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#68618 01-28-2008 03:58 AM
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sophia Offline OP
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I am 58yrs old, new to this site and i have suffered a lot till now but still fighting. I don't smoke nor drink alcohol. neverthless i was diagnosed with tongue cancer seven yrs ago. the tumor was on the right side of the base of my tongue, a small white patch. i had my first surgery in 2000. after 3yrs of being disease free in 2003 I had a reoccurence, at exactly the same place. second surgery and then IMRT, that was ceased for a while due to the side-effects.till 2006 i had 2 more surgeries(2004,2005) because of the tumor keep coming back at the same place.then in June 2006 along with the tongue there were also some glands that were affected. i started chemo(parapaltin,Erbitux) but i think things got worse instead of better, more glands were affected and finally i had the fifth surgery that was really very serious and difficult, including tongue and right side neck dissection. after the surgery i had XRT + chemo at the same time in my neck to destroy any remaining cancer cells at that area. but unfortunately last week week that i visited my surgeon he told me that there is a new ca on the tongue and that we need to have 1/2 glossectomy asap. on the other side my oncologist says that i should first have a chemo (Erbitux+cisplatin) and then surgery. but i am not sure if i have this time. i have to decide and honestly i don't know what to do. i am really tired from all these I have been through and want so much to know what would be the right choice, so if you pls could advise me taht would make me feel much better
good luck to all of us.


sophia
sophia #68624 01-28-2008 04:23 AM
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God sophia if it was only that easy.If you ask twenty people on this forum what they think you should do ,i guess you would pretty much get the same answer.Everyones case is unique,and every one has to make the right choice for them based on the facts and options.

The most important thing for you is to get all the medical facts options and possible outcome. If after all that you still cant decide,get a second opinion and see how that compares.In the mean time read some stories on this forum and see how others have coped when faced with your news.

Carry on asking questions as i know there are plenty here who have faced difficult choices,and they will be ready and willing to help.

love liz

Last edited by Cookey; 01-28-2008 04:24 AM.

Liz in the UK

Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.

Never take your eye off the ball, it may just smack you in the mouth.
Cookey #68633 01-28-2008 05:31 AM
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Sophia,

You have had quite a history with re occurrence and only a few of us here may have pertinent advice. You need to listen to your doctors and maybe get another opinion to verify the first. My only other comment is that I see more people that have the tongue surgery before chemo/rad than the other way around but again you have a long history which may have a bearing on the decision. Have you gotten the 2 together and asked them that same question? That's where I would start.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
davidcpa #68661 01-28-2008 02:06 PM
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Sophia,
I would go and have a 2nd opinion asap. It seems they have fooled around enough, and a good cancer center opionion would not be a waste of time or money.
I hope you will do that.
Debbie


Partial mandibulectomy and neck dissection 2/3/07. T2NOMO.
Had 14 hour operation which included reconstruction of jaw.
Reconstruction failed. Some radiation, no chemo.
peace4uall #68702 01-28-2008 11:39 PM
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sophia Offline OP
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thank you all very much for your help. i asked again my surgeon and he agrees now with the oncologist's opinion. he thinks that by doing this we may manage to avoid cutting 1/2 part. but i don't really know why i am not totally convinced. well the bad thing is that there isn't really a cancer center here, only a public one that you have to wait for ages for getting an appointment! all of us who have been through this can help each other more than the doctors do most of the times because we completely understand how it is....that's what i believe.


sophia
sophia #68705 01-29-2008 02:26 AM
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Hi Sophia, I have a friend (named Sophia) who is from Greece. Her father was treated for throat cancer there and she was telling me how frustrating and full of corruption the medical system there is. It must be very hard with you having all the recurrences. And I know from experience how frustrating it is when two doctors recommend two different things. I'm glad your doctors are at least in agreement now. Please keep coming here to post with questions if they come up.

Nelie


SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
Nelie #68706 01-29-2008 03:18 AM
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sophia Offline OP
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by surfing in the forum list i found out that there is also another solution the radiation chemo combination even if you have already been radiated. could this be possible in my case? i have already received 60Gy in 2004. do you have any experience or input on decicing between chemo-surgery and rad-chemo scheme?


sophia
sophia #68718 01-29-2008 04:31 AM
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I am going thru the rads chemo combo right now and then rad seed tongue implants and another neck dissection. I undersatnd the concern you have and wish I had an answer. This is only my 2nd day for the rad chemo and am still in the dark about it, good luck.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
EzJim #68724 01-29-2008 06:17 AM
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Sophia,
Let's consider this... I would not tell you what to do one way or the other, however, I do want us to think about your situation... OK, suppose you decide to go with the oncologist (with whom the surgeon now apparently agrees), and do the chemo first. If it shrinks the place on your tongue, then there's the possibility that the surgeon would have to take less. I would tend to see that as an advantage... however, more often than not, these situations place us in some rather precarious situations where we are damned if we do and damned if we don't. We are going to have to cope with the misery of it all anyway... that's why we are here... for the most part I've done as my Drs. have suggested, and at this point I've no regrets, but when it comes to your situation, I would hope that they could find a happy medium, as it appears they have, and come to terms in an agreement. Consider going with what your doctors say... God bless, and keep on coming here... that's the most important thing... there are those of us who care. I may not be able to do much, but I can listen and communicate. Take care; you are in my prayers.


John - Proud to be here...
Hemiglossectomy 08/02/07, 4 lower molars extracted prior to 6 weeks IMRT 09/10/07-10/19/07, SCC w/met to L neck lymph nodes, rad only, no ND. PEG 10/26/07-02/05/08.
"We're all in the same boat in a stormy sea, therefore we owe one another a terrible loyalty."
JBNich #68823 01-30-2008 05:32 AM
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Sophia,
Saw on the news where there's tons of snow in Greece. Did you get any of it? How is everything? Hope all is well.


John - Proud to be here...
Hemiglossectomy 08/02/07, 4 lower molars extracted prior to 6 weeks IMRT 09/10/07-10/19/07, SCC w/met to L neck lymph nodes, rad only, no ND. PEG 10/26/07-02/05/08.
"We're all in the same boat in a stormy sea, therefore we owe one another a terrible loyalty."
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