#80519 09-16-2008 01:37 PM | Joined: Sep 2008 Posts: 6 Member | OP Member Joined: Sep 2008 Posts: 6 | Hello!
This is my first posting on this site and I was so happy to find somewhere to go as I did for my breast cancer. I have been reading a lot on this site and really appreciate all the information you share.
At this point, we have had two biospy results come back as favoring malignancy for a tumor at the base of my husband's tongue, but nothing 100%. My husband had a PET scan that had a highlight at the location where a CT scan said a suspicious mass was located. The PET was done about two weeks following an in-office biopsy of the base of his tongue. It is possible that the highlight is actually due to inflamation from the biopsy, even though it was small? Thanks! | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | I'm surprised that his biopsy(s) was done in an office and I'm surprised that 2 biopsy's were not conclusive. I'm also not familiar with a path report using terminology equaling "favoring malignancy". You say he had 2 biopsy's? Where/when was the second one done? Yes I would think inflammation from the bios could show up but so could the cancer depending upon how big it was.
With all this said he needs to get a conclusive answer.
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.
| | | | Joined: Aug 2008 Posts: 716 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 716 | Hello,
Welcome to the site. A great place to ask questions and get answers from those that have walked a similar path.
I was referred to an Oral surgeon by my PCP. The OS looked at it didn't think it was much of a concern and scheduled me for a biopsy one month later...The biopsy was performed in his office and came back positive for SCC. He referred me to an ENT that specialized in Oral cancers. That Doctor saw me within three days and performed another biopsy and exploratory surgery in the Hospital in two days. My second biopsy confirmed the depth and location of the tumor and to make sure I had no other cancers in the oral and throat regions. I was pretty sore after this one. My ENT told me the approximate size and depth immediately. I had the actual biopsy results back in two or three days. PET scan and meetings with an Oncologist and Radiologist followed within days. My ENT moved quickly and scheduled all appointments with the other specialists. His office was great. The tumor exploded in size from May to July and I'm not sure how things would have worked out if my ENT moved at a snail pace like my PCP and OS. I was lucky. I had my first rad tx today.
I hope you get an answer soon...If I was you I would see an ENT that is FAMILAR with oral cancers. Now is not the time to fool around and wait. The only way to determine what this is...is by a proper biopsy. You have questions that need answers now. Please don't be passive...I was and I was too comfortable with the words of, "You don't fit the profile..." Well, this site is full...full of people that fit my profile. My situation...I can live with...But it could have been a lot better if I was more proactive and questioned the pros.
Good luck with those answers!
Raymond
7-16-08 age 37@Dx, T3N0M0 SCC 4.778cm tumor, left side of oral tongue, non smoker, casual drinker, I am the 4th in my family to have H&N cancer 8-13-08 left neck dissection and 40% of tongue removed, submandibular salivary gland & 14 nodes clean, no chemo, IMRTx35 11-4-08 Recovering & feeling better | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Teresa:
Welcome to OCF.
PET scans can show false positives sometimes. They can light up for an inflamation or irritation. It has happened to me and scared me to death. Biopsy results seem to be more accurate. Have you gotten a second opinion? Were both biopsies done by the same doctor? You may want to seek out another opinion to get a definitive answer. ChristineSCC 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 | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | I have had petscans show cancer in my lungs and throat. More of the false positives.
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
| | | | Joined: Sep 2008 Posts: 250 Platinum Member (200+ posts) | Platinum Member (200+ posts) Joined: Sep 2008 Posts: 250 | My PET showed "activity" in the upper portion of both of my lungs, which they have assumed to date was scar tissue.I've had one lung biopsy on a growing "spot", and a double on those active areas. No cancer for sure, not TB or any relation of, not mold or fungus. Not anything they tested for. I was told that the activity shown might be my antibodies reacting to the oil droplets in my lungs, which are caused by aspiration. I'm told it's called lipoid pneumonia. Like I needed another kind. I've had viral, bacterial, aspiration, and now lipoid pneumonia. Can there be any more pneumonias I should watch for?  Lani
SCC part glossectomy 3/06, recur 8/06 glossectomy, floor of mouth, part of jaw removed, RT/chemo thru 10/12/06, PET clear 7/08 "A bend in the road is not the end of the road, unless you fail to make the turn" Passed away 12/14/08
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