#89409 02-03-2009 11:46 AM | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | OP Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | I have been a member for awhile, but haven't posted. Been diagnosed with tongue cancer. I don't have the exact staging as yet. But the tumor in the base of the tongue is large, and I believe I have 2 nodes that are "hypermetabolic" which I guess means cancer. Pet showed no other cancer.
I would like to talk to someone who may have had this type of cancer.
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: Sep 2008 Posts: 489 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Sep 2008 Posts: 489 | Sandy
I am sorry about your diagnosis. You have found the right place for support and information. You can search both the main site and the postings for information on just about anything.
My 2nd tumor was in my tongue, but not at the base. Are you being treated at a Cancer Center? What choices have the doctors given you for treatment? Found early these cancers are very treatable and survivable.
I wish you the best.
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
| | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | OP Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | Patty: I live in Northern Va.out DC. Have really top notch doctors who specialize in H&N, but not at CC. May get second opion at Johns Hopkins. The tumor in the tongue is large. They do not want to remove it. No nodes involved. No other cancer found.  They plan on doing rad and chemo. Have meeting with medical oncologist on Thursday. Will have all info at that time. Guestion: How does it feel to eat, swall and talk with 80% tongue removed?
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: Jun 2007 Posts: 595 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jun 2007 Posts: 595 | Sandy, you have come to the right place, there are many here who have similar DX, and will be glad to help, mine was in my left tonsil, so cannot help with your Dx. Most of us have had similar TX. Good Luck and best wishes. Semper-Fi Bob
Bob age 57, non smoker,non drinker, ended treatment on 11 Nov 2007 and started back to work on 29 Nov 2007. Veterans Day 2012 the Battle was lowered, folded, Taps was played and the Flag buried as I am know a 5 year survivor. Semper-FI !!!
| | | | 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 | Sandy,
How were you diagnosed?
You say they are going to remove 80% of your tongue and the Primary is BOT?
What have they said about the nodes...size...any surgery planned?
Do you have a history of tobacco use?
How are your teeth and have you been to see a dentist familiar with the effects of radiation to the OC?
Before I would let someone take 80% of my tongue I would definitely get at least another opinion and I would get it from a CCC.
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: Sep 2008 Posts: 489 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Sep 2008 Posts: 489 | Sandy
If I were you I would go to John Hopkins or another cancer center for that second opinion. It just doesn't hurt to get more than one view on things before you start treatment.
As for your question about eating, swallowing and talking - I have a free flap that was made from my pectoral muscle. It is sewn down to the floor of my mouth. It does not move around like a tongue would. I swallow pretty well and I am now working on swallowing things with lumps like oatmeal with the hope of being able to add a lot of things to my diet in the future like pasta, soups that are not creamed and such. I talk fairly well. There are some letters that you can not form very well without a tongue, like "G" (this is a drag since my last name starts with a G). I also have trouble with some "s" words and "sh" words. I am able to communicate fairly well as long as the person on the other end is listening and patient. Some days are better than others. Right after my surgery I was the perfect woman - I really could not talk at all.
I hope this answers some of your questions. Make sure that you get all the information that you feel you need before you make a decision on treatment/surgery. Take Care
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
| | | | Joined: Jan 2009 Posts: 97 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Jan 2009 Posts: 97 | Hey Sandy,
Sorry that you are here with this kind of news.
Mine was tonsils, BOT, nodes in the neck. They did remove the nodes, lots of tonsil and part of the tongue, but not nearly 80%.
I don't notice the tongue, but seem to miss the tissue from the throat as well as functioning saliva glands. (Xerostomia). This seems to continue to improve a little at a time.
After about 2 years I seem to be able to swallow lots of things that aren't dry and I am very grateful for a dentist that refused to let me give up on the teeth.
Finding this group of people early is a true stroke of luck for you, I wish I had.
Be watching for ya, good luck!
UncleVern
ENT conjectures before, no PET approved by HMO. Metastasis 11/06. CT 2/07: mass RT sub-mandibular gland. 7 CM mass/tonsil, base of tongue removed, biopsies 2/07 and 3/07. Vein lost, RT face numb. PET scan: spot in chest, un-investigated. Oral surgery 4/07. 3X Cisplatin and 32X IMRT from 4/07-5/07.
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Sandy
There is a CCC right near Northern Virgina/DC : the Lombardi Cancer Center at Georgetown Hospital - right across the Key Bridge and up a few blocks. In case you want something closer than John Hopkins in Baltimore. there were lots of head and neck patients in the radiation waiting room when I was being treated there. Plus I am planning on having my recurrence surgery there. I went over a year after finishing treatment without needing surgery and even now with stage IV coming back, they are not talking 80% of my tongue. I echo the advice from the other posters to get a CCC workup. Good luck. 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
| | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | OP Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | David: Thanks for your concern. Won't see medical oncologist until Thursday for exact staging. What I think is large (T3-4) tumor in base of tongue. Don't think nodes are involved. Bilateral modes are only 8mm but possible incroching cancer. No cancer anywhere else. My team are suggesting tomotherapy with radiation and chemo. I don't believe they are going to suggest surgery at this time, but not 100% positive until Thursday. Thanks Sandy
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | OP Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | Charm: We live near each other. I live in Annandale, VA. As you know both Lombardi and Johns Hopkins are within easy driving distance. I have call JH to inquire about a 2nd opinion, but it'll take 1-2 weeks before results. My current team does not want to do surgery. Unless I learn something different on Thursday, the plan is radiation and chemo. I believe my cancer is a little more aggressive so I really don't want to wait much long. My lymph nodes are small (8mm) but there is some activity showing but I think rad can take care of that. I'm trying to work all the angles. My oncology team is excellent. The only difference in treatment would be should I have surgery or just do the rad/chemo at this time. The tomotherapy I'll be getting is the most precise. With my own research I think I have a T3NOMO, but I won't have a difinite until Thursday.
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
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