Secondary in pleural lining?

FormerMember
FormerMember
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Apologies in advance for a long post.  My husband was diagnosed with tongue cancer in July 18. Part of the tongue was removed but found to have spread. He then had a neck dissection in Dec 18 followed by radiotherapy in Jan 19. He has had follow ups every 8 weeks which were all ok until covid but no scans.  In May this year completely out of the blue and only 8 weeks after we got married he was struggling to breath.  Investigations found he had a pleural effusion and a subsequent biopsy confirmed SCC of the pleural lining.  A catheter has been put into the lining for me to do the drains at home.  Only 2 weeks into that the drain isn't working properly and today we discovered there are now pockets in the pleura preventing drainage. The MDT this week decided that the spread from neck to chest is so rare that now we're waiting a PET scan to confirm it hasn't come from another primary. I understand why they're doing this and the need to confirm findings but he is deteriorating every day. He's in so much pain despite lots of morphine and other painkillers.  I am so scared that he won't make it before we get a chance to do any treatment.  Would they know?  Can they tell from what they've already seen?  We seem to have gone overnight from trying to rebook our cancelled honeymoon to wondering if he'll get there at all. I'm really struggling to deal with this and am trying to stay strong for my teenage son. I'm sorry for such a long depressing post.

  • Tina I’m so sorry this has happened to you both. Don’t  apologise for your post, you obviously need help and now. Do you have a clinical nurse assigned to you? 
    I would contact them straight away to see what can be done immediately for your husband. He shouldn’t be left in dire straits like he has but maybe the hospital doesn’t know how quickly he has deteriorated, so let them know. 
    I can’t comment on the clinical aspect but it looks like the clinicians need more information before they can offer any treatment. 
    There have been some remarkable results with immunotherapy so keep your hopes up and good luck. 

    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

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  • Tina so sorry to hear this  like Dani says let your team know he is deteriorating if they don’t know they cant advise you . Sending hugs to both if you .

    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 in reply to Beesuit

    Thank you.  I'm so sorry it's taken so long to reply. We have been passed between different hospitals and departments but now have good support.  He is now under the local hospice for pain management. Unfortunately the PDL1 result was negative so he has been offered chemo. We have been told now this is palliative and that he likely has 6 months.  I am struggling to come to terms with this. The consultant and oncologist seem at a loss to explain why the cancer has just come back the way it has the PET scan showed no tumours anywhere other than the pleural lining and just keep telling us how rare it is.  I'm trying to stay strong and just look after him as best I can.  

  • Hi Tina,

    so sorry  to hear your latest news not what any of us want some to hear. Thank you for taking time to update us all, like you say keep strong if you need to rant just come in here someone’s always around to listen and try to help .

    sending hugs 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/

  • Hello Tina, 

    I’m so sorry to read this. Your husband has had a tough 2 year struggle with this and now to end up in this situation must be so hard to except. I believe it’s quite rare not to be PDL1 positive- I’m currently waiting for the results of my test. I can only imagine what you’re going through and will keep you both in my thoughts and prayers.

    Much love

    little-fi x

  • Sorry to be reading this post Tina, I'm afraid I don't know anything about this cancer and why it has come back so quickly as normally it's slow-growing. Thinking of you both at this difficult time i just wish i could offer more positive advice. Sending hugs to you both, take care.

                                                                     Chris x

                                                                  

    Its sometimes not easy but its worth it ! 

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  • Oh Tina, I'm so very sorry to read this.

    I'm pleased you're getting some good support now.    You and your family are in my thoughts.

    Linda x