my cancer was unknown primary for quite sometime. my doctor at Stanford had extensive testing done and eventually sent my samples to an external lab that does advance "point of origin" testing. Early indications from mutations and variants found in the testing led us to believe it could have originated in the GI tract or the lungs. PET and CT scans at first showed no cancer anywhere but my neck. So I went through colonoscopy, several endoscopies, traditional as well as a video capsule to make sure we checked the small intestine. I think I was getting CTs and PETs every 2-4 months with 6 weeks being the shortest. eventually a few nodes surfaced in my lungs, and the point of origin testing came back with 97% certainty that this was the primary. it has recurred in my neck after having surgery and radiation last year. I start systemic treatment in July.
@mbkcanada, dental care is such an important part of health care. Thank goodness your dental hygenist was attentive and suggested that the lump be investigated.
I can't imagine what you and your husband are going through at the moment with both of you in treatment for cancer. You may also wish to join the discussions in the
Head & Neck Cancer support group here: https://connect.mayoclinic.org/group/head-neck-cancer/
It's understandable that you want to keep a close eye and monitor frequently. Different cancers may require different frequency of follow-up appointments and scans. It also depends on how agressive the cancer is etc. etc. Often followup appointments are more frequent during and immediately after treatment, for example, every 3 months and then extended to 6 months and eventually yearly.
Canada has world class cancer centers, such as Princess Margaret Cancer Center and BC Cancer Agency to name just two. If you would like to seek a second opinion at Mayo Clinic, you can submit a request yourself here http://mayocl.in/1mtmR63
Do you have to travel far for daily radiation treatments?
I'm still curious how frequent scans should be for unknown primary. Seems to me that this could help in catching early where the primary site surfaces. Wondering if there's any literature or studies on that, as a strategy to catch any reoccurrences earlier etc? Or if anyone has experience in frequency of scans.
I don't travel far for treatment and am fortunate for that. But watching your spouses cancer metastasize in less than 2 years after diagnosis has made my hope for either of us difficult.
I've been diagnosed with Cancer unknown primary.
In January my dental hygienist found a small lump, at the time, in my left neck. After CT scans, biopsy it was confirmed carcinoma, highly undifferentiated. Pet scan showed tonsils and back of tongue being lit. Tonsillectomy was performed but negative for cancer. Had neck dissection to remove golf ball sized tumour from my neck. Histology is adenocarcinoma but pathology did not indicate primary.
I just started treatment-30 rounds of radiation and 3 rounds chemo/cisplatin.
My husband had throat cancer (voice box), fall 2022. He had a pet scan 11 months ago that was clean. Thencame thr devastating news. His cancer has returned and spread to both lungs with no option for surgery. We found this out 4 weeks ago. He has chemo/immunotherapy every 3 weeks. We are both going thru treatment.
Seems to me that scans should happen more frequently. In Canada, since Healthcare is free, this was detrimental.
Assume CUP cancers should do pet scans 3 months or 6 months? Anyone know the recommended guidelines? I would pay and travel to states if it means chance of catching it early/ living. My PET was in April.
@mbkcanada, dental care is such an important part of health care. Thank goodness your dental hygenist was attentive and suggested that the lump be investigated.
I can't imagine what you and your husband are going through at the moment with both of you in treatment for cancer. You may also wish to join the discussions in the
Head & Neck Cancer support group here: https://connect.mayoclinic.org/group/head-neck-cancer/
It's understandable that you want to keep a close eye and monitor frequently. Different cancers may require different frequency of follow-up appointments and scans. It also depends on how agressive the cancer is etc. etc. Often followup appointments are more frequent during and immediately after treatment, for example, every 3 months and then extended to 6 months and eventually yearly.
Canada has world class cancer centers, such as Princess Margaret Cancer Center and BC Cancer Agency to name just two. If you would like to seek a second opinion at Mayo Clinic, you can submit a request yourself here http://mayocl.in/1mtmR63
Do you have to travel far for daily radiation treatments?
I've been diagnosed with Cancer unknown primary.
In January my dental hygienist found a small lump, at the time, in my left neck. After CT scans, biopsy it was confirmed carcinoma, highly undifferentiated. Pet scan showed tonsils and back of tongue being lit. Tonsillectomy was performed but negative for cancer. Had neck dissection to remove golf ball sized tumour from my neck. Histology is adenocarcinoma but pathology did not indicate primary.
I just started treatment-30 rounds of radiation and 3 rounds chemo/cisplatin.
My husband had throat cancer (voice box), fall 2022. He had a pet scan 11 months ago that was clean. Thencame thr devastating news. His cancer has returned and spread to both lungs with no option for surgery. We found this out 4 weeks ago. He has chemo/immunotherapy every 3 weeks. We are both going thru treatment.
Seems to me that scans should happen more frequently. In Canada, since Healthcare is free, this was detrimental.
Assume CUP cancers should do pet scans 3 months or 6 months? Anyone know the recommended guidelines? I would pay and travel to states if it means chance of catching it early/ living. My PET was in April.
Not yet. I am doing chemotherapy first to see if that takes care of it. If not, HIPEC or PIPEC may be an option, with either MD Anderson and/or Mayo Clinic. We’ll see.
