#83416 11-03-2008 04:05 PM | Joined: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | Hello everyone,
I have lurked here off and on. The site has been helpful since I found it. My partner was diagnosed with SCC Stage IV OC. It had spread to the lymph nodes as well. After some pretty aggressive treatment, it does not look like we are going to be one of the luck ones.
Right now the tumor has come through the neck. The smell is pretty intense. Any suggestions? Also, is this any indication of where we are in the process? Does it indicate that we may be close to the end.
The only options we have right now are a clinical trial which she will start hopefully tomorrow.
I feel like we are walking in two worlds...
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
| | | | | Joined: Jun 2007 Posts: 221 Gold Member (200+ posts) | | Gold Member (200+ posts) Joined: Jun 2007 Posts: 221 | Hi JustJan,
Welcome to the site. You have come to the best place on the net for info.
My fathers tumor broke though his neck as well (it oozed a clear and bloody discharge) and I know what you mean about the smell. Mom found herself changing the dressing several times a day (about every two hours) to help with that. I've heard of others on here putting kitty litter in the room where they are to absorb the odor as well as using "stick ups" in the rooms to mask the smell. I'm not sure how well the other two options worked, but I'm sure someone here will chime in soon.
Hang in there and keep coming back.
Joy
CG to Father, 75 yo with SCC of the mouth; upper maxillectomy and neck diss. performed on 5/23/07. Father also suffered heart attack during surgery and now has CHF. RT complete on 8/28/07. Cancer back 11/27/07. RT and Chemo to start on 12/17. Cancer back 6/17/08. Finally at rest 08/08/08.
| | | | | Joined: Jan 2008 Posts: 706 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Jan 2008 Posts: 706 | My husband's tumor has also broken through and has bleeding and discharge also. The nurse had told us about sprays that can help but they are by prescription and they have to show you how to use them so that's something you might want to check out. My husband is now on Taxol and after the first infusion the tumor has turned into a crater. This, according to his doctor, could be good or bad. We don't know yet how bad it is under the surface as he will have scans in two weeks. He does believe however that it is good because his lungs sound good. He has mets to the lungs so if the tumor was in fact getting worse he would have heard a worsening in the lungs. Just when I thought all hope was lost we got a bit of a break. I really know how hard it is to keep the faith but sometimes that's all we have. Good luck with the trial and please keep us posted.
Sue
cg to husband, 48 Stage 1V head and neck SCC. First surgery 9/07. Radiation and several rounds of chemo followed. Mets to chest and lungs. "Life isn't about waiting for the storm to pass, it's about learning to dance in the rain." Went home to God on February 22, 2009.
| | | | | Joined: Nov 2007 Posts: 212 Gold Member (200+ posts) | | Gold Member (200+ posts) Joined: Nov 2007 Posts: 212 | Hi JustJan,
Don't have much advice about your partner's current situation but my heart goes out to both of you as you struggle with this disease. I hope you both have lots of support from friends and family. Glad you found your way here where support is available 24/7 and everyone is always willing to lend an ear and share their experiences.
Susan
Cancer of Tongue, SCC early Stage 1, Dx 3/13/07, partial glossectomy 4/14/07 found no residual carcinoma and a granular cell tumor with pseudo epitheliomatous hyperplasia.
| | | | | Joined: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | Don't laugh, but I was terrified that no one would respond. So thanks for all of the responses.
Well, today's the day. We go see the oncologist. I also have to call her boss to let him know that she won't be coming to work and may not be going back. My fear is that she will lose her life and health insurance, though her short and long term disability is through the agency that she works for.
The pain meds aren't cutting it, so we will have to talk about that today. We really need to ask the onocologist some serious questions today. We know that the clinical trial is a shot in the dark, but we need to talk about what it may look like for her if it doesn't work.
Thanks again for all of the responses!
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
| | | | | 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 | Keep us all posted after you meet with the doctor and lets hope he brings some good news.
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: 531 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 531 | Only good thoughts are going with you today...I agreee lets hope the appointment gives you some good news and something to hang on to..
Dianne
Dianne..treatment at cc at Victoria Hospital, London, Ontario...insulin dependant, Surgery Sept 8/08 Tracheotomy,composite resection and bilateral neck dissection, left radial forearm free flap... T2N0 squamous cell carcinoma. No radiation A little over 2 yrs clear YAY
| | | | | Joined: Jun 2008 Posts: 309 Platinum Member (300+ posts) | | Platinum Member (300+ posts) Joined: Jun 2008 Posts: 309 | fingers crossed and will be waiting for good news.
Rita - Age 44 wife, mother of 4 - ages 3,16,21,24 & grandma to 1 (R upper) Maxillectomy 8/8/08 - UW / Seattle, WA.
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"Those who think by the inch and speak by the yard, should be kicked by the foot."
| | | | | Joined: Feb 2007 Posts: 790 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Feb 2007 Posts: 790 | Praying for you and your sweetie to have some positive news.
KATE
Tongue Cancer T2 N0 M0 / Total Glossectomy Due to Location of Tumor
Finished all treatments May 25 2007 Surviving!!!
| | | | | Joined: Nov 2007 Posts: 212 Gold Member (200+ posts) | | Gold Member (200+ posts) Joined: Nov 2007 Posts: 212 | My thoughts are with you...hope the clinical trial does the trick and the news is good. We are with you in spirit.
Cancer of Tongue, SCC early Stage 1, Dx 3/13/07, partial glossectomy 4/14/07 found no residual carcinoma and a granular cell tumor with pseudo epitheliomatous hyperplasia.
| | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | You have all of my best and prayers. Check out COBRA for the Ins. It's a law where the Ins has to keep you on as long as you can foot the bill.
