Surgeon canceled tongue surgery in middle of surgery--now what?

surgeon stopped tongue surgery-now what?

in hospital now. Surgery scheduled early this morning to remove half of tongue, rebuild it with a flap (from arm), and have lymph node dissection on one side--this was supposed to occur this morning.  Once surgeon got in there and saw that he would need to remove whole tongue, he stopped surgery (luckily before cutting tongue) and said I should have radiation/chemo first to try to Shrink the cancer.  Not sure if that means it has grown since scans 3weeks ago. So scared because I always thought this was a riskier route to take, but of course I don't want to lose my whole tongue either. I have a young child (11) who needs me.  Any one else been down this road?

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Comments

  • wmc
    wmc Member Posts: 1,804
    Wow.......

    Not sure how to answer. Are you going to a "local" doctor, or to a major cancer center like MD Anderson, Uc hospital, ETC. Have you ever had a secomd opinion? From my knowledge of SCC it is not really fast growing. Mine tool around one year to get to 3cm x 2.5cm. Mine was Supraglottic SCC, [just above voice cords ] in my larynx. You might want a second opinion. Did they do a PET/CT? 

    There are several on here that were BOT and they will have more questions and answers. Something sounds off, and he might be over his head with this. To go from half to all in three weeks justs sounds wrong. My thoughts and prayers are with you.

    Bill  10.2013

  • MrsBD
    MrsBD Member Posts: 615 Member
    No Surgery

    Not everyone has surgery for BOT cancer. Mine had spread to both sides and the back of my throat. The oncologist said the surgery would have been devastating. I had chemo (Erbitux ) and IMRT. It is almost 8 months since treatment ended and there is no sign of cancer. I'm sorry you had all the worry of preparing for surgery but glad the surgeon didn't go ahead if it didn't seem right. You are on my prayer list.

  • Carolinagal4
    Carolinagal4 Member Posts: 22
    MrsBD said:

    No Surgery

    Not everyone has surgery for BOT cancer. Mine had spread to both sides and the back of my throat. The oncologist said the surgery would have been devastating. I had chemo (Erbitux ) and IMRT. It is almost 8 months since treatment ended and there is no sign of cancer. I'm sorry you had all the worry of preparing for surgery but glad the surgeon didn't go ahead if it didn't seem right. You are on my prayer list.

    Thanks for your replies.
    Hi

    Thanks for your replies.

    Hi Bill, yes it is the best renamed hospital in my area-Duke University Hospital and Duke Cancer Center.  I am really worried about how fast it has grown.  They did a Ct/PET scan 3 weeks ago And from scans thought that they would only have to take less than half of tongue--which still would produce a good quality of life.  my pain has accelerated a lot over the last 3 weeks and I worried that meant it was growing--doctors said that this was typically slow growing and plus they didn't have a surgical opening any earlier.  But yes, it makes me wonder about growth rate.

    MrsBD--glad to hear that radiation/chemo worked for you--or is working! My cancer is on the side of the oral tongue, not base of tongue (non-smoker, HPV negative)--but it sounds like the same comment that they told me today--with the amount of tongue that they would remove it would be devastating.

     

    thanks for your feedback and prayers!

    CC

  • Grandmax4
    Grandmax4 Member Posts: 723

    Thanks for your replies.
    Hi

    Thanks for your replies.

    Hi Bill, yes it is the best renamed hospital in my area-Duke University Hospital and Duke Cancer Center.  I am really worried about how fast it has grown.  They did a Ct/PET scan 3 weeks ago And from scans thought that they would only have to take less than half of tongue--which still would produce a good quality of life.  my pain has accelerated a lot over the last 3 weeks and I worried that meant it was growing--doctors said that this was typically slow growing and plus they didn't have a surgical opening any earlier.  But yes, it makes me wonder about growth rate.

    MrsBD--glad to hear that radiation/chemo worked for you--or is working! My cancer is on the side of the oral tongue, not base of tongue (non-smoker, HPV negative)--but it sounds like the same comment that they told me today--with the amount of tongue that they would remove it would be devastating.

     

    thanks for your feedback and prayers!

