Hi
My partner is 10 weeks post radio and chemotherapy and I have some questions please. His diagnosis was T4N3M0 HPV related oropharyngeal cancer which started in the tonsil.
Thank you xx
Hi
I can't answer the first question as I am only just starting my RT pathway.
I had PET scans which showed infection (under a tooth). I don't think that is unusual, although my post treatment scans were later than 16 weeks. They could spot the infection and discounted it for the purposes of the check for cancer. I later had the tooth removed so as not to cloud and future PET scans
It is highly likely that they have caught all the cancer and I would not dwell on this possibility. If necessary surgery may be an option, but there are a lot of issues with surgery as to where the tumour is, what it interacts with etc. I have had 3 attempts at getting my cancer via surgery - I have a unique journey so don't read too much into that - and they are now trying RT.
Hi RosieFlower
I was quite pale for some time. It’s not likely to be anything to worry about but you should mention it at his next review. I do t know when that is but I did have a review at six and twelve weeks.
You're right about the PET. Inflammation can well show up as a hotspot but there are degrees of “heat” ( called standardised uptake value …. SUV) and the radiologists plus AI are pretty good at interpreting them. I had my PET/CT at 16 weeks. I did have a hotspot which on biopsy was benign. You can always ask that it be put off for a few weeks. Did your husband have 7 weeks of RT?
Options for failure include surgery, chemotherapy and immunotherapy. But treatment failure at this stage is extremely unlikely so please try to put that away.
Hope this helps.
I had similar diagnosis & treatment to your husband. Just had my one-year check-up which was all clear, the chances are that your husband will be the same, recurrence of HPV-related cancers is uncommon. His mouth should be a lot better by the time of his scan. I hope he manages some Christmas dinner - lots of gravy helps!
September 2022 aged 63 diagnosed with HPV associated SCC base of tongue T4 N2 M0. Chemo & radiotherapy for 6 weeks ending Nov 2022. Now over 3 years all clear. See my profile for longer story
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