Spindle Cell SCC

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I had a sarcoma on the larynx debulked 2 weeks ago because I was struggling to breathe. I’m still a fortnight away from starting radiotherapy but I’m worried that I am again suffering shortness of breath and concerned. that I might need further surgery to prevent obstruction of the airway.

My biggest concern is that once radiotherapy commences one of the side effects seems to be soreness and swelling of the throat. If I’m struggling to breathe now how might that progress and what is the likely medical response? is my problem common? Might I require a tracheostomy and if so what does that mean in practical/pragmatic terms? Consultants are all very positive but short on practicalities. What can I expect going forward?

  • Hi Nigel. 
    I have no personal experience but I do know of others who have had temporary tracheostomy after surgery. Hopefully someone might see your post and reply. 
    Can you ring your CNS for advice. They are often much better at practical help than the consultants. 

    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 Nigel85

    Sorry to hear that your consultant is not coming up with practical advice. I had one consultant like that. When I asked him about similar things to you in relation to difficulty breathing if I had an op he was proposing all he could say to me was 'you'll be fine'. That did not help with the practicalities. (The op included me having my lips sewn together for 4 weeks after a lip graft). Fortunately I was also seeing the surgeon who did my maxillectomy and he explained to me in great detail what would happen. This included testing my oxygen levels and doing other tests before the op. to check how my breathing was. If my oxygen levels were too low he said that I would be given  something like a sleep apnea machine to use. Not sure I spelled that correctly. (I decided not to go ahead with the op though as I am coping O.K. as things are at the moment)

    Can you go back to the consultant and have your list of questions ready for him and insist on answers and not just a generic 'you'll be fine' ?

    Lyn

    Sophie66

  • Good evening Nigel, i think the trouble is nobody knows how you are going to react to the radiotherapy so there are lots of questions with no definate answers, If the worse happens they can do a tracheostomy as this will make sure you can breathe properly , i have had two while i recovered from surgery and they are a bit uncomfortable to begin with and takes a bit of getting used to. Im not sure what is involved with larynx debulking, what ever happens you will be in good hands and they will know how to react if breathing/swelling becomes an issue. They can always stop the radiotherapy if it becomes uncomfortable. I wish you all the best with your continued recovery,take care.

                                                                         Chris 

    Its sometimes not easy but its worth it ! 

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  • Thank-you all. I’m seeing the ENT Consultant on Wednesday to work through my concerns and see if I need to have another debulk (reduction of the tumor) before radiotherapy starts. The thought of having a tracheostomy scares the life out of me but if it has to be then so be it. Stopping radiotherapy isn’t an option. I need to get rid of this thing. Thumbsup

  • Good luck with your appointment with the ENT consultant.

                                                     Chris 

    Its sometimes not easy but its worth it ! 

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