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Medical Forum / Diseases and Disorders / Cancer / April 2005

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My Cancer Story

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brianm11 - 21 Feb 2005 04:29 GMT
Hi everyone, I am new here. I am 47 years old and live in the northeast US.
In mid January I developed a growth on the right side of my neck, in my
lymph node.  It grew from nothing to the size of a small banana in a week
and was only on the one side.  I had previously been ill with bronchitis and
I went to my doctor, who examined me and checked my lymph nodes as  part of
his normal exam. As I recovered from the bronchitis the growth started, and
after a week I returned to my doctor and  he examined the swelling and said
that I could have Lymphoma.  He referred me to an ENT, who ordered a CT
scan, chest X-ray and needle biopsy. He also arrranged for me to have
surgery and on February 3 he performed a radical neck dissection.  He
removed 41 nodes and found cancer in only one, but in that node it had
spread beyond the node into my neck. Along with the nodes he also removed
all the muscle and other tissue in the neck. My doctors have diagnosed me
with Squamos Cell Carcinoma, stage three, unknown primary. They feel that my
scans so far have been clear and a triple endoscopy done at surgery showed
no indication of any cancer. They feel thet they removed the majority of the
cancer during surgery and if I have a primary site elsewhere it is very
small and should be eliminated by chemotherapy. They believe that the cancer
is actually in my throat and will be eliminated through radiation therapy.
I am told that I have an excellent prognosis for a full recovery.  I am now
scheduled to have radiation therapy on my neck and chemotherapy to begin in
the second week of March and proceed concurrently. In advance of this I am
having a PEG tube inserted in order to have a way of getting nutrition and
fluids in case I have too much discomfort in my throat during radiation. I
will receive daily injections of a medication to help salvage my salivary
glands and protect them from being destroyed. I will be prescribed a chemo
drug called Cisplatin and will have it IV once a week for about six weeks. I
have been advised of a wide range of possible side effects but have been
told that because of my size, age, and general good health that I should be
able to tolerate chemo with only minor discomfort.  I am told that radiation
may not be that bad and  I may not need the PEG tube in the long run.On the
other hand they are also advising me that there is a possibility that I will
lose some or all of my teeth, and that I will lose my sense of taste, at
least for a while.  I have also been advised that I may need speech therapy
following radiation.  I am feeling  very comfortable and confident in my
physicians, and I feel that I have been getting excellent care.  I have the
benefit of having other medical people in the family who have made the same
observation. I feel very fortunate to have addressed this right away as I
have had no other symptoms. At this point I feel I can face the treatment
process and endure it and am thankful that I don't have an obvious primary
site at this point. I am also very fortunate to have access to quality
medical care and facilities here in my town. I am posting this because I am
new to this newsgroup and I have found some of it to be helpful. I wanted to
post my experience so far so that others can read it as it may be helpful
for others goimg through the same thing.  I hope this post helps to generate
a series of other posts which will provide a constructive dialogue about
cancer that we can all benefit from.  I am not interested in specific
medical advice and am trying to only listen to the people who are treating
me as they have all the facts about me at their disposal. I am interested in
other people's experiences though and would like to hear whatever it is they
think is important to say about their experience. I am interested in
strategies for coping with the effects of treatment that worked for them and
their families. I am interested in anecdotes about PEG tubes and how that
worked for them.  I wish also to say to everyone here who is experiencing
cancer for themselves or in their family that I hope you are doing well and
are strong. Best wishes to you  and thanks for reading this.
J - 21 Feb 2005 08:13 GMT
> Hi everyone, I am new here. I am 47 years old and live in the northeast US.
> In mid January I developed a growth on the right side of my neck, in my
[quoted text clipped - 45 lines]
> their families. I am interested in anecdotes about PEG tubes and how that
> worked for them.