    CC

    Prayers

    I know you are, no doubt. beside yourself with worry...I think you have a very brave,caring surgeon..prayers the treatment will work...

  • wmc
    wmc Member Posts: 1,804

    Thanks for your replies.
    Hi

    Thanks for your replies.

    Hi Bill, yes it is the best renamed hospital in my area-Duke University Hospital and Duke Cancer Center.  I am really worried about how fast it has grown.  They did a Ct/PET scan 3 weeks ago And from scans thought that they would only have to take less than half of tongue--which still would produce a good quality of life.  my pain has accelerated a lot over the last 3 weeks and I worried that meant it was growing--doctors said that this was typically slow growing and plus they didn't have a surgical opening any earlier.  But yes, it makes me wonder about growth rate.

    MrsBD--glad to hear that radiation/chemo worked for you--or is working! My cancer is on the side of the oral tongue, not base of tongue (non-smoker, HPV negative)--but it sounds like the same comment that they told me today--with the amount of tongue that they would remove it would be devastating.

     

    thanks for your feedback and prayers!

    CC

    Just stay positive..............

    Having good docters [as you do] can really help, but staying positive and getting an attitude really does help. My doctors and nurse's all told my that my good attitude is what made my recoery go so well. My prayers didn't hurt ether.

    There has been many on here over the time I have been here that did not have surgery and are doing great and all were told they are NED [No Evedance of Disease ]. You can beat this. It will be rough at times so just take one day at a time and the really bad ones. Just houre by houre and know you can do this. And it is so important to drink and swallow to keep that working, you must stay hydrated. Remember you are not alone as you can see in the responces...........

    Bill  2013

  • hwt
    hwt Member Posts: 2,328 Member
    wmc said:

    Just stay positive..............

    Having good docters [as you do] can really help, but staying positive and getting an attitude really does help. My doctors and nurse's all told my that my good attitude is what made my recoery go so well. My prayers didn't hurt ether.

    There has been many on here over the time I have been here that did not have surgery and are doing great and all were told they are NED [No Evedance of Disease ]. You can beat this. It will be rough at times so just take one day at a time and the really bad ones. Just houre by houre and know you can do this. And it is so important to drink and swallow to keep that working, you must stay hydrated. Remember you are not alone as you can see in the responces...........

    Bill  2013

    CC

    Thankful your surgeon did not go forward if he felt timing not right. Sounds like a good plan to shrink first. Chemo and rads difficult but most all of us have done it and are here to help you through it. 

    Sending prayers your way,

    Candi

  • tommyodavey
    tommyodavey Member Posts: 726 Member

    Thanks for your replies.
    Hi

    Thanks for your replies.

    Hi Bill, yes it is the best renamed hospital in my area-Duke University Hospital and Duke Cancer Center.  I am really worried about how fast it has grown.  They did a Ct/PET scan 3 weeks ago And from scans thought that they would only have to take less than half of tongue--which still would produce a good quality of life.  my pain has accelerated a lot over the last 3 weeks and I worried that meant it was growing--doctors said that this was typically slow growing and plus they didn't have a surgical opening any earlier.  But yes, it makes me wonder about growth rate.

    MrsBD--glad to hear that radiation/chemo worked for you--or is working! My cancer is on the side of the oral tongue, not base of tongue (non-smoker, HPV negative)--but it sounds like the same comment that they told me today--with the amount of tongue that they would remove it would be devastating.

     

    thanks for your feedback and prayers!

    CC

    Too Much

    I was surprised to read that your surgeon had planned on doing a neck dissection during the same surgery on your tongue.  IMO, that is too much trauma for someone to take.  At least that's what my doctor said.  And after having part of my tongue lasered off I couldn't imagine having to deal with a neck dissection too.  Unless your neck surgery wasn't going to be very invasive.

     

    So it's just as well you didn't have the tongue surgery.

     

    Good luck with the chemo/rad treatment.

     

    Tom

  • Carolinagal4
    Carolinagal4 Member Posts: 22

    Too Much

    I was surprised to read that your surgeon had planned on doing a neck dissection during the same surgery on your tongue.  IMO, that is too much trauma for someone to take.  At least that's what my doctor said.  And after having part of my tongue lasered off I couldn't imagine having to deal with a neck dissection too.  Unless your neck surgery wasn't going to be very invasive.

