Author Topic: surgery - no choice ---  (Read 7103 times)

DeniseSmith

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surgery - no choice ---
« on: November 22, 2005, 03:12:42 pm »
Is there anyone out there whose tumor has or had grown so fast there was no choice of radiation or surgery? This is a nice site, but I found it after the fact.   

jamie

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Re: surgery - no choice ---
« Reply #1 on: November 22, 2005, 04:16:41 pm »
What size was it when it was discovered?
CyberKnife radiosurgery at Barrow Neurological Institute; 2.3 cm lower cranial nerve schwannoma

jcinma

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Re: surgery - no choice ---
« Reply #2 on: November 22, 2005, 05:15:25 pm »
Denise-
I had had surgery in 1996, followed up by an MRI about a year and a half later that showed nothing. In Sept. 2004 an MRI showed a 3.2cm reccurrence.  I had it debulked in Feb. (it was too large for radiation and there was some brainstem compression) and followed up with FSR.  I have my first MRI next month. So yes, my reccurrence did grow a lot faster than most ANs and preserve my facial nerve I opted for the debulking.
Jane
1cm AN removed (lost hearing) 11/96
3cm reccurrence debulked to preserve facial function 2/05
FSR 4/05
Mass General Hosp. Boston MA

Kathleen_Mc

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Re: surgery - no choice ---
« Reply #3 on: November 22, 2005, 06:51:01 pm »
Denise: When my initial tumor was found in 1990 the only available option here in Canada was surgery, had other options been available I would not have been able to have them anyway, the tumor was very large when found (never have asked measurements, it took 15 hours to remove surgically). When my regrowth was found I initally thought of having Gamma knife when treatment was needed however over the years I was under observation I changed my mind and had the regrowth surgically removed this past Sept. (significantly smaller and hense shorter surgery). If I had it to do over I would have likely had gamma the first time around to save my hearing and face etc. but it didn't seem the choice for me the second time around...there was no long term gain and the small chance it wouldn't be effective and I don't want to ever deal with a.n. again.
Kathleen
1st AN surgery @ age 23, 16 hours
Loss of 7-10th nerves
mulitple "plastic" repairs to compensate for effects of 7th nerve loss
tumor regrowth, monitored for a few years then surgically removed @ age 38 (of my choice, not medically necessary yet)

DeniseSmith

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Re: surgery - no choice ---
« Reply #4 on: December 22, 2005, 07:51:34 am »
Sorry for the lack of response, I have not been on for awhile, everytime I come on here I get a little more depressed.

On 4/1/05 I went to my GP for acid reflux problems, while there I told him of my loss of hearing and numbness in my left check.  He checked my hearing and told me to see an ENT specialist and he scheduled me for an "MRI of the brain".  He said I might have a pinched nerve.  I went to my MRI on 4/5/05 and while in there the technician asked why I was there, so at that point I knew something was wrong, but still did not want to believe.  That afternoon my GP called and said it was a tumor, and he moved my appointment with the ENT specialist up to the next day, my original appointment wasn't until two weeks later (first available).  So I
went the next day an was told I had an Acoustic Neuroma and it was 3.1cm x 3.8cm. I was then told I had two options radiation or surgery, and sent to the University of MN to see a neurolgist. I was told my tumor was quite large and that surgery was my only
option, as radiation could possibly cause it to swell and then would press on my brain stem, which would not be a good thing. So
I was scheduled for surgery on 5/09/05, a mere 34 days after my initial dr. appt.   I had the surgery, my tumor ended up being bigger than my MRI showed. I had a blood vessel feeding it so it was growing like a weed.  It was emeshed in my facial nerve, like
speghetti, and my nerve had to be cut to get all the tumor.

I have facial paralysis, a platinum weight in my left eye, balance issues, and am extremely pissed off.  I am sick of trying to be strong,
and my positive attitude is almost none existent.

I am not and will never be the same person I was on 5/8/05.   I am taking Zoloft for depression and I am very unhappy about the way I look now.

Sorry for the downer, but I needed to vent.....

Denise

shoegirl

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Re: surgery - no choice ---
« Reply #5 on: December 22, 2005, 12:57:57 pm »
Denise,

I read your post and couldn't help but feel for you. My scenario is completely different, so I can't say I have been there.  I can only hope that somehow, someday you can make peace with all of this.  I don't blame you for being pissed off, I would be too.  Facial paralysis  is devastating, is there any reconstructive surgery to the nerve or otherwise that can help?  How is your hearing in your AN ear?  I admire you for your strength and courage, you have been through alot.

