Mouth ulcer that was a tumour - 7 months down the line and second diagnosis

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Hi All,

It’s been a while since posting on here so I thought I would provide an update. 

So, “all is well”, according to the surgeon, relating to the successful removal of the tumour in my right Buccal mucosa. However, I did have a second diagnosis 3 months ago which is a slight swelling of the lymph node in right level 1a (11mm) as discovered by a neck ultrasound. Both myself and the surgeon clinically cannot see or feel any swelling in my neck and so for that reason I did not have the follow up ultrasound aspiration - I would rather leave well alone. I realise that is my personal choice and not for everyone. In the meantime I am due to have a second ultrasound in 2 weeks, but I still don’t have any visible swelling in my neck or any discomfort there. My own feeling is that the surgical treatment I had, which led to an infection at the time as well as difficult healing and severe nerve pain, means that the lymph node in that area is working overtime to get rid of toxins that wouldn’t normally be there. I have not been offered a blood test, so I’m going to ask for one ahead of the second ultrasound to rule out the presence of a lingering infection. 

As a side note, the severe mouth nerve pain at the site of my surgery is unfortunately proving very troublesome and am now on 30mg amitriptyline as well as paracetamol, which is helping enormously. I was rather annoyed as it had been settling down very well and then on my last examination by the surgeon for some bizarre reason he decided to express the saliva gland (without any reason as my saliva has been fine) and now I am back to square one with the nerve pain. I had expressly told him to be gentle on his examination as the previous time he was quite rough and I was very sore for some time after. Anyway, hopefully it will settle down again once more.

To be honest if it wasn’t for the nerve pain and this second diagnosis, I would have said that I’m 100% over it. Emotionally, I REALLY want to move on, but now there is this cloud hanging over me. I’m forging ahead, making plans for nice trips away and having wonderful days out with my 2 year old granddaughter, but you can never fully stop thinking about it.

  • Hi  

    I remember your posts and I’m glad you are recovering. Sorry there seems to be a hiccup. 
    For me I would be pressing for a PET/CT to rule out cancer if the next ultrasound is inconclusive 

    You’re bound to be feeling up and down and getting away with the family must surely be the best tonic in the world. 
    Have you anything solid planned already? 
    We like to hear where folk are going. It lifts our spirits too 

    Have a read of Peter Harvey’s piece on recovery from cancer. (Our treatment is particularly aggressive and takes a long time to recover from even if we look ok ) It hits the spot for a lot of us. I printed some copies and gave them to friends and family 

    https://www.workingwithcancer.co.uk/wp-content/uploads/2013/03/After-the-treatment-finishes-then-what.pdf

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I wrote a blog about my cancer. just click on the link below 

    https://todaymycoffeetasteslikechristmasincostarica.com 

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

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  • Hi Raewyn. Welcome back and thank you for updating   Like Dani I would ask for a pet ct scan to reassure that there’s no cancer if the ultrasound is inconclusive. Travel  is good for the heart and soul. Everything x for your next appointment. 
    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/

  • I remember reading that very useful blog when first out of hospital…I’ll give it another read!

    Thank you for the advice re PET Scan. I’ll bring it up at my next meeting with the surgeon in October.

    So in May I took myself off (on my own, without hubby) to the Algarve for 10 days (all inclusive). I was feeling like my house had become a hospital and my husband the nurse Grinning. I just needed time alone to process everything that had happened in the previous 4 months since diagnosis. It was absolutely the right thing to do and tears were shed but overall it did me the worGrinning of good. Then I came back to diagnosis 2…not so good. Anyway, since then I’ve been on lovely trips to the Cotswolds, Southwold and next up to Yorkshire and then Devon. Hopefully, will be okay to goGrinningbroad for some winter sun early next year. I’m retired but not on State Pension, but figured I won’t be able to take my private pension pot with me so I’ll spend it all Grinning.

  • Good for you. Your perambulations sound like just the thing. I love the trip to the Algarve. There are times when we all need space. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I wrote a blog about my cancer. just click on the link below 

    https://todaymycoffeetasteslikechristmasincostarica.com 

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Community Champion badge
  • Good evening Raewyn, its seems you need reassurance so as Dani and Hazel have said press for more scans just to put your mind at rest, also let the surgeon know how unhappy you are with his examination as they tend to take things for granted, im sure if you started to prod around his/her body they would not like it if it caused the pain to increase. You are right we never fully stop thinking about it but as the years go by it becomes less of a worry and you can look forward to many trips away with your family Slight smile. All the best.

                                                                 Chris 

    Its sometimes not easy but its worth it ! 

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  • I had another neck ultrasound 7 weeks ago and a further meeting this week with my Head and Neck cancer surgeon. I told him to be extra gentle this time!  His written update was that the right buccal mucosa is healing well and there are no signs of any local recurrence or regional metastasis. The lymph node shows nothing sinister (his words); it’s still the same size (1cm) but they will keep an eye on it.

    I have managed to reduce the amitriptyline down to 20mg from 30mg for the nerve pain. I did try to take it down to 10mg but the pain in my mouth and teeth came back, which is disappointing as I was hoping it had got better. I’m resigned to it possibly being permanent nerve damage and will have to take the amitriptyline forever, but honestly compared to other side effects that could have happened, this is being let off relatively lightly.

    I have been taking an anti inflammatory supplement, as well as a few other supplements that have been recommended for fighting cancer and promote overall wellness.

  • Thank you for this update Raewyn, well done with the ultrasound results especially after your previous one being a bit upsetting for you. You should be able to gradually come off the amitriptyline with the pain easing with time. Carry on the good work, take care.

                                                              Chris 

    Its sometimes not easy but its worth it ! 

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