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Hello Everyone. I have been diagnosed with stage 4A Tonsillar Cancer (squamous [...]

Posted by Seth @ponderit, Apr 25, 2015

Hello Everyone. I have been diagnosed with stage 4A Tonsillar Cancer (squamous cell carcinoma with basaloid features). I have a swollen lymph node with it. I asked both my radio oncologist and my ENT what basaloid features were and the both answered the same way. They dont know! I have read and if anyone can correct me I would appreciate it. What I read said was that basaloid cells are more aggressive and usually overtake the squamous cells. I am anxiously waiting for my pet scan on Monday when I also get my port for the chemo. I have to schedule a feeding tube as well as the radiation will not allow me to eat for a while. My family has all disappeared and I have a partner (husband) who seems not to have a clue and refuses to believe anything but what the reality is. I keep reading 5 year survival rates for other cancers but when they talk about tonsillar they go down to 3 year survival rates. According to the CDC only 50% are alive after 5 years. My major problem is that I am also HIV+. Which the chemo will destroy my immune system and will be open to any opportunistic infections. I am scared and tired of fighting to live this life. Am I just better off refusing therapy and just enjoy life while I still have it?

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Hi @ponderit, thanks for your post and sorry that you are having to deal with this. Making informed treatment decisions and balancing quality of life are so important. Are you seeing a specialist? Have you gotten a second opinion? Asking your doctors to quantify the risks and benefits of your treatment options might help.

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Seth,
I'm Carol, one of the moderators here. Believe me, the explanation of what basaloid features means isn't easily understood. It's NOT important in this discussion. It just means you have a variation of squamous cell tonsillar cancer. It's very rare, in a case study from the NIH, they could only find 14 cases written up in medical literature. I'm wondering if your HIV status is a factor.
You've got a lot going on and I'm not surprised to hear you're confused and anxious. I don't like to hear that doctors say, "I don't know." in response to medical questions. If it's said, right behind that should be "But I'll find out and tell you.". You mention an ENT and a radiation oncologist, are you also seeing a (medical) oncologist? Who will be ordering and monitoring your response to chemotherapy? If you haven't had a second opinion visit, you should, hopefully with an oncologist for head and neck cancers.
Having a partner who isn't supportive certainly won't be helpful, will he attend support group meetings or go to counseling with you? You need to have someone to talk to about those issues. The same goes for family. Many in my extended family are useless when serious medical problems occur.
About the statistics, whatever you read is old. Pay attention to dates. If someone compiled statistics for overall survival of 5 years, that indicates that those statistics deal with people who were treated at least 5 years ago. It can take a year to analyze the results of treatment(s) and compile results, then it takes time to publish them.
New treatments, procedures, and strategies are kicking cancer's butt. With statistics, half of the people lived less than the median number, and the other half lived longer. Given where your tumor is, opting to do nothing to improve quality of life isn't really an option for you right now. Swallowing and breathing can be impaired. The good news I read seems to show that this cancer does often respond to treatment fairly well. Getting the port and the feeding tubes are steps toward good treatment.
Carol

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@carolcowan

Seth,
I'm Carol, one of the moderators here. Believe me, the explanation of what basaloid features means isn't easily understood. It's NOT important in this discussion. It just means you have a variation of squamous cell tonsillar cancer. It's very rare, in a case study from the NIH, they could only find 14 cases written up in medical literature. I'm wondering if your HIV status is a factor.
You've got a lot going on and I'm not surprised to hear you're confused and anxious. I don't like to hear that doctors say, "I don't know." in response to medical questions. If it's said, right behind that should be "But I'll find out and tell you.". You mention an ENT and a radiation oncologist, are you also seeing a (medical) oncologist? Who will be ordering and monitoring your response to chemotherapy? If you haven't had a second opinion visit, you should, hopefully with an oncologist for head and neck cancers.
Having a partner who isn't supportive certainly won't be helpful, will he attend support group meetings or go to counseling with you? You need to have someone to talk to about those issues. The same goes for family. Many in my extended family are useless when serious medical problems occur.
About the statistics, whatever you read is old. Pay attention to dates. If someone compiled statistics for overall survival of 5 years, that indicates that those statistics deal with people who were treated at least 5 years ago. It can take a year to analyze the results of treatment(s) and compile results, then it takes time to publish them.
New treatments, procedures, and strategies are kicking cancer's butt. With statistics, half of the people lived less than the median number, and the other half lived longer. Given where your tumor is, opting to do nothing to improve quality of life isn't really an option for you right now. Swallowing and breathing can be impaired. The good news I read seems to show that this cancer does often respond to treatment fairly well. Getting the port and the feeding tubes are steps toward good treatment.
Carol

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I would surely see Head, neck & throat. I would also do all I can not to have Chemo, its pure poison......You need to read side effects and after effects of you treatment. The side effects can stay forever. I'm one year out this month, 1 year, the side effects are still kicking my ass.

