Diagnosed with Ameloblastoma
Reaching out to anyone else wanting to connect with others diagnosed with Ameloblastoma and the journey involved.
My background, diagnosed February 2021, segmental mandibulectomy, fibula free flap March 2021.
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Hi @anniecl Thought I would jump in for a brief moment.
It would certainly be worth asking about the experience of the surgeons specifically with Fibula Free Flap. This procedure was done up until only a few years ago by just a handful of hospitals and clinics worldwide. It is very specific, tricky, micro-surgery and is a day-long procedure involving several surgeons and technicians all working as a team. Complications can and often will result if the team is not well versed in this surgery.
I can only say from my surgery at Mayo, Rochester (MN, not NY) Dr's Ettinger and Arce who have helped develop these procedures now used world-wide have also the experience of well over a thousand cases specific of Fibula Free Flap Mandible Resection.
I for one have had excellent results, walking, talking, chewing gum all at the same time.
Hey, Annie!
Yes, since it's ameloblastoma - basic removal as if it were a cyst isn't going to do the job.
One thing that may make you feel better - ameloblastomas tend to grow quite slowly, so you can take a bit of time to find the right surgery team then make travel and recovery arrangements.
As an aside, since it's mandibular - there's about an 80% chance the ameloblastoma has the BRAF V600E mutation.
Thank you.
-I contacted Mayo in Jacksonville again and spoke with the head and neck surgery clinic and now have heard that they do care for people with ameloblastoma
Will be sending records there for review. Not sure who I spoke with the first time I called several months ago.
-Were you treated at Mayo Jacksonville? If so, what was your experience?
Thanks in advance.
Thanks so much. My thoughts exactly!
@anniecl, that's great news. I'm so glad that you contacted Mayo Clinic in Jacksonville again and will have your records reviewed. I believe fellow members @paulreese and @davehutsell have been treated at Mayo Clinic in Jacksonville for head and neck-related cancers.
Hoping for the best, Annie. Keep us posted.
Annie, sorry for the late response. Dr. Divi did my fibula free flap reconstruction. From what I heard by his fellow doctors was that they do these every week. They have full team of Swallow pathologists, Dieticians, nurses who are trained to support the patient recovery. Not just Ameloblastoma, they treat anything related to head & neck tumors. Their web site is very bad, doesn't list doctors experience or qualifications very well like other web sites I have seen, a lot of stale information. Hope they take time to update their website. They are too busy for that.
It took Oral surgeon & Dr. Divi almost 10 hours to remove the tumor and do the reconstruction. I love the speedy responses that Dr. Divi team provides. They also perform their tasks with the same speed behind the scenes. I live only 12 miles from Stanford, so I chose them. UCSF Dr. El-Sayed is good too. UCSF doesn't need any referral, but Stanford does need a referral to Head & Neck Oncology department. I got referred by Stanford Oral surgeon. I wish I had gone to HNO department to begin with.
If you like Mayo in FL and it is close to your son, you may want to prefer that per Colleen and other referrals. If Mayo FL has experience in treating these just like Stanford & UCSF, or even better than those 2, then you are in the right place.
So, just got back from my MDA followup. After ~8 weeks on the targeted oral chemotherapy, my ameloblastoma is... stable.
It's definitely good news. Was I hoping there would be some shrinkage? Of course - but I'll take it. Pain hasn't come back, just the occasional odd sensation in the jaw/teeth.
T4 (Thyroid hormone) is also back (barely) in the normal range, with the lowest dose pill of Synthroid for ~4 weeks.
Checking in with my Ameloblastoma peeps - hope everyone is doing well! Feel free to post updates if you are up to it.
Happy Solstice!
Hey guys, I hope you’re all well and finding lots of peace and clarity within this period! My ameloblastoma journey has been really odd, I had the free flap from the bone in my shoulder blade and now four months down the line the bone has failed so today I got the bone all removed and now I have to wait for the site to fully heal and then go from there so it’s all over the place as of now but I’m happy and forever grateful I’m in this position and I have learnt a lot and definitely become a better person because of this up and down journey. How is everyone else doing?
Just keeping on keeping on - the tiredness/lethargy from the targeted oral chemo is pretty much gone now that I've been on Synthroid for awhile. Other than that - I'm about 4 weeks away from my next followup, and about 8 weeks away from my next imaging followup. Hoping it shows shrinkage, but continuing at stable is still a win for me.
So sorry to hear that your bone transplant didn't take. I hope they figure out a good approach for you going forward!