Hi all.

FormerMember
FormerMember
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Just to say hello, 

I was told i had HPV of the throat last Friday and am going in for a surgery this Wednesday coming. He thinks it started on my left tonsil and jumped onto my lymph node. He may remove the tonsil and any thing else he can get to while he is in there, he will enter thru the mouth.  Has anyone else had this procedure ? how did it go? He also said that i will most likely have chemo and radio after. 

It all started a few months ago when I noticed a swelling on my neck, one day it was just there. went to my GP and he referred me to ent for and examination, the specialist then sent me for an ultra sound and biopsy and then last week I am told this. My feet have not touched the ground it has all been so fast. 

I am in no pain, have no symptoms, I recently passed a divers medical (had the lump at the time) I scuba dive, cycle and run, all that I have is this lump no bigger than the nail bed of my thumb on my neck.  I am finding it hard to process to be honest.

When I went for the pre-op the nurse told me that it would be up to 6 weeks before the test results come back from the tissue that he will remove. 6 weeks! really .. is this normal? He also mentioned a CT scan on my neck, I assumed that would of been before surgery, guess not. 

My wife is fantastic and keeping us strong and positive. oh by the way, my surgery is on our 21st wedding anniversary, which we take to be a good sign as it is a day of love and happiness.

  • FormerMember
    FormerMember

    Hello Darkwaterdiver

    its a scary time but you have found the right place to advice and support. The 6 weeks sounds an horrendous length of time but they do have to be sure of the exact diagnosis so that they can tailor the correct treatment for you.  By the time my husband was told that he had cancer it was too late to have his tonsils out as it had spread to his lymph node and his soft palate, so we have no knowledge of this side of it but I’m sure someone else will come on and answer you. 

    a few valuable tips picked up from others on here 

    - stay off Google, ask your questions on here to people who have gone through what you are experiencing

    - take someone with you to your appointments as two pairs of ears are better than one

    - get a notepad, write down all of your questions and when you ask them at your meeting, out the answers down straight away (I became my husband’s secretary JoyJoy) because you will all out of the room and forget what was said.

    Keep us updated and try to stay strong

    Sheilagh 

  • Hi

    My husband is currently going through this, please see our profile.

    At first the primary was unknown and wasn’t found  by any scans. He had CT, MRI and PET CT scans.

    Im not sure if the surgery you’re having is the biopsy my hubby had which is basically tonsillectomy, tongue base mucosectomy and panendoscopy. All of which is basically a good old rummage around and snipping off bits for testing.

    His results were back in a week and he is now starting radio and chemo. He is not having a neck dissection due to the secondary tumour being on the parotid gland and jugular vein. We’ve still been told it’s curable though. 

    Hope this is helpful but feel free to ask any questions.

    Sharon and Ken

    Sharon xx

    Hubby - Left tonsil squamous cell carcinoma P16 positive with neck nodes T1N1M0 - 30 fractions of radiotherapy and 6 weeks of chemotherapy, Cisplatin in December / January 2019/20

    Me - Invasive lobular breast cancer - Grade 2, Stage 2 - mastectomy October 2019 - 15 fractions of radiotherapy December / January 2019/20 

     
     
  • I suspect (though I'm just going on other cases and my own) that the surgery through the mouth will just be a first step, probably just day case? If it's spread to your nodes then you'll most likely need a neck dissection to some degree which is a bit more invasive and will involve a hospital stay. Certainly for me I had the tonsil thing done as well as a tongue biopsy in a day but then the dissection to remove nodes was a five day stay, I think if you have confirmed node metastasises that's pretty much inevitable; but it's no big deal, it was (as my consultant told me at the time), "the easy part".

    The no pain no symptoms is exactly how it was for me, my GP visit was for something else and I only mentioned the neck lump in passing. Six weeks sounds a crazy amount of time, I'm sure it'll happen quicker than that. Scans may well come thick and fast, I had PT, MRI and PET-CT in quick succession although none of them found my "primary".

    Radio and Chemo is the tough yards but it's doable as many of us on here can testify, and you sound like you're in better shape physically to cope with it than most. Good luck with everything and keep coming back when you need to, most experiences you're likely to encounter will have been tackled by someone on here.

    Community Champion Badge

    Metastatic SCC diagnosed 8th October 2013. Modified radical neck dissection November, thirty-five radiotherapy fractions with 2xCisplatin chemo Jan/Feb 2014. Recurrence on larynx diagnosed July 2020 so salvage laryngectomy in September 2020.

    http://mike-o.blogspot.co.uk/

  • Hi this is Hazsl aka RadioactiveRaz I am 15 month post radiotherapy for tonsil cancer with several affected lymph nodes your experiences so far seem to echo mine. I too onky had the lump above my collarbone bone . Biopsy is the easy part I thought  , I then had 35 radiotherapy sessions and two chemotherapy treatment is hard but I was 61 and female plus I am a wi o if I can do it anyine can. 