     

    So it's just as well you didn't have the tongue surgery.

     

    Good luck with the chemo/rad treatment.

     

    Tom

    Thanks Grandmax, Bill, Candi

    Thanks Grandmax, Bill, Candi and Tom,

    yes, I am really beside myself with worry but I have to believe the surgeon made the right call if the cancer has spread that much through my tongue--of course, I'm just shocked to hear that is the situation. I do believe in keeping a positive attitude and I really have to in order to get through this--I just have to get a handle on the fear. Prayers and hearing how good folks like you all have made it through are a big help.

    Tom, as to your comment about the neck dissection--I don't think I fully comprehended how big the intended surgery was going to be before now. I didn't really have much of anything done with the surgery--but they did have me fully under and did put in a trach (which they took out at the end) and just thinking how I feel from all of that--wow, the intended surgery would be so much more.

    i meet with my doctors in a series of appointments this week to map out chemo and radiation plans. I'm really hoping to be one of those folks posting about NED results next year!

    CC

  • wmc
    wmc Member Posts: 1,804

    Thanks Grandmax, Bill, Candi

    Thanks Grandmax, Bill, Candi and Tom,

    yes, I am really beside myself with worry but I have to believe the surgeon made the right call if the cancer has spread that much through my tongue--of course, I'm just shocked to hear that is the situation. I do believe in keeping a positive attitude and I really have to in order to get through this--I just have to get a handle on the fear. Prayers and hearing how good folks like you all have made it through are a big help.

    Tom, as to your comment about the neck dissection--I don't think I fully comprehended how big the intended surgery was going to be before now. I didn't really have much of anything done with the surgery--but they did have me fully under and did put in a trach (which they took out at the end) and just thinking how I feel from all of that--wow, the intended surgery would be so much more.

    i meet with my doctors in a series of appointments this week to map out chemo and radiation plans. I'm really hoping to be one of those folks posting about NED results next year!

    CC

    At this point...........

    At this point you will have some questions for the doctor. Please take someone with you as more ears do help. Write down your questions and leave room for the answers then hand it to the doctor. Hi will say or answer a question and you will go blank, I did. So I wrote them down and handed it to him and he even wrote the answers in for me and explained each one. 

    Bill

  • Carolinagal4
    Carolinagal4 Member Posts: 22
    wmc said:

    At this point...........

    At this point you will have some questions for the doctor. Please take someone with you as more ears do help. Write down your questions and leave room for the answers then hand it to the doctor. Hi will say or answer a question and you will go blank, I did. So I wrote them down and handed it to him and he even wrote the answers in for me and explained each one. 

    Bill

    Good advice

    Good advice Bill--I will do that. I always have someone with me know as I can't drive on these pain meds but I also like the idea of writing the questions down and handing them over.

     

  • SASH
    SASH Member Posts: 421 Member
    Radiation and Chemo before Surgery

    I fit into this category as my Tongue Cancer tumor was so large the only surgical option before treatement was to remove the entire tongue and voice box.  Not what I wanted to hear at 34 years old.

    I went through 46 Radiation treatments with 10 simulaneous chemos that were supposed to be weekly, but ended up take a few extra months because of blood counts.  It is possible to do this, it is a hard road, but doable.

    I ended up having surgery after treatment and recovery wasn't too bad.  I was able to start eating by mouth about 3 1/2 weeks after surgery and was off the feeding tube after 2 months post surgery.

    I am now 15+ years of being NED and even with the side effects of treatment and surgery, I am still alive living my new "normal".

  • debbiejeanne
    debbiejeanne Member Posts: 3,102 Member
    I just want to say I'm

    I just want to say I'm praying for you and for all to go well. 

    God bless you,

    dj

  • Carolinagal4
    Carolinagal4 Member Posts: 22

    I just want to say I'm

    I just want to say I'm praying for you and for all to go well. 

    God bless you,

    dj

    Thank you for the prayers and

    Thank you for the prayers and encouragement. I have just finished my first week of treatment (7 weeks of radiation with concurrent chemo, cisplatin, on weeks 1 and 5). I am having a rough time this weekend--not been able to hold much down. My cancer center is one that does not tend to put the feeding tube in as often, so I don't have that. It's looking like a long road right now.

