Recurrence - looking for next steps
hi all,
i was first diagnosed in Spring 2015 with squamous cell carcinoma tongue cancer. My surgeon tried to operate but changed his mind due to size and location of tumor and so I spent the summer on chemo-radiation as we tried to shrink the cancer. While it did shrink some, the cancer came back and I had a sub-total glossectomy (they removed the oral tongue and left the base of tongue) and neck dissection in November, 2015 (pathology report came back with clear margins and no lymph nodes involved). Due to the great pathology report, I was feeling very hopeful through my recovery until a recent sore throat and hoarseness prompted a visit to my ENT.
Now, a CT scan has indicated the cancer is back and my ENT said the location above my voice box is dangerously close to carotid artery and there may be no other options other than palliative care. He also said I may be looking at only months to live. I am a single mom of an 11 year old daughter who needs me! I have a needle biopsy scheduled for this week but he said there isn't really any doubt what it will say. I received a second opinion at John-Hopkins the last time so I plan to do that again. I know sometimes there are clinical trials so of course I will look into that. Anyone have experience with good results following recurrence?
thanks,
CC
Comments
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Good morning, cc
I am a caregiver with no personal experience but as you may know, there are many on this board who have had recurrences and have had success in beating cancer more than once.
If my husband had your diagnosis and physician, we would go for a second opinion.
You will hear from others on this board who are more informed and experienced than I.
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First....it sounds like
you've been battling this for a long time....you're a tough cookie in my book.
I'm relieved to hear you're going to go the John Hopkin's for a second opinion. That is the place that might not look at this surgery as something too hard to do....also, they will be up on clinical trials, and can lead you to one if that is the decision that you end up making.
Hugs to you.
p
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Thanks for the feedback. I dophrannie51 said:First....it sounds like
you've been battling this for a long time....you're a tough cookie in my book.
I'm relieved to hear you're going to go the John Hopkin's for a second opinion. That is the place that might not look at this surgery as something too hard to do....also, they will be up on clinical trials, and can lead you to one if that is the decision that you end up making.
Hugs to you.
p
Thanks for the feedback. I do have a PET scan scheduled for this week. It was already scheduled as the 12 week post surgery PET.
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Yes second opinion....
My question is you had a second opinion at John Hopkins but they did not do the treatment? If you had a local doctor the first time, I would go to JH for treatment. Yes it might be very inconvenient but it also could be so well worth it. We have a very good hospital and surgeon on staff and the ENT does tonsils thats it. I was not going to put my life in there hands. For me, it was a dicission thet most likely saved my life. I had to have my lerynx removed and I now breath through a hole in my neck. The only way air can get to my lungs is by my neck. The local hospital has told me when I went to the ER I don't need oxygen, which is standard to have when you are hard to breath and chest pains. My local doctor sent me because he told me, he has know idea how to get oxygen to me. By the way, it is very simple. You hand it to me and I put in just in the hole and tape the hose to my chest. Local is not good for everything. We have has a few where it was close to the cartoid artery and were treated. One had the tumor wrapped around it and they could not do anything.
I also was cut from ear to ear and had a neck dissection on both sides. That is when the go in and remove the lymph nodes from base of neck up to my ears, and they are all around my cartoid on both sides. So don't think treatment is over just yet. They may have many things still that can be done.
Bill
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Hi CC
The only words I can say right now is, it sucks to be so young and having to go this but don’t give up hope. Many of us still here were once told by out doctors that we might not have too long to live and we are still here. I am not sure what you beliefs are but for me God can do anything that is why He is a part of my everyday life. I will be praying for you and the doc’s at John Hopkin's to find what will help.
Tim
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Carotid arteryHondo said:Hi CC
The only words I can say right now is, it sucks to be so young and having to go this but don’t give up hope. Many of us still here were once told by out doctors that we might not have too long to live and we are still here. I am not sure what you beliefs are but for me God can do anything that is why He is a part of my everyday life. I will be praying for you and the doc’s at John Hopkin's to find what will help.
Tim
Both my recurrences were around carotid arteries. St Louis told me nothing could be done. I had SBRT tx at Mayo Clinic in Rochester both times. Takes five days. Clean now two years. Best wishes
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I had tonsil cancer in 2007 and had surgery, radiation and chemo.
In Dec 2013, I had a biopsy during the 13th dilation of my throat. The first 12 there was nothing to biopsy. SCC again.
