HPV- SCC spread to lungs

1200Sportster
1200Sportster Member Posts: 9 Member
edited September 2022 in Head and Neck Cancer #1

2018 I had a SCC tumor on the base of my tounge. No sugery just radiation and chemo. June scans, and last week biopsy came back positive in both sides of my lungs. I have no symptoms yet. Looking for guidance/hope, and info to base decision making on. I do not always take what the oncologist says as gospel. 

 

Thanks

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Comments

  • wbcgaruss
    wbcgaruss Member Posts: 2,482 Member
    edited July 2020 #2
    Hello 1200Sportster

    And welcome to the club/forum which no one volunteers as a member and no one really wants to join but we find ourselves here because we all share a general malady. First off how big are the cancer areas in your lungs? Have they discussed treatment options such as radiation as there are different ways they can deliver radiation nowadays with much more accuracy? My sister had a small nodule in one lung and they were watching it by her getting a scan every year then every 6 months and it was staying stable not growing. Then it started growing and increasing in size so they used radiation on it and it worked to get rid of it. I forget what radiation it was, possibly cyberknife and I had a recent bout with lymph node cancer and had an operation and a 30 treatment follow up with the cyberknife. I also searched for types of radiation and there are lots to look at so check out this search link--

    https://www.google.com/search?client=firefox-b-1-d&ei=OE4cX5fXD4ystQaP6pjIAQ&q=kinds+of+radiation+treatment+for+cancer&oq=kinds+of+radiation+treatment+for+cancer&gs_lcp=CgZwc3ktYWIQAzIGCAAQFhAeMgYIABAWEB4yBggAEBYQHjIGCAAQFhAeMgYIABAWEB46BwgAEEcQsAM6AggAOgYIABANEB46CAgAEA0QBRAeOggIIRAWEB0QHjoHCCEQChCgAToFCCEQqwJQsDtY0XRgqXpoAHAAeACAAfMBiAGcGJIBBjAuMjAuMpgBAKABAaoBB2d3cy13aXrAAQE&sclient=psy-ab&ved=0ahUKEwiX06fE2ujqAhUMVs0KHQ81BhkQ4dUDCAs&uact=5

    Possibly chemo too but I don't know if that would be for lung cancer. Since you had a biopsy it looks then to be verified cancer. Also, you may want to click on discussion boards in the top left of this page and on the list you will see there is a discussion group for Lung Cancer you will probably find better knowledge related to your situation there. I am not trying to run you off you are very welcome here and in fact, you can be in both forums no problem. Also, there are some advances in immunotherapy around that are progressing well and offering other options and hope. I did a search on Ketruda which is immunotherapy and here is a link to the search--

    https://www.google.com/search?client=firefox-b-1-d&q=keytruda

    In that search if it comes up the same for you on the top right I see this--tells you about Keytruda and there could be other immunotherapy drugs also and I am not well versed in this stuff. So hopefully more folks on here will chip in with some good ideas for you. Also mentioned on here many times is if you are close to a major cancer center or teaching hospital you will get more knowledgeable treatment as they deal with a higher volume and many times have top-rated doctors. Wishing you the best-Take Care-God Bless

    Pembrolizumab

    Medication

    Description





    Description

    Pembrolizumab is a humanized antibody used in cancer immunotherapy. This includes to treat melanoma, lung cancer, head and neck cancer, Hodgkin lymphoma, and stomach cancer. It is given by slow injection into a vein.Wikipedia








    Formula: C6534H10004N1716O2036S46







    Molar mass: 146648.64 g·mol−1







    Trade name: Keytruda







    Drug class: Antineoplastic agents







    Other names: MK-3475, lambrolizumab





  • 1200Sportster
    1200Sportster Member Posts: 9 Member
    edited July 2020 #3
    wbcgaruss said:

    Hello 1200Sportster

    And welcome to the club/forum which no one volunteers as a member and no one really wants to join but we find ourselves here because we all share a general malady. First off how big are the cancer areas in your lungs? Have they discussed treatment options such as radiation as there are different ways they can deliver radiation nowadays with much more accuracy? My sister had a small nodule in one lung and they were watching it by her getting a scan every year then every 6 months and it was staying stable not growing. Then it started growing and increasing in size so they used radiation on it and it worked to get rid of it. I forget what radiation it was, possibly cyberknife and I had a recent bout with lymph node cancer and had an operation and a 30 treatment follow up with the cyberknife. I also searched for types of radiation and there are lots to look at so check out this search link--

    https://www.google.com/search?client=firefox-b-1-d&ei=OE4cX5fXD4ystQaP6pjIAQ&q=kinds+of+radiation+treatment+for+cancer&oq=kinds+of+radiation+treatment+for+cancer&gs_lcp=CgZwc3ktYWIQAzIGCAAQFhAeMgYIABAWEB4yBggAEBYQHjIGCAAQFhAeMgYIABAWEB46BwgAEEcQsAM6AggAOgYIABANEB46CAgAEA0QBRAeOggIIRAWEB0QHjoHCCEQChCgAToFCCEQqwJQsDtY0XRgqXpoAHAAeACAAfMBiAGcGJIBBjAuMjAuMpgBAKABAaoBB2d3cy13aXrAAQE&sclient=psy-ab&ved=0ahUKEwiX06fE2ujqAhUMVs0KHQ81BhkQ4dUDCAs&uact=5