Please vent as much as you want - this is a great place to come for support.  Keeping talking to your doctor about the depression, I hope the Zoloft is helping.  I am sure it is hard to feel like you used to or normal again after all of this, please take it one day at a time and be good to yourself.  You deserve it!

Best Wishes, Suzanne
left side 2.0cm x 1.3cm  
Cyberknife - 12/2005
The Barrow Institute, Phoenix, AZ

DeniseSmith

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Re: surgery - no choice ---
« Reply #6 on: December 22, 2005, 01:04:47 pm »
Thank you Suzanne,

I am deaf in my left ear.    I do not know what the future holds as far as the facial paralysis. My doctor says it could take up to 18 months before anything happens.   >:( 

I hope you have a great  holiday and new year celebration.

Denise

JHager

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Re: surgery - no choice ---
« Reply #7 on: December 22, 2005, 03:08:56 pm »
Hey Denise,

Props to you for still looking for answers!  I had my surgery November 7th for a 3cm AN.  Lost the hearing, but recovering okay.

I knew that the surgeons wouldn't really know what they were dealing with fully until they opened me up, and I was very concerned about my facial nerve.  Although mine was spared, by surgeon has grafted other nerves to replace the facial nerve.  He specifically mentioned the nerve that controls the side of the tongue as useful to repair the facial nerve.  The side effects are that your tongue sticks out sideways - but that would probably be okay, compared to facial paralysis.  (My face stayed paralyzed for a few weeks - I know how awful that can be!)

Anyway, I just wanted to mention this as an option - I don't know if your doc mentioned it to you.

Good luck!  We'll be thinking about you!

Josh
3.5 cm right AN.  Surgery 11/7/05, modified translab.  As recovered as I'd ever hoped to be.

Larry

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Re: surgery - no choice ---
« Reply #8 on: December 22, 2005, 03:46:08 pm »
Denise,

I can't say that i understand the daily trauma you have (not specifically experiencing it) but you must try and think positive - as difficult as it sounds. You have your mind, you can move around, albeit with a little discomfort, and there is still so much to enjoy in life. Keep fighting. Think of those poor individuals who are severely handicapped and can't do anything for themselves. Even though you have been dealt a lousy hand, there are always people worse off. Think positive.


Larry
2.0cm AN removed Nov 2002.
Dr Chang St Vincents, Sydney
Australia. Regrowth discovered
Nov 2005. Watch and wait until 2010 when I had radiotherapy. 20% shrinkage and no change since - You beauty
Chronologer of the PBW
http://www.frappr.com/laz

jamie

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Re: surgery - no choice ---
« Reply #9 on: December 22, 2005, 06:20:33 pm »
Denise, sorry to hear of your unfortunate outcome, however there is hope on the horizon for those who have injured nerves, I posted this a while back, but it may give you hope for the future:

Quote
AxoGen has licensed several patent-pending technologies from the University of Florida. AxoGen’s product development team plans for three product lines that combine the state-of-the-art recovery and processing technology from the allograft-tissue industry with the biochemical mechanism of axon growth and regeneration. This unique technological synergy makes possible the introduction of nerve repair products that improve the outcome of primary nerve repair and are substantially superior to artificial nerve grafts and the nerve-autograft procedures that are the current state-of-the-art techniques for peripheral nerve repair. AxoGen products will offer an integrated approach to peripheral nerve regeneration and will quickly expand and develop the solutions available to patients who suffer peripheral nerve injuries.
http://www.axogeninc.com/about.asp?page_id=4

Also, here's an article about cranial nerve repair procedures in use currently:
http://www.emedicine.com/ent/topic408.htm

I hope these articles will give you a good outlook on the future of nerve repair, maybe you can participate in trials if you wish. Just stay positive, medicine is changing daily, I am confident you won't have this problem too much longer. :)

CyberKnife radiosurgery at Barrow Neurological Institute; 2.3 cm lower cranial nerve schwannoma

Crazycat

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Re: surgery - no choice ---
« Reply #10 on: December 22, 2005, 10:50:20 pm »
Hi Denise,

