. Even if its just to drive you to your treatment one day a week, its a help. There are a million small things that can be done to make this as easy as it can get. Dont be afraid to speak up and ask for help! Anyone who asks what they can do, they really want to help so if you need a hand so give them a job. Take out the trash, do a load of laundry, walk the dog, mow the grass, pick up children or even playdates so you can rest, picking up groceries or cooking your family a meal are all great small things that add up to making your life easier in this difficult time.

Prior to starting any treatments make sure you see the dentist for a thorough check up. If going thru rads you will need to get flouride trays made to protect your teeth. You should also have a full blood panel done including thyroid and for men testosterone levels. Its very important you get this done before treatments so you and your doc know what your numbers should be. During and after treatments your numbers will be all over the place. Many rad patients for OC end up on thyroid meds due to the radiation negatively affecting their thyroid.

Hang in there and dont hesitate to ask questions. We'll do our best to answer and help you get thru whatever path this takes you.


PS.... Heres a few helpful links. If you havent already checked out the main OCF site, heres some links to read thru (or your mom can)...

OCF main site --- Diagnosis

OCF main site --- Treatment

NCI list of CCCs

US News Best Hospitals List






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
Ms.Lisa #196561 06-04-2018 10:10 PM
Joined: Jun 2013
Posts: 346
Likes: 3
Platinum Member (300+ posts)
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Platinum Member (300+ posts)

Joined: Jun 2013
Posts: 346
Likes: 3
A lot of us get the 'Where the heck did that come from?' version of cancer ... it is what it is. You're in good company here, and already got GREAT advice from Christine. Listen to her! She means it! (I probably should've done more with those fluoride trays but we never could get 'em to work right ... but they would've helped.) The feeding tube won't be all that bad, though it limits your physical activity (so you don't jar it loose). You may not need to start with it, but by the end it's nice to have it already there. And like she said, eat up, eat up, eat up! And line up some drivers for those treatments ... after awhile you will NOT want to be driving yourself. Let someone take care of you for a bit.

This is the BEST support I found throughout the whole ordeal.

((hugs)) Everyone here is rooting for you!


Surgery 5/31/13
Tongue lesion, right side
SCC, HPV+, poorly differentiated
T1N0 based on biopsy and scan
Selective neck dissection 8/27/13, clear nodes
12/2/13 follow-up with concerns
12/3/13 biopsy, surgery, cancer returned
1/8/14 Port installed
PEG installed
Chemo and rads
2/14/14 halfway through carboplatin/taxotere and rads
March '14, Tx done, port out w/ complications, PEG out in June
2017: probable trigeminal neuralgia
Fall 2017: HBOT
Jan 18: oral surgery
Ms.Lisa #196565 06-05-2018 10:46 AM
Joined: Oct 2012
Posts: 1,275
Likes: 8
Assistant Admin
Patient Advocate (1000+ posts)
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Assistant Admin
Patient Advocate (1000+ posts)

Joined: Oct 2012
Posts: 1,275
Likes: 8
My husband started with lumps in the neck too. It seems to be a fairly common occurrence. He was a big and strong man, so the diagnosis was hard for him.

You may need a feeding tube during treatment but it may not be long term depending on your ability to swallow post radiation. My husband had one for one and a half years post radiation because the scarring in his throat was severe. He managed to do all kind of things — including working for hours in his pottery studio (really just our garage) on a daily basis.

Maybe you can find out if you could have a visiting nurse at home. We had that I found her weekly visits, though short, very reassuring.

Please post if you have questions. I have you on my mind and I wish you a smooth journey through your treatment.



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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