Seems relevant to my situation. Do you know if the Mayo Clinic offers this treatment? I am being treated by a local oncology team here, in New Orleans. I am also being tested/treated at MD Anderson. I don’t see this treatment on offer by these institutions. ChatGPT lists a few places; Germany, Japan, etc.
see https://chat.openai.com/share/299f1bc3-12cf-427f-a27e-b00dc714ef86
@tobydrake7, the team of Dr. Amit Merchea performed the first PIPAC in the USA on Dec 4th, 2019 at Mayo Clinic Jacksonville, FL.
Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is a promising and innovative method for treating peritoneal metastasis.
Here's a clinical trial that Dr. Merchea is conducting.
- A Safety to Evaluate the Safety and Effectiveness of Pressurized Intraperitoneal Aerosolized Chemotherapy in Ovarian, Uterine, Colorectal, and Gastric Cancer Patients https://www.mayo.edu/research/clinical-trials/cls-20517716
@tobydrake7, the team of Dr. Amit Merchea performed the first PIPAC in the USA on Dec 4th, 2019 at Mayo Clinic Jacksonville, FL.
Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is a promising and innovative method for treating peritoneal metastasis.
Here's a clinical trial that Dr. Merchea is conducting.
- A Safety to Evaluate the Safety and Effectiveness of Pressurized Intraperitoneal Aerosolized Chemotherapy in Ovarian, Uterine, Colorectal, and Gastric Cancer Patients https://www.mayo.edu/research/clinical-trials/cls-20517716
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my cancer was unknown primary for quite sometime. my doctor at Stanford had extensive testing done and eventually sent my samples to an external lab that does advance "point of origin" testing. Early indications from mutations and variants found in the testing led us to believe it could have originated in the GI tract or the lungs. PET and CT scans at first showed no cancer anywhere but my neck. So I went through colonoscopy, several endoscopies, traditional as well as a video capsule to make sure we checked the small intestine. I think I was getting CTs and PETs every 2-4 months with 6 weeks being the shortest. eventually a few nodes surfaced in my lungs, and the point of origin testing came back with 97% certainty that this was the primary. it has recurred in my neck after having surgery and radiation last year. I start systemic treatment in July.
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4 ReactionsI'm still curious how frequent scans should be for unknown primary. Seems to me that this could help in catching early where the primary site surfaces. Wondering if there's any literature or studies on that, as a strategy to catch any reoccurrences earlier etc? Or if anyone has experience in frequency of scans.
I don't travel far for treatment and am fortunate for that. But watching your spouses cancer metastasize in less than 2 years after diagnosis has made my hope for either of us difficult.
-
Like -
Helpful -
Hug
1 Reaction@mbkcanada, dental care is such an important part of health care. Thank goodness your dental hygenist was attentive and suggested that the lump be investigated.
I can't imagine what you and your husband are going through at the moment with both of you in treatment for cancer. You may also wish to join the discussions in the
Head & Neck Cancer support group here: https://connect.mayoclinic.org/group/head-neck-cancer/
It's understandable that you want to keep a close eye and monitor frequently. Different cancers may require different frequency of follow-up appointments and scans. It also depends on how agressive the cancer is etc. etc. Often followup appointments are more frequent during and immediately after treatment, for example, every 3 months and then extended to 6 months and eventually yearly.
Canada has world class cancer centers, such as Princess Margaret Cancer Center and BC Cancer Agency to name just two. If you would like to seek a second opinion at Mayo Clinic, you can submit a request yourself here http://mayocl.in/1mtmR63
Do you have to travel far for daily radiation treatments?
-
Like -
Helpful -
Hug
3 ReactionsI've been diagnosed with Cancer unknown primary.
In January my dental hygienist found a small lump, at the time, in my left neck. After CT scans, biopsy it was confirmed carcinoma, highly undifferentiated. Pet scan showed tonsils and back of tongue being lit. Tonsillectomy was performed but negative for cancer. Had neck dissection to remove golf ball sized tumour from my neck. Histology is adenocarcinoma but pathology did not indicate primary.
I just started treatment-30 rounds of radiation and 3 rounds chemo/cisplatin.
My husband had throat cancer (voice box), fall 2022. He had a pet scan 11 months ago that was clean. Thencame thr devastating news. His cancer has returned and spread to both lungs with no option for surgery. We found this out 4 weeks ago. He has chemo/immunotherapy every 3 weeks. We are both going thru treatment.
Seems to me that scans should happen more frequently. In Canada, since Healthcare is free, this was detrimental.
Assume CUP cancers should do pet scans 3 months or 6 months? Anyone know the recommended guidelines? I would pay and travel to states if it means chance of catching it early/ living. My PET was in April.
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Like -
Helpful -
Hug
1 ReactionHi @tom0329, where was the biopsy taken from? Did you have a mass or tumor outside of the kidney?
Yes within the last month. The biopsy indicate renal cell carcinoma. However, the MRI shows no Tumors.
Not yet. I am doing chemotherapy first to see if that takes care of it. If not, HIPEC or PIPEC may be an option, with either MD Anderson and/or Mayo Clinic. We’ll see.
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2 ReactionsAre you on clinical trial at MD Anderson?
I filled out the online form to be considered for the clinical trial. Thanks again for this information.
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2 ReactionsThank you!
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