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Some additional facts I've dug up on Kelly's cancer. It appears that the cancer recurrence has been found to be attached to the carotid artery, and is traveling up the Trigeminal nerve. Both of these reflecting that the original surgery left behind cancer. As I've said before, it surprised me that right after the initial surgery, chemo and radiation as an adjunctive therapy were not performed to "clean up" any cancer that may have been left behind (rather than standing on the merits of surgery only (unrealistic for such an empirically aggressive cancer) waiting for an inevitable recurrence (which typically is even more aggressive) . The former structure (carotid artery) is the major blood supply to the face and one side of the brain......cancer invasion of major blood vessels can spread the cancer throughout the body through the blood system. The latter (Trigeminal nerve) is a major cranial sensory nerve that supplies the face......and originates in the brain. Any cancer closely attached to a nerve can spread (metastasize) along the totality of the nerve, in this case, directly to the brain. Since it is a sensory nerve, invasion by cancer, usually creates unbelievable non-relenting and almost impossible to control pain.....at least as severe as Shingles pain. As part of the cancer treatment, it will be hopeful that this pain will be relieved. However, the effects on the pain aspect of this treatment is not expected to take effect immediately. Patients usually respond within 4 to 6 weeks post-treatment. However, some patients require as much as 3 to 8 months for the full response. Most patients remain on full doses of "pain" medication for at least 3 months after treatment.
My heart goes out to Kelly going through what can only be described as Hell.
Always liked Jim Kelly when I wasn't hating him. He put the dagger in my heart one to many times in the Oiler days. The Bills always got us when it counted.
Jim Kelly having biopsy after inconclusive cancer scan
Posted by Josh Alper on July 7, 2016, 3:06 PM EDT
Former Bills quarterback Jim Kelly said at his annual football camp last month that he was feeling awesome and stronger than he had in a long time because of his battle with cancer.
That was good news, but Kelly didn’t get such good results on the latest scan to make sure his cancer has not returned. Kelly’s wife Jill posted a picture of him in hospital garb to Instagram along with an announcement that Kelly’s most recent scan was inconclusive about the possible presence of cancer.
As a result, Kelly is having a biopsy on Thursday so that doctors can determine where things stand. Kelly had gone more than 18 months without signs of the cancer that initially appeared in his jaw in 2013.
We hope that streak continues once the results of the biopsy come in and, in the event it doesn’t, that Kelly and his family fight as hard as they have throughout this process.
After his initial surgery, I was surprised that he did not receive immediate adjuvant chemotherapy and/or radiation (especially to the neck lymph nodes, where such treatment was associated with much lower risk of recurrence in a high risk cancer). When it recurred, full resection was no longer an option. Delay in his original diagnosis by 6 months took his prognosis from relatively bad to very bad.Jim Kelly's cancer has returned
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http://www.foxnews.com/health/2018/03/01/jim-kellys-cancer-has-returned.html
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Aw damn ! Man that's some really bad news for Kelly and his family.
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.
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.
link