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@carolcowan

Seth,
I'm Carol, one of the moderators here. Believe me, the explanation of what basaloid features means isn't easily understood. It's NOT important in this discussion. It just means you have a variation of squamous cell tonsillar cancer. It's very rare, in a case study from the NIH, they could only find 14 cases written up in medical literature. I'm wondering if your HIV status is a factor.
You've got a lot going on and I'm not surprised to hear you're confused and anxious. I don't like to hear that doctors say, "I don't know." in response to medical questions. If it's said, right behind that should be "But I'll find out and tell you.". You mention an ENT and a radiation oncologist, are you also seeing a (medical) oncologist? Who will be ordering and monitoring your response to chemotherapy? If you haven't had a second opinion visit, you should, hopefully with an oncologist for head and neck cancers.
Having a partner who isn't supportive certainly won't be helpful, will he attend support group meetings or go to counseling with you? You need to have someone to talk to about those issues. The same goes for family. Many in my extended family are useless when serious medical problems occur.
About the statistics, whatever you read is old. Pay attention to dates. If someone compiled statistics for overall survival of 5 years, that indicates that those statistics deal with people who were treated at least 5 years ago. It can take a year to analyze the results of treatment(s) and compile results, then it takes time to publish them.
New treatments, procedures, and strategies are kicking cancer's butt. With statistics, half of the people lived less than the median number, and the other half lived longer. Given where your tumor is, opting to do nothing to improve quality of life isn't really an option for you right now. Swallowing and breathing can be impaired. The good news I read seems to show that this cancer does often respond to treatment fairly well. Getting the port and the feeding tubes are steps toward good treatment.
Carol

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Thanks Cocobud. Have looked at Had Neck and throat. Im waiting on the Pet Scan to see if it has spread anywhere else. Of course I have choices with the Chemo but I am not sure if I should do without it. What chemo were you on?

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@carolcowan

Seth,
I'm Carol, one of the moderators here. Believe me, the explanation of what basaloid features means isn't easily understood. It's NOT important in this discussion. It just means you have a variation of squamous cell tonsillar cancer. It's very rare, in a case study from the NIH, they could only find 14 cases written up in medical literature. I'm wondering if your HIV status is a factor.
You've got a lot going on and I'm not surprised to hear you're confused and anxious. I don't like to hear that doctors say, "I don't know." in response to medical questions. If it's said, right behind that should be "But I'll find out and tell you.". You mention an ENT and a radiation oncologist, are you also seeing a (medical) oncologist? Who will be ordering and monitoring your response to chemotherapy? If you haven't had a second opinion visit, you should, hopefully with an oncologist for head and neck cancers.
Having a partner who isn't supportive certainly won't be helpful, will he attend support group meetings or go to counseling with you? You need to have someone to talk to about those issues. The same goes for family. Many in my extended family are useless when serious medical problems occur.
About the statistics, whatever you read is old. Pay attention to dates. If someone compiled statistics for overall survival of 5 years, that indicates that those statistics deal with people who were treated at least 5 years ago. It can take a year to analyze the results of treatment(s) and compile results, then it takes time to publish them.
New treatments, procedures, and strategies are kicking cancer's butt. With statistics, half of the people lived less than the median number, and the other half lived longer. Given where your tumor is, opting to do nothing to improve quality of life isn't really an option for you right now. Swallowing and breathing can be impaired. The good news I read seems to show that this cancer does often respond to treatment fairly well. Getting the port and the feeding tubes are steps toward good treatment.
Carol

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Your welcome, Lets keep in touch....Howardhill59@gmail.com.
Please any questions.

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Is the Chemo really a necessity ??? I only ask Because I went through Head Neck & throat cancer.....If I had to do over I never do Chemo again. I had radiation.....The Chemo is Pure Poison......Please I'm not a doctor and you need to do what's best for your situation..........Prayers go with you.

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@cocobud

Is the Chemo really a necessity ??? I only ask Because I went through Head Neck & throat cancer.....If I had to do over I never do Chemo again. I had radiation.....The Chemo is Pure Poison......Please I'm not a doctor and you need to do what's best for your situation..........Prayers go with you.

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I am one year out of treatment. Life will never be the same. The after effects of cancer are worse than the treatment. For the most part you will be fighting fatigue , dry mouth and Fatigue is the worst. The Chemo brain is often, No memory or short term. Please get a second opinion.

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@cocobud

Is the Chemo really a necessity ??? I only ask Because I went through Head Neck & throat cancer.....If I had to do over I never do Chemo again. I had radiation.....The Chemo is Pure Poison......Please I'm not a doctor and you need to do what's best for your situation..........Prayers go with you.

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Hey Coco...I wanted to ask your advice. I have a chance to be in a study which will use the davinci knife for surgery. They then assess the tissue and put you in groups. THe first group is just the surgery, then the second is split into two stages for radiation...some will get regular dose others will get a lower dose. And then if they think your in the high risk category they will have you do chemo along with the other two, radiation and surgery. WHat do you think

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@cocobud

Is the Chemo really a necessity ??? I only ask Because I went through Head Neck & throat cancer.....If I had to do over I never do Chemo again. I had radiation.....The Chemo is Pure Poison......Please I'm not a doctor and you need to do what's best for your situation..........Prayers go with you.

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Seth, Sorry for the delay. I,m sure you have had many responses. I do not know much about the knife. I would be I bit worried about the 3 groups. So if your in the wrong group do you die? Sorry my mind has a problem with being a guinea pig , but I was also in a research study.

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@cocobud

Is the Chemo really a necessity ??? I only ask Because I went through Head Neck & throat cancer.....If I had to do over I never do Chemo again. I had radiation.....The Chemo is Pure Poison......Please I'm not a doctor and you need to do what's best for your situation..........Prayers go with you.

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Seth, Please let me know where you are. its been a while. Please catch me up?
I hope you did not need chemo....Update please.
Cocobud

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