Subtotal glossectomy followed by radiotherapy

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Hi

New to this group and was hoping to reach out to anyone with experience of going through radiotherapy after a glossectomy.

4 weeks ago my mum had 17hrs of surgery to remove 80% of her tongue, some teeth and a neck dissection where 14 glands were removed (some from both sides). She had a reconstructive flap made from thigh tissue. She came home yesterday after some post op complications including an infection in her neck. Her tracheotomy has been removed and she has had a PEG feeding tube fitted. She is talking a little and we are getting used to the feeling and medicating regime.

We also met the oncologist yesterday who confirmed the tests on the removed tongue showed the cancer went beyond the boundaries of the margin all the way to the edge. They also found cancerous cells in the glands removed. They have recommended radiotherapy- 35 sessions with 5 sessions a week for 7 weeks.

My mum (and me to be honest) feel a bit traumatised after everything she has been through. She is still struggling managing thick phlegm and saliva, the swallow tests mean she is nil by mouth due to aspirations. I don’t think either of us right now can face the side effects they have discussed from the radiotherapy.

Would be great to understand from anyone who has been through a similar op how they found the radiotherapy and how they dealt with the side effects? Really struggling to see how I can support mum through this and keep her positive about quality of life afterwards.

Thank you in advance :) 

  • Hello Peggy. So sorry to see you here in our community but we will try to help where we can. I have a friend who has had a similar experience and I’ve asked her if she can pop in here with some advice  

    I had radiotherapy for tongue cancer but no surgery  The treatment does produce severe side effects that’s true but they are manageable to a tolerant level with support and analgesia. Nobody has all of them. It is indeed hard but the alternative is worse 

    It sounds as if you are there with her to help her through which is a godsend. 
    ive sent you a friend request because I have a couple of other contacts to let you have. If you accept I can message them to you 

    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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  • Hi Peggy sorry  you’ve found yourself on here but welcome to our small community group. I am almost 3 years post radiotherapy for tonsil cancer with several affected lymph nodes.like Dani I know a couple who have had same as your mum. If you don’t mind how old is mum ? We know a lady who is 76 and has successfully completed tongue glossectomy and 30 sessions of radiotherapy. We don’t get all the side effects the consultant s are obligated to tell you about them. It’s not a walk in the park but it’s doable and certainly better than the alternative.

    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/

  • Hi Peggy

    i had a hemiglossectomy & neck dissection last October followed by Radiotherapy over Christmas (60gy over 30 sessions /fractions).

    My lymph nodes were clear and my margins good BUT there was other histology that was less encouraging.

    Fortunately, I haven’t needed a PEG or ng tube since leaving hospital for the major surgery but I have had issues with the neck wound getting infected (ongoing!). Do try and make sure that it is FULLY resolved before the Radiotherapy starts.

    I didn’t have thick phlegm, but at this stage had LOTS of salive - sleeping with a tissue in the corner of my mouth!

    i’d suggest she keeps as hydrated as possible and perhaps a humidifier - especially at her bedside - might help.

    If she’s not been given swallowing exercises, then I’d encourage her to ask for them (or look them up on the internet). 

    Radiotherapy? Yes, it’s shit. BUT it is doable with the right support and attitude. It’s a case of enduring and emerging the other side. Her team will have seen it all before but there are certainly tips to coping as you move through. 

    Do shout out if you want any other info

    Stephanie

    55, T3N0M0 NW London. 

  • Hi Dani,

    Thanks for sharing your experience and sorry to hear you had to go through radiotherapy. It is reassuring to think it’s unlikely to experience all the side effects. Thanks for the friend request and the offer- really appreciate it Slight smile

  • Thanks very much for your response Hazel, my mum is 73. Sorry to hear about your experience- I hope your doing well? Wow what a trooper that lady is, do you know if she can eat and drink using her mouth after the treatment? I think for mum that is the main goal, Peggy x

  • Thanks Stephanie, really helpful and sorry to hear about your situation- how are you getting along now?

    Thanks for the tip about the infection, will certainly keep my eye on it.

    Using the PEG to keep her hydrated at home is much easier, we have a humidifier and a nebuliser to try and help. Did you experience any dry mouth during your treatment?

    Thanks again, Peggy

  • Yes, I can. I want to the Lake District a couple of weeks ago. Full Michelin Star Tasting menu. I do still have limitations however!

  • If you accept the request I can put you I rich with Laura who lost  7/8 of her tongue but can eat and speak  intelligibly. 

    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
  • Hi Peggy yes she can and a few weeks ago when she got the all clear she celebrated with a glass of champagne. Our other friend. panch as she said she’s just done a holiday in the lakes including a full tasting menu. 
    St first it’s all so over whelming you don’t think straight this is what you snd your mum will be feeling. 
    As for me I’m doing really well we’re on holiday in north Wales planning to cycle snd do a mountain so life is goid. Still get dry mouth from time to time but sugar free gum sorts me out.  
    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/