      I had no choice but surgery either. I was diagnosed with a 5cm x 5cm AN in early August.
I'd been dealing with symptoms for some time, having lived with double vision since Jan. 2002.
I'm an athlete of sorts and had been running 5 miles per day and weight training so, although
the double vision was always there my equilibrium hadn't been effected and I could work around it. I'm also a musician and thought that the hearing loss in my left ear was due to loud music - I'd been playing 4-5 nights every week so it didn't surprise me that it was finally starting to  wear on me. It wasn't until Feb. 05 when my equiibrium took a turn for the worse that I took action and had some tests done. My initial impression of my condition was either a brain tumor or M.S. back in 02, but because I had control of it through exercise and nutrition I thought I'd overcome it.
   Last Feb I got worse and continued to deteriorate. When I was jogging downhill I couldn't
stop running or even slow down unless I grabbed on to something like a sapling or a street sign to break my forward momentum; I'd stagger around like a drunk and could not, for the life of me, walk a straight line. Also, my hand writing was deteriorating.
 Finally, I went for help. MY primary care doctors at Mass General ordered an MRI and the next day the phone began ringing off the hook after the results came in. The day after that, I found myself sitting in the Neuro-oncology department at Mass General waiting to see Dr. Barker, the staff neurosurgeon. He had said, after viewing the MRI photos, "This guy is still walking around?"
Both he and Dr. McKenna, the ENT surgeon, had never seen anyone with an AN growth that size. It would seem that fitness does indeed play an important role in one's survival.

  I had two surgeries; the first being in mid-August where a shunt was installed to remove C.S.F.
build-up in my head. The tumor was so big it was compressing the briain stem and preventing
the fluid from draining. It was also pressing on the cerebellum and effecting my left side - I happen to be left-handed. I was in the hospital two weeks for that procedure.

          The date for the tumor resection/debulking was set for Sept. 21st - 3 months ago.
  During the interim - about one month -  I had plenty of time to reflect on what was in store for me, i.e.: facial nerve damage, swelling of the brain, permanent deafness, problems with anesthesia, catheders, entubulation, etc.....lots of fun!! After having had a taste of what it was
going to be like with the shunt installation I was worried. The amazing thing was that after I was home for a week I was jogging and started playing my gigs again even though my left hand was somewhat impaired. I noticed that I was much more sure-footed than I had been but still impaired. That thing had to come out.  I made a conscious effort to stay as fit as possible because I knew next surgery would be much harder to endure. I was right.
When I woke up in ICU I couldn't even utter a word. I was in for three weeks, two in the hospital and one in a rehab hospital, hobbling around with a walker.

    I noticed that my double vision had kicked in in earnest - I mean full blown double vision. I wore an eyepatch every day. Also, there was what can be considered, some facial paralysis on the left side. It was like, and still is, like I'd been shot up with Novocain that never wears off.
I want you to know though that these problems have been improving little by little. I no longer wear an eyepatch, chew more freely when I eat and no longer requier a straw when I drink.

  Last Monday, the 19th, I visited with Dr. McKenna, the ENT surgeon that worked on me. I asked him about my facial numbness again. He touched a place on my left cheek and asked if I could feel that. I could and he said that the feeling will come back in entirety. It could take up to a year but it will get better. It already is after three months. He also said that what I was feeling was from the "Trigeminal Nerve," which is responsible for sensation and not the facial nerve.
  At the end of our session I thanked him for having saved my life. He said, "You have no idea how big that tumor was". He also said that he does fifty to sixty AN surgeries a year and has never seen a growth like the one I had.

 Paul






 

5cm x 5cm left-side A.N. partially removed via Middle Fossa 9/21/2005 @ Mass General. 
Compounded by hydrocephalus. Shunt installed 8/10/2005.
Dr. Fred Barker - Neurosurgeon and Dr. Michael McKenna - Neurotologist.

DeniseSmith

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Re: surgery - no choice ---
« Reply #11 on: December 23, 2005, 07:22:17 am »
Paul,
I am very happy that you are doing well and your recovery is progressing in such a positive way.

I sometimes feel all alone with all of this going on.  My family and friends have been super supportive, although I still have a few friends that don't know how to act, and don't realize I just want to be treated the way they always treated me.    When i
found out about the tumor I started keeping a journal.  I write in it every few days.  I can see I have made progress, but time moves really slow when you really want something.   

I joined the Y and am going during my lunch hour at work and walking on the treadmill, which seems to be helping with the balance, my PT recommended doing that.  I used to be able to run on the treadmill, now I walk so slow its almost embarrassing!!  :o

Again, Paul, thanks for taking the time to share your story with me.  I really appreciate it!!!!! I hope you have a great holiday season, and continued positive success in your recovery.

