Head and Neck Cancer stage one on Left tonsil and back of tongue, diagnosed December 2022

  • 6 replies
  • 21 subscribers
  • 80 views

My husband was diagnosed with stagev1 HPV tonsil and back of tongue, hand and neck cancer in December 2022. After having his left tonsil out, he had 6 weeks every day radiotherapy and 3 doses of cisplatin chemo during 2023.

All looked good, after recovering from all the affects, couldn't eat, swallow bad etc. Then in December 2024 after a scan it was noted that a lymph node in the neck was slightly enlarged, a biopsy was done and cancer confirmed. January 2025 saw an eight hour operation to remove all lymph nodes on the left side, they found cancer in 9 out of the 16 removed, even the scans didn't show all that, as it was so early. A recovery was made and another 6 week course of radiotherapy was had in April 2025.

Upon a scan of head and chest during June 2025, it was noted that there were nodes on the right lung, the cancer has spread to the lung, so immunotherapy was started in July. We had another scan and mri in January  2026 to see if the tumour was shrinking. It was but very slowly and devastating need came that there are 5 nodes on the brain now and the prognosis is about 6 months.

He can have some chemo, which he wants to try, but I'm not too happy. He could have this chemo it makes his ill and he loses some of the time he has. If it doesn't do anything this to me would be such a devastating thing you happen and they only think if it works thatbit could lengthen his prognosis by a few months. Its such a tough decision to make, it's so heartbreaking

  • Oh   that is so sad to read. I am a long term survivor of throat cancer and I understand some of what your husband has been through. I have friends who have responded well to immunotherapy and friends who have not and have sadly died. It's a horrid situation to suffer so much to get well then to fall. 

    I have one friend who had chemo successfully for two years after he failed immunotherapy but his cancer was in his lungs and ribs. It's a decision that will be heard but in the long run it's your husbands to make. Maybe he could try it. He doesn't have to have the whole course if it makes him really ill. Some people react badly some not so. 

    You could come and say hello to us in the Head and Neck Cancer Group or chat to others in the same spot in the Supporting someone with incurable cancer forum

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
    1. Thank you, so pleased your treatment has worked. I have a cousin who had the same hpv cancer in the tonsil as my husband but was stage 4 when discovered, after radiotherapy and chemotherapy she is still here 12 years on. She is having problems with radiotherapy scarring in the throat now, but is doing really well. My husband seems to be really unlucky, sadly. He is 5foot 11 tall and currently weighs less than 9 stone, this is why I am so worried about further treatment, he is 60 years old.  I think the main problem now is the spread to the brain.
  • I think the main problem now is the spread to the brain.

    You've highlighted exactly why this decision is so hard. Have you sat down with his oncologist for a proper discussion about it? Turn it round, what would they do for their spouse? That sometimes elicits an honest response. 

    It's complicated. Perhaps your husband considers stopping  treatment is giving up? It's not of course but..............

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • I totally get that, we have spoken about giving up treatment altogether but he wants to give it a shot. He never answered truthfully to the consultant when we saw him, he would say he was eating etc. I knew he didn't want me to say anything, so I had to email the consultant to let him know the truth and not yo let him know I had emailed him. On the next appointment the first thing they did was weigh him, so when asked about his eating, he had to be honest. 

    He wants to live and I want him to, but I can't bear to see him go through chemo again, all the side effects for maybe a few more months, they don't know. He is not in pain at present, is having fresubin and having stews and soups, yogurt. This isn't enough to get him through chemo and that's if he can still eat this while having treatment.

    He's as stubborn as a mule, but I love him so much and do understand why he wantsvyovtry, but at what expense to him.

  • It sounds as if he wants to be with you as long as he can. Maybe there is a danger that if he stops he will go downhill very quickly. Cancer is so cruel to carers. I sometimes feel they have it worse than us patients. Maybe hold his hand and do it with him. It's his choice. Hugs.

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • I will support him to the end, he knows that and yes, I think you are right if he stops it will go downhill faster than he wants it to.

    Thank you for your replies, another opinion makes you look at things differently.