Hi - husband just diagnosed - neck lump secondary - CUP

FormerMember
FormerMember
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Hi All

My husband had a neck lump for a few months and after much nagging from me - he started this journey at the beginning of this year.

He has had:

2 x Neck Ultrasound

2 x MRI with contrast

1 x neck biopsy

1 x MRI

1 x PET Scan

At first, they thought the neck lump  was a Branchial Cyst.  Due to his age (61) and with the PET scan showing FDG avidity in a tonsil and some lymph nodes - they decided to do a tonsillectomy and a panendoscopy on 18/3/22.  The biopsy from the tonsils came back negative.  A conservative neck dissection was done 25/3/22.  

Appointment with MDT team 7/4/22 - they confirmed the lump was secondary cancer and HPV+ positive - but no cancer in the lymph nodes they removed.  They are not sure but think the primary is at the very back and base of his tongue

He seen the maxillofacial dentist the same day  -  x-rays done and full check-up. The dentist explained what radiation treatment does to the mouth and that he will be under his care for 18-24 months. 

The consultant then booked him to have TORS (transoral robotic surgery) to try and locate the primary - this is being done on 20/4/22.  They explained that they want to find the primary before doing the treatment plan as if they can locate the primary then the radiation treatment will be less and more targeted otherwise the full neck will be treated.  No mention of chemotherapy.

I would love to hear if anyone else has experienced - or knows of anyone who has had a similar diagnosis as my husband.  

Written with a very heavy heart but staying positive as I know the journey is long...

Jackie - newbie to this

 -*

  • Hi Jackie. Welcome to our community. Your husband seems uncannily in the same shoes as one of our forum members, Peter. 
    I will tag him for you and I’m sure he will be along with his story 

    Meanwhile have a look at his bio here 

    community.macmillan.org.uk/.../pfjths

    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 Jackie welcome from me. If your hubby does need radiotherapy or chemo lots if us on here willing to help .I’m 3.5 years post treatment for tonsil cancer. Keep tk forefront h p v tumours respond well to treatment. I’ve a friend whose not on here but he was cup the treatment cleared him and he’s happily living his life. 
      Any questions just ask good luck for tors surgery yoyr hubby that is. 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/

  • Hi Jackie and welcome to the forum where you'll receive lots of support and advice should you require it.

    As Dani says, Peter was in very similar shoes as your husband (as have several other people) and is sure to to respond.

    I was diagnosed with base of tongue cancer in May 2018 and had robotic surgery to remove the tumour plus a neck dissection followed 6 weeks later with radiotherapy.

    All the best.

    Linda x

  • Jackie - hello and welcome from me.  Happy to answer any questions you may have.  I was diagnosed in Nov 19 and I am still here.  Very much alive and kicking!!  If you would rather then private message me for a chat.  Whatever they find I am sure he will receive the best care and you will both go on to enjoy life together, but I do understand this is a most worrying time right now.

    Peter
    See my profile for more details of my convoluted journey
  • FormerMember
    FormerMember in reply to RadioactiveRaz

    Hi Hazel

    Thanks for taking the time to reply - I have read and digested all your blog and posts and found it very

    cathartic

    I have found the Macmillian site a good point of reference

    Thanks again

    Jackie

  • FormerMember
    FormerMember in reply to Beesuit

    Hi Dani

    Thanks for the reply - I have read all your posts and your blog and have found it very informative.  I will contact Peter as it looks like he has had a very similar experience to my husband.

    Unfortunately my husband doesn’t want to read or look at anything to do with the prognosis – I am a believer in forewarned – forearmed.

    Thanks again for taking the time to reply - I am trying to circumnavigate all the information - and process it. 

     Jackie

  • FormerMember
    FormerMember in reply to LindaWT

    Hi Linda

    Thanks for reading my post - I have read your posts and have also found them very informative

    Thanks

    Jackie

  • FormerMember
    FormerMember in reply to PFJTHS

    Hi Peter

    I have read your posts and will private message you as I think you have similarities to my husband

    Thanks

    Jackie

  • Hi Jackie   You’re welcome any questions just ask. I too like to me forewarns and needed to know. Hence the blog was my way of controlling at least a little bit of something. Now it’s helping others even better .

    Hazel x

    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/

  • FormerMember
    FormerMember

    I myself have not had that type of cancer however a good friend did in 2017. Had robotics surgery for base of tongue cancer..and neck dissection. No chemo or radiation and has been NED ever since. Best of luck. 

    carolyn