    Possibly chemo too but I don't know if that would be for lung cancer. Since you had a biopsy it looks then to be verified cancer. Also, you may want to click on discussion boards in the top left of this page and on the list you will see there is a discussion group for Lung Cancer you will probably find better knowledge related to your situation there. I am not trying to run you off you are very welcome here and in fact, you can be in both forums no problem. Also, there are some advances in immunotherapy around that are progressing well and offering other options and hope. I did a search on Ketruda which is immunotherapy and here is a link to the search--

    https://www.google.com/search?client=firefox-b-1-d&q=keytruda

    In that search if it comes up the same for you on the top right I see this--tells you about Keytruda and there could be other immunotherapy drugs also and I am not well versed in this stuff. So hopefully more folks on here will chip in with some good ideas for you. Also mentioned on here many times is if you are close to a major cancer center or teaching hospital you will get more knowledgeable treatment as they deal with a higher volume and many times have top-rated doctors. Wishing you the best-Take Care-God Bless

    Pembrolizumab

    Medication

    Description





    Description

    Pembrolizumab is a humanized antibody used in cancer immunotherapy. This includes to treat melanoma, lung cancer, head and neck cancer, Hodgkin lymphoma, and stomach cancer. It is given by slow injection into a vein.Wikipedia








    Formula: C6534H10004N1716O2036S46







    Molar mass: 146648.64 g·mol−1







    Trade name: Keytruda







    Drug class: Antineoplastic agents







    Other names: MK-3475, lambrolizumab





    HPV- SCC spread to lungs

    Thanks So much WBC.  Came to this site because it is the toungue spread to the lung. THe spots got bigger between CAT scan in June and PET scan in July. So they are growing. Previous scans in December were OK. 

    THe doc says it is incurable but treatable. THey are talking immuno and/or chemo. They put a marker test order in. No results back yet. I am looking to get real life data on quality of life with treatment, and extension of life vs. no treatment. 

     

    Thanks agian.

     

  • wbcgaruss
    wbcgaruss Member Posts: 2,482 Member
    edited July 2020 #4
    I Am Not Sure What happened to

    My previous post but you will have to use the bar at the bottom of the page to move it back and forth to read it or use the left and right arrows on your keyboard-Take Care-God Bless

  • lorijeannj
    lorijeannj Member Posts: 56 Member
    edited July 2020 #5
    Hello sportster.  

    Hello sportster.  

    My husband had same treatment back in 2017.  

    we waited 3 months for a scan in sure enough, it had spread to right lung, another scan, the other lung.

    I will mention he had no surgery and was on a feeding tube during treatment as

    he tongue was so swollen he couldn't eat.

    Biopsy done to confirm metases not a new cancer.  Metase.  PDL-1 90%

    Since there were too many nodules radiation was out of the question and chemo obviously didn't work to begin with.
    Started with Opdivo.  Didn't seem to be working ( i think we needed to wait a bit more and do another scan), nodules were growing.

    After 3 months of Opdivo, went to Gemzar (killer chemo).  Stopped that and in to Keytruda.

    Been 2 yrs, having a ct-scan in coming weeks.  Hoping for the best.

    Side effects there but nothing that has kept my husband home.  We travel, eat out, at least pre-covid.

    I have heard horror stories about immunotherapy but also success.  

    success with my husband as he is still with me but he wants cancer gone and off the drug.

    I wish you luck in your decision making.

    You can message me as well.  I did get your message but opted to reply here 

    for others to read.

    Stay safe.

    Philly area.

     

     

     

     

     

     

  • 1200Sportster
    1200Sportster Member Posts: 9 Member
    edited July 2020 #6

    Hello sportster.  

    Hello sportster.  

    My husband had same treatment back in 2017.  

    we waited 3 months for a scan in sure enough, it had spread to right lung, another scan, the other lung.

    I will mention he had no surgery and was on a feeding tube during treatment as

    he tongue was so swollen he couldn't eat.

    Biopsy done to confirm metases not a new cancer.  Metase.  PDL-1 90%

    Since there were too many nodules radiation was out of the question and chemo obviously didn't work to begin with.
    Started with Opdivo.  Didn't seem to be working ( i think we needed to wait a bit more and do another scan), nodules were growing.

