Radiotherapy and Chemotherapy post oeprative

  • 9 replies
  • 84 subscribers
  • 477 views

Hello again,

I hope everyone is as well as can be.

I am 4 weeks post op today for a hemiglossectomy, hemimandiblectomy and right neck dissection.

I attended my appointment yesterday to be told half the pathology is back my tongue has clear margins and they took all my lymph nodes but the enlarged one did have cancer in it and there is a concern it may of broken out of its capsule but they don't know for sure yet. Mandible will still be another 2 weeks until I know margins. 

My oncologist has said it's aggressive so he will treat aggressively and I'm due to start radiotherapy on 19th may 30 fractions 6 weeks with a Tuesday also being Cistiplastin chemo day (6 sessions)

Has anyone had radiotherapy and chemo once a week? I'd like to know likely side affects of chemo they've said infertility could be one of them which is hard as I'm 37 and we don't have children yet. 

I have a peg already (inserted pre op) which is causing some issues with granulation at the moment but I'm using it daily for meds. Currently am on puree diet with the hope to be on soft foods in two weeks (6 weeks post jaw) 

I asked about PBM but my trust don't offer it unfortunately they use Jellex instead? Anyone with experience of this would also be great. 

Thank you Pray Kellie x

  • Hi Kellie

    Well done on getting through the surgery 

    Macmillan have a leaflet on cisplatin here 

    https://www.macmillan.org.uk/cancer-information-and-support/treatments-and-drugs/cisplatin

    Most folk here experience nausea that’s for sure but you get meds to control that. Beware of you have hearing issues and let your team know if you do. 
    With cisplatin you get lots of fluid which will make your mask tight that day. 
    GelX is an oral spray so not really an alternative to PBM. 

    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 Dani,

    Thank you surgery was 15 hours longer than expected unfortunately the tumour in the mandible was 30mm. My Tracheostomy also caused trouble when I developed a collection behind it but I'm home now that's the important thing. 

    Thank you for the leaflet I will have a read of that it's very overwhelming at these appointments and so very busy it's hard to ask all the questions in time. 

    I must admit I was disappointed to hear they don't offer PBM I had looked into a device on Amazon which is no where near the potency but thought it may help but my oncologist has said no just use Gelex... Hoping to make it as many weeks as I can with oral intake. 

    Oh dear so Tuesdays will feel quite claustrophobic in the mask thank you for this update they didn't mention.

    Kellie x

  • Where are you Kellie? There are private clinics that use the Thor Machines. 

    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
  • I'm in Ashford Kent I'd be really keen to try and minimise side effects where possible Fingers crossed

  • I’ll ask. Can you pm me your consultants name 

    Just click on my avatar and you’ll see a plus sign top right. Click there and choose send private message from the drop down menu. 

    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
  • I had cisplatin but only twice across the 6 weeks radiotherapy. 

    I had a picc line in the end as they couldn't find my veins. 

    The chemo effects everyone differently, but I did find it had a huge impact on my appetite and made me fall asleep all the time. I only had two session so there was time to recover between the two, so would imagine the tiredness will feel tougher if you're having 6 sessions. 

     X 

  • so would imagine the tiredness will feel tougher if you're having 6 sessions. 

    It’s the same total dose so weekly chemo should be less rigorous. 

    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
  • Thank you for your reply

    The picc line is a good idea my oncologist has recommended it to start with.

    I have a peg already which was inserted pre op so I can use that for nutrition however I'm really hopeful to eat as long as I can as currently I'm on puree and get upgraded to soft a week before treatment starts - cannot wait for spaghetti carbonara lol 

    Not looking forward to the tiredness then that it caused esp if you had a break will ask them tomorrow for plan 

    Hope you are well x

  • Hello there, my husband only needed 2 rounds of the cisplatin,however he had those rounds on the same day with RT, the CT took best of 8hrs, by time we got back home,we would have spend 10hrs in hospital,time between the CT allowed him to recover, as you said, he also had no appetite,felt very fatigyeabd tired,which I believe had a big impact of him losing so much weight. I can feel for everyone having CT more often and close to each other. But then we were told that cisplatin is one of the harsher treatments compare to some others. All the best +hugs  fellow wife Mel x