#39824 03-14-2006 12:33 PM | Joined: Mar 2004 Posts: 417 "Above & Beyond" Member (300+ posts) | "Above & Beyond" Member (300+ posts) Joined: Mar 2004 Posts: 417 | Virtually all oncologists agree that Chemotherapy is essential coupled with radiation, in head and neck cancers. Darrell
Stage 3, T3,N1,M0,SCC, Base of Tongue. No Surgery, Radiationx39, Chemo, Taxol & Carboplatin Weekly 8 Treatments 2004. Age 60. Recurrence 2/06, SCC, Chest & Neck (Sub clavean), Remission 8/06. Recurrence SCC 12/10/06 Chest.
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#39825 03-14-2006 03:00 PM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2002 Posts: 3,552 | Darrell, now you have me curious about your comment!?!? Robert had 6 adjunctive Cisplatin infusions with his radiation treatments. This is typical NCCN protocol for advanced staged H&N cancer.
They are suggesting an additional chemo regime, probably prophylactic, for whatever reason they deem necessary, particularly since recurrence was NOT mentioned in this instance.
In any case it doesn't address the original post in that he has serious nutritional issues from not eating.
Gary Allsebrook *********************************** Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2 Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy) ________________________________________________________ "You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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#39826 03-14-2006 03:01 PM | Joined: Jul 2005 Posts: 624 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2005 Posts: 624 | The weeks after radiation ends are really the worst -- the body has been through hell, so you are at the lowest point both physically and mentally, and the effects of the radiation continue to make themselves felt -- that is, can actually continue to show up -- for at least a month afterwards, according to both my husband's MO and RO (and both nurses, all well-experienced with HNC treatment). After a month, then things do start to get better and for some people, this can happen fairly quickly -- they may be eating "real food" instead of liquid stuff -- but in others it is very slow. At this point depression is a real risk. While actually in treatment there is that daily routine and the sense you are "doing something" but afterwards, especially if the hospital does not have good on-going follow-up, patients feel at sea and not in control.
Gail
CG to husband Barry, dx. 7/21/05, age 66, SCC rgt. tonsil, BOT, 2 nodes (stg. IV), HPV+, tonsillectomy, 7x carboplatin, 35x tomoTherapy IMRT w/ Ethyol @ Johns Hopkins, thru treatment 9/28/05, HPV vaccine trial 12/06-present. Looking good!
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