No Biopsy yet

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 Today is Sun. Aug 24 2025.  I've had a swollen lymph node on my neck, presumably from infection in my mouth. Hurts to swallow.  I waited almost 3 weeks til I went to E. R.  in Thursday Aug 21  21Thinking it may get better on its own( I e had lumps before and they go away in a week.  This one was not.  10 hrs, 1st-  1 head CT,  then doc came in and out camera down my nose. He explained it best he could. Where the small lump or tumor was. He preceded to tell my parents and me that as follows.  I would get a chest CT before I went home.  But he said almost definitely that I would  come in next week , get a biopsy, get my bad teeth/nubbins taken out.  Be fitted for a feeding tube, and also a , I guess chemo tube insert . I would be getting chemo and radiation.  How can he know that without having done a biopsy first and see what the mass is?  He did say it was could not be removed from outside neck, he would have to remove sample or surgery from inside, because it was infiltrating or attached to my skin, not separate like most. He is a very nice and pleasant and seemed sincere, but I feel he held something back, given the fact "already' knew I would need all above mentioned, withouyt even waiting for biopsy yet. I'm not mad, just confused  like he knows it's bad, but is shielding me. I came in thinking ok an infection, get some antibiotics, maybe get lump drained.  It shook me when he told me it looked like cancer.  Didn't  say what kind of how bad. Said wait on biopsy , but he "knew" apparently that I was gonna need chemo, tube.  Shouldn't he have waited also on results or there tell tell signs doctors just know? Not really a question more an observation,. And what you guys have to say about that.  

  • Hi FreshRiver2ec82c 

    Thank you for getting in touch and welcome to the Online Community. I’m Debbie, one of the Cancer Information Nurse Specialists on the Macmillan Support Line. I am sorry to hear that you have been told that you have a tumour and that you will need to have chemotherapy and radiotherapy. I can understand that this must have been a shock for you and your parents and that this is a worrying and uncertain time for you.

    Here at the Macmillan Support Line, we can give general information and support. We are independent from the NHS and don’t have access to medical records, so we can’t give personalised information but I hope this information is helpful.

    Sometimes, doctors can be fairly sure that a lump or tumour is a cancer from its appearance on a scan, or tests such as putting the camera down the nose. Blood tests can also show particular substances (called tumour markers) that are produced by cancer cells or other cells of the body in response to cancer. But to be sure about the exact type of cancer, a biopsy is needed to look at the cells under the microscope and check for particular gene changes or particular proteins. On our website, we have information about the process of diagnosing cancer, including what scans and tests can show.

    A diagnosis of cancer can be very overwhelming and we have information here about coping while waiting for results during diagnosis. You might also like to look at our information about help with how you are feeling. Here at the Macmillan Support Line, we are open every day from 8am to 8pm. We are a UK-based cancer information service and can answer questions about UK cancer treatments and support services. There is information about treatments for different cancer types here on our website. 

    I hope that this information is helpful at this difficult time and that things go well for you. Please feel welcome to contact us again for more information and support.

    With best wishes

    Debbie
    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free from the UK on 0808 808 0000 (7 days a week, 8am-8pm) or email us. If you are outside the UK, you can find details here about cancer support organisations in other countries. 

    Ref/DC/AP