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: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | Thanks again for all of the warm wishes!
The news isn't great, yet not surprising. We are hoping/praying for a miracle with the clinical trial. It's only Phase II, so we really don't have any idea how effective it might be. The good news is that the tumors are growing so quickly that we might be able to tell in a week or two if it is working or not. The bad news is that the tumors are growing quickly. The doctor let us know last night that we might be looking at 6mos or less.
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
| | | | | Joined: Jun 2008 Posts: 309 Platinum Member (300+ posts) | | Platinum Member (300+ posts) Joined: Jun 2008 Posts: 309 | research ways to boost the immune system which may well help the clinical trial to work better and faster. of course always consult with the doctors on measures you wish to take, but it is her body and she can choose to do as she wishes. supplementals have been shown to really boost the effectiveness of many treatments yet some doctors still refuse to admit / recognize how helpful they can be ... the nice thing is many have seen the results now for themselves and embrace it... so research it all and talk to them and see what can be done to make the most of it. best wishes to you and your partner. i am sure this is a very hard time and nothing makes much sense right now. hang in there and let us know what we can do to help in any way we can.
Rita - Age 44 wife, mother of 4 - ages 3,16,21,24 & grandma to 1 (R upper) Maxillectomy 8/8/08 - UW / Seattle, WA.
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"Those who think by the inch and speak by the yard, should be kicked by the foot."
| | | | | Joined: Oct 2007 Posts: 104 Senior Member (100+ posts) | | Senior Member (100+ posts) Joined: Oct 2007 Posts: 104 | I know how you must be feeling about now, having been in a similar position less than a year ago. My heart goes out to both of you. Hopefully this clinical trial will buy some time and quality of life for your partner and also you. You should also make connections with a hospice program so that when the need arises they will be ready to assist you. Maybe this is already in place through your cancer treatment centre. Hospice does a wonderful job with symptom control and emotional support and all the little things that make such a big difference for patient and family dealing with a life threatening illness. Were you able to get some better pain management and wound care guidance for the neck tumour when you saw the doctors? Wishing you strength and courage to face the challenging days ahead.
Caregiver to husband Dx. Stage 4 SCC of gingiva with 3 nodes pos. Partial mandiblectomy with bone graft from iliac crest Dec. 2006. IMRT x30, Cisplatin x3. Completed Tx. March 15, 2007. Osteonecrosis & removal of graft & plate Oct. 2007. Recurrence of SCC Dec. 2007. Deceased Jan. 17, 2008.
| | | | | Joined: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | | "OCF across the pond" Patient Advocate (1000+ posts) Joined: Feb 2007 Posts: 1,940 | the odour problem with tumours that break through the skin ,has been debated on here many times,and is unfortunately one which never seems to really have a definitive answer.Robs smelt so badly that when he went in to the hospice ,it permeated the whople place.they placed an electronic air purifier outside his door,and a small one with lavender oil under his bed..they also packed his face with charcoal ,which absorbs the odour.the biggest danger with break through,is erosion of the major arteries which can heamorrhage and cause a real medical emergency.
Make sure you speak to a practioner about putting emergency procedures in to place in case of this eventuality.
i wish you luck with the trial..
Liz
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.
| | | | | Joined: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | Thanks for the advice. In terms of pain management, they are upping the fentnyl patch, increased frequency of oxycodone (every 3 hours), and starting a new pain medication that addresses nerve pain (for both nueropathy and neck pain). We are going to try these and see if they work.
I'll be getting them filled today.
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
| | | | | Joined: Aug 2008 Posts: 531 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 531 | Hi I am curious to know what med is used for nueropathy and nerve pain as both my husband and I have severe damage due to diabeties...this effects both feet and hands...
Thanks
Dianne
Dianne..treatment at cc at Victoria Hospital, London, Ontario...insulin dependant, Surgery Sept 8/08 Tracheotomy,composite resection and bilateral neck dissection, left radial forearm free flap... T2N0 squamous cell carcinoma. No radiation A little over 2 yrs clear YAY
| | | | | Joined: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | I am getting it filled today, so this is just what I can make out from the doctor's script. It looks like Pregabalin? 75mg. I haven't had a chance to look it up online yet. There is also a neuropathy board and someone there mentioned a patch that goes on the feet. I'll see if I can find that again for you.
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
| | | | | Joined: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | It is Pregabalin. Apparently it's the generic name for Lyrica.
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
| | | | | Joined: Aug 2008 Posts: 531 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 531 | Thank you but I don't think that is covered under our plan in Canada...Does it work or you don't know yet...I really need something that works... We were given a trial sample of that drug a while back but only 14 days worth and didn't want to start it in case we couldn't get more but if it works it might be something to try to fight for...
Dianne..treatment at cc at Victoria Hospital, London, Ontario...insulin dependant, Surgery Sept 8/08 Tracheotomy,composite resection and bilateral neck dissection, left radial forearm free flap... T2N0 squamous cell carcinoma. No radiation A little over 2 yrs clear YAY
| | | | | 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 feel so bad for the 2 of you. I just don't have any answers or wisdom to pass on, just want to wish you 2 the very best and the usual take it one day at a time. I sure hope they get you some good pain meds.
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: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | [quote=darkeyedlady0]Thank you but I don't think that is covered under our plan in Canada...Does it work or you don't know yet...I really need something that works... We were given a trial sample of that drug a while back but only 14 days worth and didn't want to start it in case we couldn't get more but if it works it might be something to try to fight for... [/quote]
I hope you find something. I know for us, right now, pain management is at the top of the list. I don't know if it works yet, but I'll let you know when we get it. I tried to get it filled last night but the doctor apparently has to call the insurance company. So now I need to call the doctor and get them to call the insurance company.
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
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