The Daily Item, Sunbury, PA

Life

July 23, 2010

A battle with cancer builds family strength

SELINSGROVE — For nearly a year before she found the lesion on her tongue, Pamela Dixon often experienced pain whenever she ate or drink.

“One time I took a sip of Pepsi and the carbonation just put me through the roof. It was excruciating, like razor blades on my tongue,” the Selinsgrove woman recalled. “It got to the point where I couldn’t eat a salad.”

Despite working in the medical field, Dixon, then 28, didn’t act quickly and dismissed the pain.

“I thought it couldn’t be cancer because it doesn’t hurt,” she said with a rueful smile.

Then she spotted a small lesion on the left side of her tongue. A biopsy in September 2006 confirmed it was, in fact, cancerous.

A year after undergoing radiation and partial removal of her tongue, the cancer spread to her neck and lymph nodes requiring chemotherapy and more surgery to remove her lower jaw bone which had been damaged by radiation treatments.



Risky behaviors

Dixon didn’t think she was at risk for the disease due to her age, even though she had smoked about a pack of cigarettes a day for 10 years.

While a majority of the 100,000 newly diagnosed oral cancers each year involve men 50 years of age and older who have smoked or chewed tobacco and drink alcohol, younger people are also at risk, said board-certified hematologist and medical oncologist Rajiv Panikkar, M.D., from Geisinger Medical Center in Danville.

“Someone who’s only smoked a few years may still be susceptible to the carcinogens,” he said.

Tobacco and alcohol use are the primary causes of oral cavity and head and neck cancers, but Panikkar said recent studies are linking the human papillomavirus (HPV) to certain types of oral cancer in patients under 40.

In addition to avoiding tobacco and alcohol and recommending HPV vaccinations for both women and men, Panikkar said regular dental check-ups and healthy dental and eating habits are good preventative measures.

Dixon did not visit a dentist regularly for years before her diagnosis.

She’s not sure what caused her cancer, but concedes “smoking didn’t help.”



An aggressive cancer

The wife of David Dixon and mother of 6-year-old Ashton and 13-year-old stepson Dominic, Dixon has had health problems in the past, including Type 1 diabetes.

She had been working several years as a medical assistant at the Family Practice Center in Watsontown when she was diagnosed with oral cancer in September 2006. In less than a month, a quarter of her tongue was removed and radiation treatments followed.

The cancer was aggressive, and on Dec. 1, 2007, Dixon awoke with a swollen neck.

“I panicked, but there was much worse news to come,” she said.

The surgeon found the cancer had spread into her lymph nodes and she underwent chemotherapy treatments.

Due to radiation, her jawbone had deteriorated and a portion was removed last October and reconstructed with bone, muscle and soft tissue removed from her left calf.

The surgery left Dixon with deep scars on her neck and a deep gratitude for life.

Although she still has difficulty eating and drinking and now speaks with a lisp due to the removal of a portion of her tongue and lower jaw, the 32-year-old says, “I’m a stronger person. I found a voice I didn’t know I had.”

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