Some (mostly Americans) get overtreated, that's why it's good to compare notes
with others' from other countries or hear from Steph on how it would be treated
in Canada.
Em's mom (Wales) was treated surgically, but perhaps less advanced at diagnosis.
I forget if she had a PEG or not.
Willy was getting his PEG a few weeks ago, also Cisplatin, radiation and
steroids. I put your cancer in the subject line, so those who don't read all the
posts have a better chance of seeing yours. I think his was found to be on the
tongue.
There's also approx 400 on the private mail list at ACOR
http://www.acor.org/mailing.html (under "H" for head and neck, which may include
other cancers).
Welcome, hope you find what you are looking for here.
J
J - 21 Feb 2005 08:35 GMT
Brian,
With my newreader, I can save 60 day's worth of posts, sort by poster (name or
email) and go back and read threads between Willy and Steph, talking about what to
use (or not) to protect the salivary glands.
Willy also posted some interesting links to pdfs about treatment and radiation
therapy.

If your newsreader can't do that, you can find his archived posts
http://groups-beta.google.com/advanced_search?q=&
by typing alt.support.cancer
sort by date and type Willy into the author name.
J
Steph - 21 Feb 2005 16:34 GMT
> Some (mostly Americans) get overtreated, that's why it's good to compare
> notes
> with others' from other countries or hear from Steph on how it would be
> treated
> in Canada.

Radiation alone, here..........
J - 24 Feb 2005 08:49 GMT
> "J" <lkawz@anon.invalid> wrote in message
>
[quoted text clipped - 30 lines]
>
> Radiation alone, here..........

Bob's suggesting that Brian inquirie about cyberknife ??
J
Steph - 24 Feb 2005 17:53 GMT
>> "J" <lkawz@anon.invalid> wrote in message
>>
[quoted text clipped - 44 lines]
> Bob's suggesting that Brian inquirie about cyberknife ??
> J

Cyberknife is entirely inappropriate for this situation
J - 24 Feb 2005 19:19 GMT
> >> "J" <lkawz@anon.invalid> wrote in message
> >>
[quoted text clipped - 46 lines]
>
> Cyberknife is entirely inappropriate for this situation

Thanks Steph,
Would it be appropriate if current treatment fails and the primary eventually
shows up somewhere?
J
Steph - 01 Mar 2005 05:55 GMT
>> >> "J" <lkawz@anon.invalid> wrote in message
>> >>
[quoted text clipped - 65 lines]
> shows up somewhere?
> J

Cyberknife is just a way of getting a lot of radiation into a small volume,
nothing more.
Bob Allison - 21 Feb 2005 21:23 GMT
> They believe that the cancer
> is actually in my throat and will be eliminated through radiation therapy.
> I am told that I have an excellent prognosis for a full recovery.

Brian,

I had brain mets from SCLC (Small Cell Lung Cancer).  My Oncologist
referred me to Stanford Cancer Center for treatment with a device called  a
Cyberknife.  This can zap a tumor while causing minimal damage to the
surrounding tissue.

http://www.cksociety.org/index.asp#radiosurgery contains a locator

This may not apply to your case, but it's something to ask your doctor
about.

While it was primarily for tumors in the brain or on the spinal cord, they
are beginning to use it for other locations.  My thought is that it may
reduce the throat inflammation.  

I went through the esophagus damage during my first round of radiation to
the lungs (primary tumor) It was not fun. I could have used the tube (Dr.'s
never gave me the option but it was there, in my mind).

Sounds like you are in competent hands. Let's hope you can beat the beast.

Signature

Reality-ometer: [\........] Hmmph! Thought so...

Bob
In Carmel, CA

J - 22 Feb 2005 08:47 GMT
> > They believe that the cancer
> > is actually in my throat and will be eliminated through radiation therapy.
[quoted text clipped - 6 lines]
> Cyberknife.  This can zap a tumor while causing minimal damage to the
> surrounding tissue.

But they haven't found it, Bob..unknown primary.
How can they focus a beam on something that they don't know where it is and/or
focus it on the small tumor, but then what happens when/if they find the
primary?
I guess Steph would have to reread the original post and express an opinion.
J
J - 22 Apr 2005 08:38 GMT
> Hi everyone, I am new here. I am 47 years old and live in the northeast US.
> In mid January I developed a growth on the right side of my neck, in my
[quoted text clipped - 32 lines]
> following radiation.  I am feeling  very comfortable and confident in my
> physicians, and I feel that I have been getting excellent care.

How's Brian doing ?
Keep us posted.
Best,
J
 
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