I noticed a lump on the right side of my neck under my jawline which didn’t go away. Got referred by my GP to ENT at local hospital . Following biopsy and various scans ,on the 16th December I received diagnosis. Cancer in the lymph nodes and primary suspected on base of tongue, right tonsil area. HPV caused. Good prognosis.
On the 22nd December I had an investigative operation to identify the primary site and take biopsies . This confirmed primary on base of tongue. Earlier PET scan has shown no other sites.
On the 11January I had surgery to remove primary from base of tongue and also a neck dissection to remove lymph nodes. No further surgery needed.
I have an appointment this Wednesday with the consultant oncologist to discuss next steps of treatment. I know I am definitely having radiotherapy but possibly chemo as well .
Although my prognosis is good I am still trying to come to terms with my diagnosis. I am also worried about the upcoming treatment and the effects both short and long term that it may cause. Any advice is most welcome.
Hi John. I’m just 3 weeks post treatment. My diagnosis was much the same as yours except mine was sitting on my tonsil, not base of tongue. I had the surgery, tonsillectomy and neck dissection, in early October followed by chemoradiotherapy - 30 fractions of radiotherapy and 5 sessions of chemo. (The chemo is to assist the radio in working more effectively.) Treatment ended in early January and I’ve learned an awful lot in the past 5 months or so!
Do persist with neck and shoulder exercises. They’re important and, importantly, they do work! Swallowing too.
Good luck with the next steps. Feel free to ask anything you like along the way.
Mark
How remiss of me. I have just looked at your bio. Excellent.
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
No John. A feeding tube was never mentioned, other than a nasal one after surgery. I think if the targeted site is fairly localised they don’t necessarily deem it necessary, but I’m happy to be corrected. I know a lot of people in here did have one and were very glad that they did. I managed to eat quite well during the chemoradiotherapy and afterwards, although admittedly it was mainly soft food towards the end. I am now even regaining some semblance of taste which I’m delighted about!
Hi John, welcome to the forum -
It is totally normal to feel in shock at this stage, i was terrible when first diagnosed and leaned heavily on the people on here.
As you know this cancer is very curable, especially as it has been caused by HPV.
As for radio and chemo, well i can only speak of personal experiences. For me- chemo was no problems at all, i took my meds religiously (anti nausea) and had 1 day of mild nausea. I spent the chemo sessions either working on my laptop or listening to audio books- the staff really look after you in chemo.
Radio, got tough at the end of week four for me, and i certainly had maybe- 2 months from then on where things were a bit rough.
But you get through it and things do get better! Im 4 months post treatment now, i am regaining weight and enjoying my food again, and also am clear of cancer.
As for advice, the only things i can think of are - Don't be shy if you dont feel the pain relief is insufficient, and dont take it re-actively, once in the later weeks i found it much better to take pain relief in advance rather than wait for discomfort.
Also if you are on opoids, make sure you are taking laxido every day, whether you think you need it or not.
Finally get a moisturizer for your neck - i used nivea, huge tub and dirt cheap and it did the trick
Trev
I think if the targeted site is fairly localised they don’t necessarily deem it necessary,
Spot on.
I think that’s why so many people are offered reactive NG rather than proactive PEG.
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
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