    After 3 months of Opdivo, went to Gemzar (killer chemo).  Stopped that and in to Keytruda.

    Been 2 yrs, having a ct-scan in coming weeks.  Hoping for the best.

    Side effects there but nothing that has kept my husband home.  We travel, eat out, at least pre-covid.

    I have heard horror stories about immunotherapy but also success.  

    success with my husband as he is still with me but he wants cancer gone and off the drug.

    I wish you luck in your decision making.

    You can message me as well.  I did get your message but opted to reply here 

    for others to read.

    Stay safe.

    Philly area.

     

     

     

     

     

     

    HPV- SCC spread to lungs

    Thanks so much for the info Lori.

    It does give me hope! My wife would like to know what to expect as well.

    I pray that you guys are keeping it roling in years to come. 

    We are iin the DC Metro area.

     

  • Duggie88
    Duggie88 Member Posts: 760 Member
    edited July 2020 #7
    Sportster

    I was in the same boat. HPV cancer at the base of my tongue in 2009 and then it decided to attack my right lung in 2018. They caught it early and by luck when it showed up in a CT Scan for a hernia. I had five radiation treatments and it put its tail between its legs and ran away. The lung radiation was a piece of cake compared to the throat radiation.

    Never hurts to get a second opinion if you feel uneasy with the first doctor.

    Enjoy the day

    Jeff

  • 1200Sportster
    1200Sportster Member Posts: 9 Member
    edited August 2020 #8
    Duggie88 said:

    Sportster

    I was in the same boat. HPV cancer at the base of my tongue in 2009 and then it decided to attack my right lung in 2018. They caught it early and by luck when it showed up in a CT Scan for a hernia. I had five radiation treatments and it put its tail between its legs and ran away. The lung radiation was a piece of cake compared to the throat radiation.

    Never hurts to get a second opinion if you feel uneasy with the first doctor.

    Enjoy the day

    Jeff

    THanks Duggie

    For sharing your experience. My doc told me that radiantion was not an option, but I will ask. Yes throat rad sucked. Glad you are doing good!

     

  • donfoo
    donfoo Member Posts: 1,773 Member
    edited August 2020 #9
    Duggie88 said:

    Sportster

    I was in the same boat. HPV cancer at the base of my tongue in 2009 and then it decided to attack my right lung in 2018. They caught it early and by luck when it showed up in a CT Scan for a hernia. I had five radiation treatments and it put its tail between its legs and ran away. The lung radiation was a piece of cake compared to the throat radiation.

    Never hurts to get a second opinion if you feel uneasy with the first doctor.

    Enjoy the day

    Jeff

    Lucky man

    Jeff,

    I missed the whole ordeal from a couple years ago but very trilled to learn you beat the beast back. I never got comfortable not having ongoing scans and the doctors anything new is more an "opportunistic" find, if that is the correct word. In other words, looking for something else uncovers nasty little beasts hiding away.

    Trilled you are marching along as usual. 

  • Duggie88
    Duggie88 Member Posts: 760 Member
    edited August 2020 #10
    donfoo said:

    Lucky man

    Jeff,

    I missed the whole ordeal from a couple years ago but very trilled to learn you beat the beast back. I never got comfortable not having ongoing scans and the doctors anything new is more an "opportunistic" find, if that is the correct word. In other words, looking for something else uncovers nasty little beasts hiding away.

    Trilled you are marching along as usual. 

    Hi Don

    Hi Don

    Great to see you on the site.Yes cancer seems to want to play games with me, but like I tell others I never play the game to lose. Life goes on.

     

    Enjoy your day

  • lorijeannj
    lorijeannj Member Posts: 56 Member
    Scans done

    My husband had his scans done, neck, chest and abdomen.

    Keytruda is keeping his nodules at bay in the lungs.  They arent gone, some shrunk, some stayed the same.  Two years on keytruda, going to keep going.  He (and me) was so hoping they would be gone.

    Tongue and throat looked good after visiting doc at Jefferson as well as the scan.

    Issue now is prostate, his PSA has risen.  (yes, he has prostate cancer as well).  Liver showed some enlarged bile ducts.  Go tomorrow to oncologist to "get juiced up" as my husband says and we will see what he thinks need to be done about that.

    Keep safe.

     

  • wbcgaruss
    wbcgaruss Member Posts: 2,482 Member
    Looks Like Some

    Good improvement and at least holding in a couple of areas but another problem area has reared it's ugly head. Hang in there and stay strong the positives are to be celebrated and hopefully they will have some good ideas to handle the prostate area. Prayers your way-Take Care-God Bless

  • 1200Sportster
    1200Sportster Member Posts: 9 Member
    edited September 2020 #13
    HPV- SCC spread to lungs

    I am 3 treatments of Pembro in. Side effects are near zero. Scans on Oct 8th. Will update after that. 

