Discussion in 'The National Football League' started by Playoffs, Jun 3, 2013.
Jim Kelly announces that he has cancer
Sad to hear. Always been a big fan of JK.
Poor guy, wouldn't wish that on anybody
Me too. Loved watching him play. Loved it when he was inducted to the HOF.
Hope he beats it. IMO, Kelly is the best QB in Houston pro football history.
The overall 5-year survival rate for this particular cancer is reported as ~60-70%; the recurrence rate is 33%. Approximately 50% of these cancers are not picked up prior to advanced stages....so that apparently is a good thing in Kelly's case. If they have found no formal metastasis (spread to other parts of the body), the main question for accurate prognosis will come if following the surgery, the removed segment shows margins that are free of tumor. Patients found to have any none-free resection margins tend to die within 5 years, most within the 1st year. Furthermore, if there is involvement is of the upper jaw sinus (maxillary [cheek] sinus), the prognosis tends to fall to less than 1/2 in all categories. Hopefully, the cancer does not involve the sinus, nor does it lend itself to findings upon final pathology report of non-free margins (left behind cancer) non-resectable cancer.
As a reconstructive surgeon, I have performed my share of maxillary cancer reconstructions. As cure is the goal, radical excision is the rule, with reconstruction typically far from a non-formidable undertaking for both the surgeon and the patient. My prayers go out to Kelly that there are no surprises for the man who I had the privilege of knowing back in the day of the Gamblers.
Here's to hoping that Kelly can finally beat something.
Crossing my fingers for him. I will always have fond memories of the Gamblers.
And mine, Doc .... and mine. Thanks.
The most common causative agents of oral cancers are found in tobacco and alcohol. Anyone remember Nick Buoniconti. He got his law degree during his years with the Patriots and became a practicing attorney for a short while. What most of you don't know is that he served as president of the US Tobacco Company during the late 1970s and early 1980s and was a leading critic of studies which showed that smokeless tobacco caused cancer of the mouth as well as other types of cancer. Now, there is no doubt of the cause and effect. However, during those years, he spoke widely to his football brethren debunking this cause and effect obvious relationship, and encouraged them to the positives of engaging in snuff..........to the point that free sample were distributed by him gratuitously to teams and players of the era. Thank you, Nick.
BTW, 40% of head and neck cancers have been found to be associated with Human Papilloma Virus (HPV), the same virus that has been associated with female cervix cancer. In fact, coincidentally, 2 weeks ago, there was a landmark Australian study that identified Head and Neck cancers, including esophageal cancer as an "epidemic" problem specifically in white males who have engaged in oral sex with multiple partners.
So there is some truth to this ... ?
Oral sex and throat cancer: Michael Douglas HPV report spotlights "epidemic"
That's frightening. Can you be tested for the virus?
HPV is not carried in the blood or fluids, making it impossible to really "screen" for. HPV is usually diagnosed after lesions are caused. An extremely expensive HPV DNA testing can only be performed for identification after suspected abnormal tissue sample is submitted as in the case of PAP smear. It is therefore seldom used even after abnormal tissue has already been identified. There is an HPV test available which can test for the presence of a number of strains of HPV. This is not a test for cancer. HPV tests are available in Australia but are only subsidised by the government in a limited number of cases. Because most HPV infections usually resolve naturally, and there is no cure, there is little reason to have an HPV test.
Virtually all of us will have had HPV by the age of 30. Approximately 90-95% of us will have cleared it through our own immune system within 2 years. It is the 5-10% that will act as a "Typhoid Mary" and spread the joy. To date, there is no "cure" for HPV. And now, it is not entirely agreed upon whether the virus is completely eliminated or reduced to undetectable levels in the 90-95% group, and it is difficult to know when it is contagious.........and, therefore you can never be sure that you are no longer at risk. Lastly, condoms aren't truly protected because the genitalia are not entirely covered......and oral male to genital female is obviously totally unprotected.
That is why there is a push to vaccinate young girls.........and now even discussion for the same in young boys. To add a little more scare to the picture, 30 percent of cancers originate from HPV strains not covered by the vaccine. Who knows, if we don't choose this approach (or even if we do), it may force us into going back to the dark ages when no man wanted a lady that wasn't a virgin !
Hmmm...maybe those BDSM freaks in full on body or facial latex are on to something. Technically it's like a full body condom. If that becomes mainstream, then I'll just hang an "out of order" tag on my tongue. I'm way too claustrophobic for a body condom. Lol.
I found this more detailed bit of information, that was not revealed in most other reports. This was a cancer that involved the gingiva (gums) and the maxillary sinus. It evidently was not recognized for over 3 months. I am now not surprised that now the surgeons carefully word their prognosis as "We expect a successful OUTCOME" or "We expect a successful RECOVERY" or "The prognosis for RECOVERY is very good" instead of "We expect or are hopeful of a CURE." The reason is very easily explained by the fact that in cases as described for Kelly, even after not initially detecting spread to the neck lymph nodes, ~80% will have developed such now "detectable" spread within 18 months. This is a factor which would significantly worsen the prognosis. I would be very surprised if post operative chemotherapy and/or possible radical neck dissection is not being contemplated. Some would even consider adjunct radiation therapy.
As Thunderkyss aptly put it, I "wouldn't wish that on anybody."
EDIT ADDITION: The story gets even worse with the information from this other source. Evidently, delayed diagnosis was not 3 months, but ~6 months, with the initial thinking that it was simply an infection.
Unfortunately, Kelly's cancer has recurred.
Damn. I met him once. At that bar on or near Richmond where all those NY Mets got in trouble (name anyone?). I walked away a bigger fan after the encounter than before I met him. He was a heck of a nice guy.
My thoughts and prayers go out to Jim and the Kelly family.
Cooter's, I think.
I've always liked him. He spoke at our high school football banquet; nice guy.
Cooters! Yeah, thanks Heath.
I wish him nothing but luck in beating this.
Based on the information that I was able to determine at the original time of posting (see previous posts), along with my surgical experience with this type of cancer, without any unknown extenuating circumstances, 6 months may be a generous estimate of survival following recurrence.
With that said, my prayers go out to Jim and his family for an exceptional outcome.
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