Went to a different ENT (at a teaching university) and was told nothing can be done - and they can make me comfortable.
My original ENT to me to see a particular ENT at the other teaching university in town.
He never said how close it was to my arterty - but reading the surgery notes - it was close. I did end up with a total laryngectomy.
But, I'm here to tell you about it.
Get that second opinion and go to a big teaching hospital for treatment. Prayers with you.
Lorna 2007 & 2014
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Get that second opinion and maybe a third
I almost went to Hopkins for my surgery and live in North Carolina. I ended up going to Vanderbilt and feel I had a top notch Otolaryngologist whom I chose to consult with initially due to being told I had a carotid body tumor. Dr. Netterville was my surgeon and he determined that my cancer was BOT SCC and the tumor on my carotid body was really on the lymph node. Once he did the neck dissection, he did not have to resection my carotid as the cancer was contained in the node which was on top of the carotid body but had not spread into it or wrapped around it. I feel certain he would have managed that possibility should it have occurred. It is a very scary sounding delicate surgery but in the right hands can be tackled. A very experienced otolaryngologist at a large teaching hospital would be your best bet.
Keep your chin up and you will get through this.
PJ
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I Was Told I Had METZ, They Were Positive and Wrong!!!PJ47 said:Get that second opinion and maybe a third
I almost went to Hopkins for my surgery and live in North Carolina. I ended up going to Vanderbilt and feel I had a top notch Otolaryngologist whom I chose to consult with initially due to being told I had a carotid body tumor. Dr. Netterville was my surgeon and he determined that my cancer was BOT SCC and the tumor on my carotid body was really on the lymph node. Once he did the neck dissection, he did not have to resection my carotid as the cancer was contained in the node which was on top of the carotid body but had not spread into it or wrapped around it. I feel certain he would have managed that possibility should it have occurred. It is a very scary sounding delicate surgery but in the right hands can be tackled. A very experienced otolaryngologist at a large teaching hospital would be your best bet.
Keep your chin up and you will get through this.
PJ
I am so bothered by the words used, how powerful they are. I had a new large lump in my neck while waiting to heal enough from resection to start treatment. The mood was Totally somber, at the best state head and neck center/university med center. "We are going to biopsy it to prove what we already know, that it is cancer. You will have a PET scan in 2 days and if there are any other sites, we will no longer be treating you for cure.".....Oh my!!! Praying so outrageously hard and frightened. It was non malignant. I WISH they'd all keep quiet until proof positive is in. And even then! Have seen this so much as a nurse. There is Always Hope...Just because they say it, does Not make it true! I am telling you this to give you Hope! I am Praying for YOU. Tell yourself outloud "I Am Strong, I Am Healthy", like you mean it at least 10 times a day. Crazy I know, but like your body catches up with you. " This IS the First Day of the Rest of Your Life! Truth! Even in the dark, you can still see the light, It's going to be all right. Going to be all right." I clung to that and my faith. ITA with PJ.
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You are so right! My doctorsIAmStrong said:I Was Told I Had METZ, They Were Positive and Wrong!!!
I am so bothered by the words used, how powerful they are. I had a new large lump in my neck while waiting to heal enough from resection to start treatment. The mood was Totally somber, at the best state head and neck center/university med center. "We are going to biopsy it to prove what we already know, that it is cancer. You will have a PET scan in 2 days and if there are any other sites, we will no longer be treating you for cure.".....Oh my!!! Praying so outrageously hard and frightened. It was non malignant. I WISH they'd all keep quiet until proof positive is in. And even then! Have seen this so much as a nurse. There is Always Hope...Just because they say it, does Not make it true! I am telling you this to give you Hope! I am Praying for YOU. Tell yourself outloud "I Am Strong, I Am Healthy", like you mean it at least 10 times a day. Crazy I know, but like your body catches up with you. " This IS the First Day of the Rest of Your Life! Truth! Even in the dark, you can still see the light, It's going to be all right. Going to be all right." I clung to that and my faith. ITA with PJ.
You are so right! My doctors told me based on the damage to my jawbone from the tumor the cancer had spread and they would be able to make me comfortable. I still remember sitting there thinking, "no, I just have a toothache ". After the scans, tests and surgery it turned that the cancer had not spread anywhere. The scan/test wait cycles are the worst, I hate those periods. Sending my best.
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