In the beginning was the lump…

2 minute read time.

I’m never ill!….well, that was true until early July when applying moisturiser I came across a lump in my neck which had certainly not been there the day before.  Cue quick triage form to my GP surgery..fully expecting (hoping?) to be told either that it was unlikely to be serious or to wait and see if it went away in a couple of days.  Absolutely not.  I was in front of my GP within an hour of hitting ‘send’ and 15 minutes later had been referred for an ultrasound.  This took place 3 days later and resulted in a referral to ENT.  
An MRI scan and a subsequent CAT scan revealed the primary culprit not to be the lymph node, but a tumour at the back of my tongue.  This was something of a shock to me. I had, I think, resigned myself to a cancer verdict on the strength of the speed of the investigation, but I had convinced myself that the node was the primary villain.  It came as a much bigger shock to my husband.  As I stated above: I’m never ill!       I suppose I should be grateful to that node….without it I would have been blissfully unaware of the existence of its more sinister partner in crime on my tongue.  Have to say, the way I’m feeling right now, the jury is still out on that one!

A subsequent biopsy revealed a T1 HPV squamous cell tumour which my consultant was confident had been found very early and was treatable with a high probability of success.  I was offered 2 possible routes: surgery or chemo/radiotherapy.  I opted for the ‘get rid of it’ route, and the offending tissue was removed, together with a raft of lymph nodes a week later.

At this stage of proceedings I was buoyant.  The tumour was small, had been found early and was treatable.  Recovery from the surgery was painful and if you’d shaken me I’d have rattled from the pain relief I was taking….even if swallowing the tablets felt like downing rockery stones….until our local pharmacist advised taking them with yogurt.  That lady deserves a medal. But the offending growths were out….weren’t they?

I was still bubbling with optimism when I went to ENT for my follow up appointment after surgery.  I was buoyed up further when the Registrar announced that the tumour on my tongue had been completely removed and that it had spread to only one of the nodes they had removed and had been completely contained within it.  It all came crashing down when he added that he was recommending radiotherapy to mop up any potential escapee cells, as the margin excised round the primary tumour had been fractionally less than the ideal. Bit of a rollercoaster of emotions from there on in.

I am now 2 weeks into radiotherapy.   I won’t lie: it’s tough and I know it’s going to get worse, much worse. My biggest issue is eating.  Everything tastes worse than foul and I somehow can’t work up too much enthusiasm for metallic tasting cardboard.  Any ideas for overcoming this gratefully received!

Thank you for ploughing through these ramblings.  It’s made me feel better writing this .  I have faith there is light at the end of the tunnel.  I think though at this juncture I can be forgiven for feeling that it’s more like an  express train coming the other way……

Anonymous
  • Hello, well done for working through the radiotherapy - sounds vile and not something that I have experienced. Going from being a fit and active person to having a serious, proper, grown-up illness is a real shock. Like you, I discovered a lump, one that just suddenly and apparently overnight appeared. Mine was at the top of my right leg. Like you, this turned out to be secondary, in my case to bowel cancer. I have just finished, literally today, 3 months of truly horrible chemotherapy - the hope is that this will reduce the tumors enough to allow surgery and/or radiotherapy.  Sounds like you were an active, apparently healthy person? I was, rarely ill, and very active - on my feet all day job, out walking or riding on days off. It's a shock to be (as we say at school) poorly. My fitness has gone south big time.  But what has been great, is all the support that I am getting from family and friends, this has been truly overwhelming and I feel humbled and blessed to know so many lovely people (one of whom will be driving me later today for a 50 mile round trip for a CT scan).    I hope you have a good network to support you.  The yogurt lady sounds great!  Keep at it and good luck!

  • Hello. Thank you for your post….and a big cheer for finishing your chemotherapy.  Three months puts my three-weeks-tomorrow into perspective.  I am hoping to get away with 5 weeks in total of radiotherapy.  I pray that the CT scan gives you the result you are hoping for and that any future surgery/radiotherapy leads to a full recovery and return to your former fitness and lifestyle. I’m guessing you are quite a bit younger than me - I will hit the big 7 in the new year- but, yes, until this Summer an active and healthy person. Certainly not one for sitting about…or sleeping …during the day, both of which have become the ‘norm’ recently. This has hit like a juggernaut.  I can only imagine how it has hit you.

  • Oops, hit the wrong button….the joys of being one of the slide rule and log tables generation…the technology always misbehaves!  I meant to finish by wishing you all the best and sending best wishes for the festive season.

  • thank you. I frequently hit the wrong button and post early. I am 59. I know the fatigue feeling well! I can drop off at the drop of a hat; if only spontaneous napping were an Olympic sport, I would be a gold medal contender.  Good luck with the 5 weeks of radiotherapy, I hope it goes really well for you. My next steps are unclear at the moment. It will be at least another 6 months for the cancer treatment. And, bonus, a dodgy heart valve has also been discovered! This will need to be dealt with after the cancer.   My prognosis is not brilliant, but we will see! 

  • I’m really sorry to hear that. Fighting on more than one front is hard.  I hope that the next steps soon become clearer for you, that the treatment goes well and that the prognosis is positive. Please keep in touch. I’ll be rooting for you. Hang in there.