    ROCK!

  • wbcgaruss
    wbcgaruss Member Posts: 2,482 Member
    Thanks For The Update

    On your status and treatment. I am certainly glad for you that side effects are practically nil. Prayers your way-Take Care-God Bless-Russ

  • Logan51
    Logan51 Member Posts: 470 Member
    edited September 2020 #15
    Sportster

    Hopes and Prayers coming your way for great Scan results.

  • big G
    big G Member Posts: 177 Member
    edited September 2020 #16
    Logan51 said:

    Sportster

    Hopes and Prayers coming your way for great Scan results.

    Scan

    Prayers your way 1200.

  • 1200Sportster
    1200Sportster Member Posts: 9 Member
    HPV- SCC spread to lungs

    Update 2-2021  I am sorry that I am not coming around as much as I should be. Started Pembro/Keytruda in August 2020.  Scans showed diminished and some gone nodules between October and November 2020. 

    I have had some bleeding/ coughing blood intermittently since October 2020. The bleeding did not present a real problem (shortness of breath)  until the past 2 weeks.  Yesterday I had a bronchosopy cautery to stop bleeding in the airway. I came out of the procedure to see my ONC. She is trying to add Chemo next week.Carboplatin and Pacciltaxel.  I am reticent until I see the latest scan comparisons 2-22-21. I have not spoken to the pulmonary doc yet. I feel much better now that my airway is cleared up. What I would love to know is: What are we talking about in survival time with this chemo? I know it will not be pleaseant, and I don't know if I will be able to work while on it. If we are talking about extending life for 6 months on chemo, with crap quality of life, I would rather not even bother. I am not feeling too badly and everyday life is not a problem for me right now. Somethimes I think that the docs just ry to plug you into a regimen without regard to your personal experience. All thoughts welcomed. 

  • wbcgaruss
    wbcgaruss Member Posts: 2,482 Member
    edited February 2021 #18
    I Would Think 1200Sportster

    You could get with your care team or main doctor and tell them you want them to be completely frank with you and tell you your present status and what their best prognosis going forward is. And just present to them the questions you asked here that as to the best of their knowledge are they talking about a cure with the chemo or just extending your life and if so how long. And ask how severe the side effects are from the chemo regimen. Also, I would ask if there are any other possible options available to consider. Once you have all the facts you can make an informed decision. But I would not give up hope but think to the positive since you point out that there are nodules that are gone and others that are diminished in size so that seems like great news and you are actually making progress in fighting your illness. Don't get ready to throw in the towel yet. there is a saying we use on this forum NEGU (Never Ever Give UP) Extending Best Wishes to You going forward-Take Care-God Bless-Russ

  • Logan51
    Logan51 Member Posts: 470 Member
    edited February 2021 #19
    Yep

    Ditto to what Russ said. Hope the best going forward.

  • 1200Sportster
    1200Sportster Member Posts: 9 Member
    edited February 2021 #20
    wbcgaruss said:

    I Would Think 1200Sportster

    You could get with your care team or main doctor and tell them you want them to be completely frank with you and tell you your present status and what their best prognosis going forward is. And just present to them the questions you asked here that as to the best of their knowledge are they talking about a cure with the chemo or just extending your life and if so how long. And ask how severe the side effects are from the chemo regimen. Also, I would ask if there are any other possible options available to consider. Once you have all the facts you can make an informed decision. But I would not give up hope but think to the positive since you point out that there are nodules that are gone and others that are diminished in size so that seems like great news and you are actually making progress in fighting your illness. Don't get ready to throw in the towel yet. there is a saying we use on this forum NEGU (Never Ever Give UP) Extending Best Wishes to You going forward-Take Care-God Bless-Russ

    HPV- SCC spread to lungs

    Thaks Russ  and Logan. 

    I will get the scan Monday. Talk to Oncologist after. I told the ONC that I am going to postpone the chemo for now. Have an appt with Rad ONC the week after too. The Pulmonary docsays that opening procedure can be done again in the future if needed. 

    My research on line does not paint a very rosy picture for this MET cancer. It is definately not cureable. I will press on the hard numbers. That is the science isn't it? 

    Thanks for your support!

     

  • wbcgaruss
    wbcgaruss Member Posts: 2,482 Member
    edited February 2021 #21

    HPV- SCC spread to lungs

    Thaks Russ  and Logan. 

    I will get the scan Monday. Talk to Oncologist after. I told the ONC that I am going to postpone the chemo for now. Have an appt with Rad ONC the week after too. The Pulmonary docsays that opening procedure can be done again in the future if needed. 

    My research on line does not paint a very rosy picture for this MET cancer. It is definately not cureable. I will press on the hard numbers. That is the science isn't it? 

    Thanks for your support!

     

    Glad To Support You

    Certainly wishing you the best-Take Care-God Bless-Russ