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Malka #80347 09-12-2008 02:10 PM
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Well before I do I need to know what a Mench is. It doesn't sound to flattering.


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 #80351 09-12-2008 02:47 PM
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mench - a person, Yiddish. A "real mench" is a very good human being.


SCC stage II Partial mandibulectomy w. neck dissection- July 2005. Renal cancer w. partial nephrectomy-Jan 2004. Breast cancer discovered in routine mammogram. Successful lumpectomy, sentinal nodes clear, RT only-2008 Reconstruction of mandible w fibula free flap-Jan 09. TORS removal of begnin pappiloma from esophagus-2010. Masectomy,rt breast 2013.
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Malka #80376 09-13-2008 06:31 AM
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Geeez if someone had called me a Mench in public I wouldn't have wanted to punch them. I can still learn at my age!! Life is good.


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 #86532 12-22-2008 09:01 AM
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Today Martha had her next to last Chemo session and when we were in the exam room waiting for the doc I saw a new book called Cancer Staging. I'm always looking for new material to keep me occupied while in the waiting mode. Big book with tabs for each major cancer and plenty of color drawings. Anyway I was pleased to see a tab for Head and Neck so I flipped to it and there was a chart on the leading causes of H & N Cancers. It was a list of 8 and not one of them was HPV. This book published in 2007!! I mentioned it to Martha's chemo doc and at least he knew about HPV and was equally surprised that it wasn't mentioned.


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 #86558 12-22-2008 06:17 PM
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Has it actually been declared a cause? I know there are plenty of strong *links* to HPV but I don't think it has yet been declared a *cause* yet...

What were the other six causes besides alcohol and tobacco?


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
Pete D #86559 12-22-2008 06:23 PM
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Got me wondering that too Pete D. We're gonna half to straighten David out. LOL Come David, this is like the times people don't post much about their OC and you let them know we need more info. You do nice work David but this time there must be more than Pete D and me wanting the other reasons for OC in the article. Please sir.... LOL


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 #86573 12-22-2008 07:09 PM
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HPV16 is a PROVEN cause of oral squamous cell carcinoma. This was put to bed in 2000.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
Brian Hill #86599 12-23-2008 06:29 AM
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I believe they were Tobacco, Alcohol, Betel Nuts, Smokeless Tobacco, and I can't remember the others as I kept looking for HPV and then the doctor walked in and we began to talk.


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 #86611 12-23-2008 10:56 AM
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I would have lumped smoking and smokeless tobacco together as one cause, but I guess one isn't going to get lung cancer from smokeless. HPV is proven! I will not chew Betel nuts...


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
Pete D #86635 12-24-2008 12:38 AM
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Well, this list is very country specific. Here in the US, it is the big three, tobacco in all its forms, excessive alcohol consumption, (an independent cause - and a synergistic cause with tobacco when used together, and it thins the cell wall membranes allowing the tobacco carcinogens easier access to things) and HPV16. There are other causes that are minor, a very small percentage that have some unique genetic component, and of course bout 5% that we have no clue about that fall into no known cause.

However if you live in Sri Lank, Vietnam, India, etc. you can add to the list betel nut which is chewed with lime, (tried it in Vietnam, YUK!, but it has mildly narcotic effect on you... hey it was the 60's) quid, paan, (same stuff different packaging -commercal vs. loose leaf vs powdered) Those are the PROVEN causes. You will still see old info, mostly disproved causes, such as chronic irritation or oral health/hygiene, which have only been loosely associated with OC, and the ever present one, lichen planus which has never been proven to actually be a cause of, or an actual precancer condition, but is sometimes seen in conjunction with OC. LP has never been proven to actually cause OC, or develop into it. But the web, and even some really good sites still have some of these things up, to cover all bases perhaps (quoting articles that are decades old), but it is marginal info and leads people down the wrong paths. But the science is what evidence based science is, and except for some genetic abnormalities, and the few percent that fall in to no category that we can identify (a VERY small number) this is the list.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
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