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#86857 12-28-2008 10:02 PM
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I am two treatments shy of being done with radiation. Last week the machine broke down and they had to cancel two days of treatment. My neck is extremely red, raw and sore and my plan is to tell the doctor that we probably don't need the last two treatments. My neck is actually bleeding at night and weeping during the day. Nothing seems to make it feel much better. There are blisters in my mouth and it even hurts to drink water. Then there is the darn mucous and all of the fun associated with choking on it.

Surely 27 treatments is enough??

Patty


48
SCC Floor of Mouth 7/06
9/06 Surgery, bilateral neck dissection, 58 nodes clear PT2pN0pMx
35 rad 2006
Recurred 6/08, 1 Carboplatin, 1 Cisplatin
Surgery 9/08 - Total glossectomy, free flap from pectoral muscle, left mandible replaced using fibula
35 IMRT & Erbitux 11/08
4/15/09 recurrence
6/1/09 passed away, rest in peace
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Patty

Good to hear that the treatments are just about over and done with. I know what you mean about the mucous it nearly drove me insane, especially of a night I was like you nearly choking on it.

My neck was rather burnt and sore but certainly not as bad as your neck sounds.

I'm 99.9% sure that your doctor won't agree that it is OK to cancel your last couple of radiotherapy treatments, I would be surprised if he did. Others may have a different opinion though.


Karen







46 yrs:
Apr 07-SCC 80% entire tongue removed,T4N1M0
Neck/D,Jaw Split, Trache 2 ops,PEG 3.5yrs
30 x rad,6 x Cisplatin,
30 x HBO
Apr'08- flap Recon + ORN Mandibulectomy
(hip bone to reconstruct jaw)
Oct'08 1 Plate out-jaw
Mar'09 Debulk flap
Sep'09/Jan&Nov'10/Feb&Jun'11/Jan&Jul'12/Oct'13/April'14-More surgery
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Yes -you need to complete your treatment protocol. My tumor had totally vanished at 3 weeks but I had to complete my last three weeks anyway. The side effects you are having are typical and will continue for some time even after you are done with treatment. This is especially important since it is a recurrence. Ask the doctors for some meds to ease the pain and other side effects you arer having. I missed a few days due to machine downtime and once because I was too ill. They will add more days to compensate for it. You must receive all of the Greys of radiation that you were prescribed.


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
Gary #86873 12-29-2008 04:43 AM
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You must finish radiation. You only get one shot at it in most cases so dont let your current side effects interfere with your scheduled treatment.

Its the worst time of treatments, the last week and first 2 or 3 immediately following treatments. Please hang in there and in a couple weeks you will begin to feel better. It really will get better soon.


Christine
SCC 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 smile
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Yes...finish the treatments...Just two more...Why stop now?


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
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This is the advice we received from Dana-Faber team consult: "It is critical to complete all rad treatments."

They even went on to say: If anyone suggests or agrees to cutting back your tx, call us.


CG to husband, dx @ age 65, nonsmoker/social drinker. Dx 5/08 SCC Stage IV, BOT T1N2aM0. 33 IMRT - completed 9/12/08. Induction Chemo (Cisplatin, Taxotere & 5FU), plus concurrent Cisplatin.
1/09 PEG removed; 5/09 neg PET/CT; 5/10 PET/CT NED
Dental extraction & HBOT 2013; ORN 2014; Debridement/Tissue Transfer & HBOT 2016
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Good1
it's ten days since your original post and inquiring minds want to know if you took your final 2 radiations. The bleeding neck and oozing dead skin sticking to gauze on the neck sounds very familiar to me. It's not too late to get some relief. The only thing that worked for me at the end was Vigilon which is a hydrogel dressing. Turns our you do not even need a prescription, just buy it from any medical supply store (i used our local yellow pages, first time in years instead of the internet). Here is techie info on Vigilon and two similar items.

Hydrogel dressings are cross-linked polymer gels that are often shaped into sheets to provide and maintain a moist wound environment. By increasing moisture content, hydrogels have the ability to help cleans and debride necrotic tissue. Hydrogels are non-adherent and can be removed without trauma to the wound. Additionally, hydrogel dressing have a soothing effect that promotes patient acceptance. It�s important to keep in mind though that hydrogel dressings are not very absorptive, and therefore may not be the appropriate choice for moderate to highly exudating wounds. Hydrogel dressings often require secondary dressings for this reason. Hydrogel dressings can be shaped into gauze, sheets, or filler material.

Three vendors who offer hydrogel dressing material are 3M�, who offers the 3M Tegagel� Hydrogel Wound Filler and the 3M Tegagel Hydrogel Wound Filler with Gauze, Bard Medical, who offers the Vigilon Primary Wound Dressing, and Smith and Nephew, who offers the FlexiGel Strands� Absorbent Wound Dressing.


65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin

Passed away 4-29-13
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I might add also that my MO stated to me that the prognosis for survival of patients not completing their treatment protocol is significantly lower. That motivated me to crawl on my belly into radiation oncology every day...


Gary Allsebrook
***********************************
Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
Gary #86889 12-29-2008 02:36 PM
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Patty,

Stand back and read your own Signature Line as if it were someone else's. With that kind of history and time line would you tell someone they should cut their radiation treatment short?

That answer is obvious, don't you agree!!

Also whether or not you finish the few remaining rads, the next several weeks post Tx will most likely be worse than anything you have experienced to date so don't think by stopping everything will be OK.


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.
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Dunno about anyone else, but my radiation treatment plan was not just seven weeks of the same thing, but a series of different things, some of which were in the last few days. Not finishing the plan wouldn't have meant just two days in my case, it would have meant only getting half of one of the mini-plans.


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.
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