Core biopsy from mass on right lateral neck

Posted by amdabrock1 @amdabrock1, Apr 12 12:18pm

I have a tissue exam report from a mass on right lateral neck. I'm expecting a cancer diagnosis. Can a determination be made from tissue sample and pet scan, or is more information needed and what is the produre?

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@56tburd

Eighteen years ago, I felt a pea-sized lump in my neck that the doctor couldn't detect, so he put me on anti-biotics. After two weeks, I was sent to an ENT, who did a needle biopsy from the offending lymph node which had increase in size, extracting substantial fluid that came back positive for basil cell carcinoma. Scoping the throat revealed a small tumor on the base of my tongue. A PET scan showed lymph nodes on both sides of my throat were cancerous. A second scan after radiation and surgery still showed some cancer remained, so surgery was scheduled, which occurred 3 months after I had completed my radiation treatment. There was no cancer present at that time. I can only assume the radiation was still having an effect during the interim. I know they have come a long way since then, so hopefully you will get a quick resolution. Good luck!

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ty for reaching out i guess I'm at stage four with no clue what kind or where it started.

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@jmcates11

The scenario you described is pretty much identical to my situation. Swollen lymph node, ultrasound confirmed several swollen nodes clumped on right side. 2 months later got CT with contrast. CT showed necrotic tissue in nodes. PCP ordered urgent biopsy and scope exam. ENT doctor confirmed tumor in right side of base of the tongue/tonsil and biopsy confirmed HPV 16 SCC, PET scan followed with no metastatic disease beyond throat area. Waiting for consultations with chemo and radio therapy oncologists for treatment plan. Trust in yourself and your doctors. They will get you through this.

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@jmcates11, have you worked with your cancer team in the meantime? What's the treatment plan? How are you doing?

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@colleenyoung

@jmcates11, have you worked with your cancer team in the meantime? What's the treatment plan? How are you doing?

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Hi Colleen, I have met with a hematology oncologist and will meet my radiation oncologist next week. I am not a candidate for TORS procedure since my carotid artery runs in an unusual rout on the same side of my neck where the cancer is. However, the doctors and the tumor board at UC Davis is not concerned because the preferred treatment plan for this scenario is Chemo therapy in conjunction with radiation for 6-7 weeks, with an excellent success rate. I am at stage 1 and oncologist gave me a 90%+ chance of success, which was very encouraging to hear. I start treatment in a few weeks. In the meantime, I will be having all 4 of my very nicely fitting wisdom teeth removed next week to reduce the risk of complications caused by the treatment down the road.

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@56tburd

Eighteen years ago, I felt a pea-sized lump in my neck that the doctor couldn't detect, so he put me on anti-biotics. After two weeks, I was sent to an ENT, who did a needle biopsy from the offending lymph node which had increase in size, extracting substantial fluid that came back positive for basil cell carcinoma. Scoping the throat revealed a small tumor on the base of my tongue. A PET scan showed lymph nodes on both sides of my throat were cancerous. A second scan after radiation and surgery still showed some cancer remained, so surgery was scheduled, which occurred 3 months after I had completed my radiation treatment. There was no cancer present at that time. I can only assume the radiation was still having an effect during the interim. I know they have come a long way since then, so hopefully you will get a quick resolution. Good luck!

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I miss spoke here. It was squamous cell carcinoma.

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