    My tumour was T2N2NM h p v 16+ I had ct scN mrinscans and when I got to Leeds cancer centre a full pet ct scan and the mask was made  the nhs have a protocol to follow is usually from first being refereed 63 days for ourvtype of cancer treatment to begin in my case 14 May referred and 16 July first day of treatment yes it’s a whirlwind but positive mental attitude gets you through it  it seems iknto cry it’s ok to rant but at the end of the day stay strong  

    i have a blog feel free to read and post any questions someone will get back to you

    good luck

    hazel x 

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • FormerMember
    FormerMember

    Update,  on the 21st they only looked inside with a camera and found a small lump at the base of my tounge, took some biopsies and never removed my tonsils :)  had a CT scan on Wednesday then on on Friday I  had my meeting with the dr and oncologist, the ct scan on my neck and chest showed that there is no sign on any cancer apart from my neck which was a huge relief. It appears to be HPV 16+ T2N1. No surgery is required thankfully, 2 x sessions of chemo and 6 weeks of radio treatment which should start early January. 

    Regarding work, is it best to take time off from the start of the treatment or continue until the effects of the treatment kick in ? I know it will be about 3 months or so after treatment ends before I can return to work ( i think )  I am an Instructor so my job involves lots of speaking and being in rooms with many people and some work in the pool. 

    Any advice would be very welcome !! 

  • Not an expert but would think as you are only having two sessions of chemo if they are at three week intervals it would be unwise to go to work as your immune system will be shot, also after around three weeks the radio will probably (not everyone) start to hit you and talking will be hard, this is not a fact as everyone is different but something to ask about at your next appointment.

  • Hi this is Hazel I am 16 month post radiotherapy for tonsil cancer with effected lymph nodes I too had 2. Chemo sessions and 35 radiotherapy.i tend to agree with Ron your immune system will be vulnerable and with it being winter and all that entails germs etc maybe not too wise to be mixing with public,also the first 3 weeks radiotherapy are manageable but I like many others hit the wall week 4 .ok we  are all different and react accordingly ma few sail through but they are really the exception to the rule.

    i have a blog detailing my experiences with links to others , h p v is a good factor too have as squamous cell cancer does have  good response when h p v lead.

    good kuck

    Hazel

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • FormerMember
    FormerMember in reply to FormerMember

    Hi Darkwaterdiver. Good to have a plan after the shock of diagnosis. Uncertaintyis awful......

    I think you should perhaps ask your team for advice about work - if you’re in and out of the water (dive instructor?)you may indeed be prone to infection and chemo can really wreck your immune system in the short term. You need a bit of honesty from your team - better to plan to be off work (if that’s what they advise) than try to continue and then have to back-track and let clients down. I was ok for 3-4 days after the 1st of 3 chemos - then bam! Horrendous nausea which had me confined to bed/sofa unable to eat anything without throwing up for 4 days. As I work in the public sector and my husband works I was’nt too concerned about return to work  but I was stunned that I was unable to return for 8-9 months after treatment ended (many do get back quicker) but you need to be prepared mentally and financially for the worst. I don’t want to be glum, but the effects of treatment can last many months and it is better to be realistic. 

    Enjoy Christmas - eat and drink everything, put some weight on as eating becomes increasingly difficult during treatment and alcohol...well, enjoy it while you can!

    All the best

    Hilary

  • Hi darkwater,

    Some great advice given already, totally agree with hellbore,eat for England between now and January, I had two bouts of chemo and 35 sessions of radiotherapy, but it was the chemo which totally altered my food intake afterwards, everything tasted of metal and that was where I lost my weight as I wasn't eating enough,however I did have a rig fitted through my stomach prior to starting the treatment which proved a godsend regards getting supplements into me,regards work I'm returning to work after Christmas  started treatment mid July so stopped work then ,like everyone says the radiotherapy kicks in after two weeks and takes its toll

    Anyway enjoy your Christmas and any problems at least you've found a good  place to come to

    Good luck Martin 

    Martin
     
    Your life is your life
    don't let it be clubbed into dank submission
    be on the watch
    there are ways out
    there is light somewhere
    it may not be much light,but it beats the darkness
     
  • Hi

    i had exactly the same diagnosis, i had the biopsy op but tumour in tonsil was slightly larger than the tonsil so got chemo radio same a you, had tumour on back of tumgue and lymph glands and was HPV, HPV im told reacts better to the proposed treatment. I went to the doctor at start of july 2018 and was disgnosed on 10th Sept 2018 and started chemo / radio mid oct 2018. by week 4  of the radio i had dropped shed loads of weight as your appetite / eating gets severly impacted. i never ate a thing for 5 months although this can vary from patient to patient.  in total i was off work for 11 months as chemo effects are quite harsh. thankfully the treatment was successful and im now back to health.

    good luck and stay off google, the people on here helped me immensly as they all had experience of what i was going through.

    Final tip....take someone you trust to every meeting as you tend to only hear what you want to hear

    chas