#58657 07-11-2006 01:04 PM | Joined: Mar 2006 Posts: 58 Supporting Member (50+ posts) | OP Supporting Member (50+ posts) Joined: Mar 2006 Posts: 58 | Was wondering what the "norm" is for the date of the first post tx CT scans? We are coming up on 3 months since the last radiation tx, and the oncologist ordered a CT scan at the 3 month mark. Our ENT thinks it is too soon. DH meets with radiologist today to get his opinion. Surgeon down in Seattle thinks 3 months is a good time for the first CT scan. I am so worried that it is too soon and something "hot" will show up and we will be upset by the results for maybe no reason. I know all treatments are somewhat different, so I am just asking for an informal poll of your experience to see if 3 months is a reasonable time. Thanks.
Caregiver to husband David, non smoker. Dx 1/06 SCC Base of Tongue Stage IV, neck nodes involved. Surgery/Chemo/Rad. Treatment finished 5/06. Waiting. Recurrence in lung, Aug07. 6 months Cisplatin/Erbitux. Spots shrinking after 3 Cisplatin tx.
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#58658 07-11-2006 01:09 PM | Joined: Apr 2005 Posts: 2,676 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,676 | John's 1st CT scan was 3 mo. after rad. tx. ended. It came back all clear. Amy
CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease
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#58659 07-11-2006 03:02 PM | Joined: Mar 2006 Posts: 99 Senior Member (75+ posts) | Senior Member (75+ posts) Joined: Mar 2006 Posts: 99 | From what I've read and heard from our doctors at Dana Faber 3 months post TX is the standard for most of the top CC's although I had heard that this may change to a lomger period of time after TX to lessen the amount of false positives. Strangely enough our doctor told us the 3 months but we actually have scans booked for next week and it will only be 10 and a half weeks post TX. The NP booked them and said that the doctor okayed it but my fear is the same as yours...we'll see what happens. Good Luck...
Kerry/wife of stephenm StageIV - Base of Tongue T4N0M0 XRT x42 / Taxol and Carboplatin x4 Tx. Finished 5/08/06
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#58660 07-11-2006 03:07 PM | Joined: Mar 2006 Posts: 99 Senior Member (75+ posts) | Senior Member (75+ posts) Joined: Mar 2006 Posts: 99 | Oh and also AngAk, our husbands have the same diagnosis although, no node involvment but a T4 so that makes him stage IV as well. And they have almost the exact end of TX date...our scans are July 19th. How is your husband doing at this point?
Kerry/wife of stephenm StageIV - Base of Tongue T4N0M0 XRT x42 / Taxol and Carboplatin x4 Tx. Finished 5/08/06
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#58661 07-11-2006 05:25 PM | 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 | I had my first scan 6 weks after finishing radiation because my otolaryngologist wanted to weigh options regarding a neck dissection. I am lucky because I am allergic to IVP contrast so only a PET scan works for me. The area around my lymph nodes that received the most radiation lit up and the doc was more dilligent in that area on exam and told me there was some area of concern. I saw the PET scan (I get copies on CD) and it was alarming when I looked at but everything has resolved as of the last 5 PET scans. WHEW!
Ed
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
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#58662 07-11-2006 11:44 PM | Joined: Oct 2005 Posts: 122 Gold Member (100+ posts) | Gold Member (100+ posts) Joined: Oct 2005 Posts: 122 | My treatment was surgical, no radiation and I have annual CT scans.
Lisa
SCC Tongue T1N0M0\Dx 3-10-03 Hemiglossectomy, alloderm graft, modified neck dissectomy 4-14-03 3 Year Survivor!
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#58663 07-11-2006 11:44 PM | Joined: Oct 2005 Posts: 122 Gold Member (100+ posts) | Gold Member (100+ posts) Joined: Oct 2005 Posts: 122 | Sorry guys, didn't mean to post twice.
SCC Tongue T1N0M0\Dx 3-10-03 Hemiglossectomy, alloderm graft, modified neck dissectomy 4-14-03 3 Year Survivor!
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#58664 07-12-2006 02:18 AM | Joined: Mar 2003 Posts: 251 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Mar 2003 Posts: 251 | My husband had first post-treatment CT scan at 3 months as well. And, yes, they did find areas of concern (on lungs) that had resolved by another CT scan 3 months later.
Anita
Husband Dx 12/02 Stage 4 Tonsil Cancer T1N2bM0; surgery, radiation, chemo 1/03 - 4/03.
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#58665 07-12-2006 08:55 AM | Joined: Mar 2006 Posts: 58 Supporting Member (50+ posts) | OP Supporting Member (50+ posts) Joined: Mar 2006 Posts: 58 | Thanks everyone for your feedback. We'll just see what happens.
Caregiver to husband David, non smoker. Dx 1/06 SCC Base of Tongue Stage IV, neck nodes involved. Surgery/Chemo/Rad. Treatment finished 5/06. Waiting. Recurrence in lung, Aug07. 6 months Cisplatin/Erbitux. Spots shrinking after 3 Cisplatin tx.
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#58666 07-12-2006 09:22 AM | Joined: Jun 2006 Posts: 13 Member | Member Joined: Jun 2006 Posts: 13 | My son has finished his radiation/chemo treatments as of 6-5-06. He seems to be doing so well - good attitude, was eating solids week and l/2 after rad., back to work for 3 weeks. Nodule on neck has gone down tremendously but still a little there, much softer. He is going to ENT next week and I was surprised to see the folks saying their scans were scheduled 3 mo. after rad. I "thought" we were told they would be after rad. finished. (which could mean 3 mo., I guess) After reading above, I think I would question anything sooner than that. You sure hate to question very experienced doctor, but hey, just another number rolling through so as stated many times, keep them on their toes.
What is Tx? We (son, husband, me) were sooo much against surgery at the start. But after reading these experiences (80 nodes removed; one had cancer - etc.) I have changed my mind and feel like now is the hour - we need to be as sure as sure can be we've got it all. Many thanks to you brave people for sharing your stories. Collie | | |
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