  • Duggie88
    Duggie88 Member Posts: 760 Member

    Thank you for the prayers and

    Thank you for the prayers and encouragement. I have just finished my first week of treatment (7 weeks of radiation with concurrent chemo, cisplatin, on weeks 1 and 5). I am having a rough time this weekend--not been able to hold much down. My cancer center is one that does not tend to put the feeding tube in as often, so I don't have that. It's looking like a long road right now.

    CC

    It is a long road with many turns, bumps, slow downs for construction, and maybe a toll both or two, but by the end it is well worth the trip. I was ready to call it quits after 3 days of radiation but managed to do all 30. That was doing all the pain meds and driiving myself the 148 miles everyday. Your days will feel like your with Bill Murrey in Groundhog day with the same routine everyday. Like I tell everyone traveling down this road, if I can do it anybody can do it.

    There are many fine folks on this site which is the best support site to be found, and they can get you over the bumps.

    Fight on

          Jeff

  • wmc
    wmc Member Posts: 1,804

    Thank you for the prayers and

    Thank you for the prayers and encouragement. I have just finished my first week of treatment (7 weeks of radiation with concurrent chemo, cisplatin, on weeks 1 and 5). I am having a rough time this weekend--not been able to hold much down. My cancer center is one that does not tend to put the feeding tube in as often, so I don't have that. It's looking like a long road right now.

    YOU CAN DO THIS...Now repeat after me............ Yes I can!

    CC it is hard and having a bad weekend you did the right thing. You came here and shaired with us. Now you know what you have to do. Drink lots of water, crushed Ice helps. Eat junk food if that is what you can get down. Jello is a win, win, it also counts as liquid. Pudding can slide down good as well. Stay hydrated and just take one day at a time, some days it's hour by hour. But most of all....NEVER GIVE UP, the reward at the end of this rough road is such a wonderful word....... NED. You can and will do this.

    Bill

  • debbiejeanne
    debbiejeanne Member Posts: 3,102 Member

    Thank you for the prayers and

    Thank you for the prayers and encouragement. I have just finished my first week of treatment (7 weeks of radiation with concurrent chemo, cisplatin, on weeks 1 and 5). I am having a rough time this weekend--not been able to hold much down. My cancer center is one that does not tend to put the feeding tube in as often, so I don't have that. It's looking like a long road right now.

    cg, I am sorry your weekend

    cg, I am sorry your weekend was so rough and I'm praying you have a much better week.

    God bless you,

    dj

  • Carolinagal4
    Carolinagal4 Member Posts: 22

    cg, I am sorry your weekend

    cg, I am sorry your weekend was so rough and I'm praying you have a much better week.

    God bless you,

    dj

    Today is a better day

    Today is a better day--new pains today, but also a little more energy thanks to receiving some fluids yesterday and choking down some ensure. Your encouragement helps!  

  • Noellesmom
    Noellesmom Member Posts: 1,859 Member

    Today is a better day

    Today is a better day--new pains today, but also a little more energy thanks to receiving some fluids yesterday and choking down some ensure. Your encouragement helps!  

    just curious

    No one suggested a PEG?  Seems like it would be the best way to insure nutrition.

  • SimmsFond1
    SimmsFond1 Member Posts: 6
    Your are in my prayers

    I'm so sorry to hear about your condition. I was diagnosed with base of tongue cancer in 1996 and treated with surgery and radiation. That can be very frustration news and I hope the groth with shrink so the surgey can go as planned before. I will be more than happy to share my experiences and some tools to help your family through this time. If you want to have more information regarding this, feel free to contact me. Best of luck

  • Grandmax4
    Grandmax4 Member Posts: 723

    Today is a better day

    Today is a better day--new pains today, but also a little more energy thanks to receiving some fluids yesterday and choking down some ensure. Your encouragement helps!  

    curious

    I woke up thinking about you this am, wondering how you are doing, what treatment has been decided on, and wanted,just to let you know, we really do care about others that are experiencing the hell we endured and now are fairly abi-normal