Hi all,
Recent diagnosis (symptoms: dysphagia and ear pain) but not yet staged. Primary in base of tongue (largish) with minimal involvement of tongue muscles and neck nodes on both sides. I had a one-side tonsillectomy 12 days ago, which was diagnostic, rather than treatment. The MDT meeting will be considering my staging and treatment this Wednesday. I know a few other things from the nurse specialist. Lungs and other regions appear clear on scans (except for bowel polyp that they do not think is related). Cancer type from neck needle biopsy is P16-, which I am aware may make treatment a bit tougher... maybe.
I had a shock today when I looked at my GP online records and (in addition) to my diagnosis and tonsil surgery update, it said 'palliative care'. I am not sure why... I asked my nurse specialist and he had no idea why the GP records would say this and that no treatment plan had been proposed. It's probably a mistake, or possibly it just means that I have been flagged for support with pain during treatment? It immediately made me think that someone had decided my cancer was incurable, based on what was known, so far.
Has this happened to anyone else?
Best wishes to all
Steve
Hi Steve Dont panic I got a similar letter and I was reading it when my 21 year old daughter came in the room and she could see I was upset. This was the letter from my surgeon to the GP who had told me two weeks earlier that if my cancer reoccurs there is a couple of things they can do. She said they probably have to write if factually and not sugar coat it . All the Best Regards Minmax
Hi Steve. Don’t panic. Palliative care means care to make you pain free and comfortable. Pain relief during treatment is palliative. It doesn’t mean end of life.
P16 is good. It means your cancer is driven by HPV and is more responsive to treatment than if it wasn’t virus caused and is largely curable
Stay with us. There’s lots if help and advice here.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
Thanks, Dani.
That's what I was hoping about the meaning of "palliative". It's just confising because the NHS sometimes defines it as meaning the same thing as end of life care.
My cancer is P16 negative (sorry, I just wrote the symbol). I was suprised that it was not P16 positive, as I am 58, non-smoker, non-drinker. Sounds as though it is not as easy to treat P16 negative, but still lots of positive outcomes. Some of the difference seems to be just that P16 positive goes to the neck nodes sooner and so is caught when the primary is smaller. Also, younger people get positive and so tend to do better during treatment. Unless anyone knows otherwise?
Best wishes
Steve
Diagnosed Feb 2023 with base of tongue cancer, oropharyngeal squamous cell carcinoma (OPSCC), HPV positive, staging: T4aN2CM0
Hi Steve Welcome to the club that none if us wanted to join. . I’m almost 5 years post radiotherapy and chemo for HPV 16+ tonsil cancer with 7 affected lymph nodes and am happily living my life. Palliative as Dani says refers to the pain management. Stick with us we will all try to help. Treatments nit easy just take it a day at a time.
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
He Steve. Oropharyngeal cancer is treatable and curable. It’s just the treatment that’s pants because it hits a very sensitive and important part of the body.
As you say, MDT hasn’t met yet so your plan hasn’t been made. It will soon. They are pretty quick on it once you’re in the system.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007