Denise

Also, a BIG THANK YOU to everyone who answered, and provided supportive and helpful information!!!

Crazycat

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Re: surgery - no choice ---
« Reply #12 on: December 23, 2005, 09:46:14 pm »
Thank you for the kind words Denise!
 Have a great holiday too!!

Paul
5cm x 5cm left-side A.N. partially removed via Middle Fossa 9/21/2005 @ Mass General. 
Compounded by hydrocephalus. Shunt installed 8/10/2005.
Dr. Fred Barker - Neurosurgeon and Dr. Michael McKenna - Neurotologist.

okiesandy

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Re: surgery - no choice ---
« Reply #13 on: December 24, 2005, 08:37:00 am »
Denise,

It is OK to be pissed. I wish I could be as thankful as some of our fellow posters are for the small gifts they are offed. I too become frustrated with the way people react when you tell them you have a brain tumor. I had to tell my boss that I am not going to fall down and start foaming and kicking, nor am I going to die at work.

Many times I thought I have been robbed or my life. I have worked all of my life to be able to retire and ride my horses. Now I can't even be around them. Many people think this would be a small thing to them and I am crazy to be angry about giving them and my life as I know it up. I have three years to work and can't afford to lose my job. For the past 3 and a half years I have worked 10 to 12 hours a day 9 months and  8 to 9 hours a day the other three months of the year in a very high stress job to get to the point to retire. Forget that, I will have work until I am  90 to pay off all of the bills that stack up.

I live with the fear that I will lose the hearing in my good ear again and be totally deaf. I didn't realize until it happened the first time, you can't hear you own voice. I am gratful to be able to hear out of one ear and it put that into prospective. Being pissed is not a bad thing. It takes a lot of energy and you will tire of it. It will come and go. This thing has not only robbed me it has robbed my husband and the rest of my family. I still laugh, I still function and I still get pissed sometimes. Life goes on with us or with out us.

Blessings,

Sandy


Cyberknife 1/2006
Clinton Medbery III & Mary K. Gumerlock
St Anthony's Hospital
Oklahoma City, OK
Name of Tumor: Ivan (may he rest in peace)

Crazycat

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Re: surgery - no choice ---
« Reply #14 on: December 24, 2005, 12:33:14 pm »
Hi Denise,
                     
  I couln't help but read your entries again.  You say they deliberately cut your facial nerve?
Not that I'm an expert but I was told by my doctors before my surgery that there would be a technician present during the surgery whose job was solely to monitor the facial nerve so that it
wouldn't be damaged. Cutting around the facial nerve is considered serious business. You'd think that this would be standard operating procedure in our day.
  In my case, with a 5cm growth, the thing was entangled with the other nerves so they cut around them, leaving a minute portion of the growth in there, to be dealt with at later date, if it were to grow again. Then it would be small enough to be treated with radiation. You'd have to be checked yearly with MRI scans to catch it in time. My next scan is in May.
I have some facial numbness on my left side that is improving but the doctors say that it is from the "trigeminal nerve" and not the facial nerve.
  During the last visit to my neurosurgeon I asked him how long I'd have to return for MRI check-ups. He replied, "How long do you plan to be around?". He told me of one person who had absolutely no regrowth until ten years after his initial surgery!
 I know I was luckey enough to live near one of the best hospitals on the planet, Mass General;
but how are we supposed to find out about all of these complications when we're inexperienced with the problem, running out of time and scared? Through forums like this if we're luckey enough to find it in time. I know I didn't find this until recently and my ordeal occured in August through September and I'd been feeling the symptoms since Jan. 2002

Wnen I was five years old I was clocked on the left side of my head with a golf ball - on the ear
specifically. I started having short, profound dizzy spells at age 11 that would occur only once in a while up through the age of 30. I often wonder if those dizzy spells were a sign of what was to come?  The hearing in my left ear was good until 2001 or so.

 Hope to hear (no puin inteneded - I'm also completely deaf in my left ear now) more from you

 Take care.....Paul
5cm x 5cm left-side A.N. partially removed via Middle Fossa 9/21/2005 @ Mass General. 
Compounded by hydrocephalus. Shunt installed 8/10/2005.
Dr. Fred Barker - Neurosurgeon and Dr. Michael McKenna - Neurotologist.