About to be diagnosed

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I have extreme swallowing problems that they put down to a pre-existing condition. On barium swallow they've found a large filling defect exactly where I've been describing for the last two years.

It's in the right pyriform sinus. Given 14 day referral to ENT. Lots of tears. Bad symptoms in that area - feeling of significant lump when swallowing, burning etc.

Wake up in early hours crying (of trying to). Family very upset and we're assuming the worst, as it's been there so long.

Not sure how I'll cope with being told. Scared. I'm 54, male. Married with a daughter. Been ill with a pre-existing long term condition, which can affect swallowing, for about 10 years.

  • Good evening JBloggs, i agree with Dani and MikeO, the cure rate for this sort of cancer is good in many cases, because yours has been there for two years im sure you have been closely monitored for cancer in this area. The only sure way to know is by having biopsies, scans etc, i have not had cancer in this specific area but i have had other head and neck cancer, my last operation was in 2010. Most head and neck cancers have a good cure rate and are normally sorted out after the first time, hopefully, your results etc come back with a positive outcome. All the best.

                                                                        Chris 

    Its sometimes not easy but its worth it ! 

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  • Hi Mike.

    That's so much for your reply. I got my details on prognosis from a scientific paper, but I'll happily ignore for now.

    Currently, very lumpy throat when swallowing (thin liquids only), sore patch (which has been there in and off for 2 years) in area where lump is, increasingly nasal voice, some pain, and cough up a small blob of blood from that area each morning. Things must be quite advanced as I've been complaining of it for 2-3 years. They actually spotted a lump in this area back then but didn't bother looking too hard for it on an endoscopy.

    Sine then I've had some lower back issues and cough a lot, so we're (or I'm) fearing its advanced and spread.

    I'm on a 14 day referral in both Herefordshire and London (don't know why - London is remote from me but happened to do the barium swallow). 

    Not sure where or what happens next. Do they take a biopsy with that short nasoendoscope? I've had loads of those scopes in specialists offices, but they've clearly never gone down far enough to see the issue, so not sure if that instrument is long enough?

    Then, assuming I qualify for treatment or surgery, where I'm supposed to do it. Hereford hospital, which is quite small, seem to have some sort of agreements for cancer treatments with QE Birmingham and Worcestershire Hospital. Going to UCLH for such things I'm not sure about though wife things surgeons down there may be more experienced.

    Sorry, bit of a brain dump - we're right in middle of it all as this has been brewing for 3 years.

  • Not sure where or what happens next. Do they take a biopsy with that short nasoendoscope?

    They will likely have you in for what’s called a panendoscopy where they will have a good look round while you are under anaesthetic and you could be booked in for an MRI and/or a PET/CT

    Take somebody in with you for your consultation. An extra pair of ears is invaluable. Take notes and don’t leave till everything is explained. 
    Best wishes 

    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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  • They don't seem to list that procedure in Herefordshire. Does that mean they may refer me to another hospital so you think?

  • A panendoscopy is simply a detailed exam of your throat under anaesthesia. An ENT surgeon does it. Ask at your appointment. Its best not to second guess just now. 

    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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  • Does that mean they may refer me to another hospital so you think?

    If they do suspect cancer you will certainly be referred to a cancer centre. 

    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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  • Thanks Dani. Is there a list of cancer centers? I'm wondering what one Hereford hospital uses

  • My advice would be to wait till you have a diagnosis. I know you are trying to cover all bases but your consultant will know where to send you. Living in England, of course, you are entitled to be seen at the hospital if your choice providing they have capacity. 

    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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  • Apologies Dani. Am in a lot of discomfort in throat and struggling, but you are right.

    Just one question relating to your comment: At what point should one select a hospital? Does it matter if the one which detected the cancer isn't the one carrying out any future operation or radiation? Or should we try to divert referral for diagnosis to hospital of choice at this point? 

  • Apologies Dani.

    Heavens… don’t apologise. I know how you feel and it’s a dreadful place to be. I

    Just one question relating to your comment: At what point should one select a hospital? Does it matter if the one which detected the cancer isn't the one carrying out any future operation or radiation? Or should we try to divert referral for diagnosis to hospital of choice at this point? 

    It’s usual for treatment to be done at a cancer centre so you shouldn’t need to select. I mentioned it as sometimes patients have reported that they get chemotherapy in one hospital and. radiotherapy in another. It’s not usual but it happens and it’s not ideal. 
    Equally if a case is really complicated it’s best being seen at a centre of excellence such as one if the big specialist centres. 
    But hold your horses. Let’s see what’s what first. 

    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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