Glossectomy, neck dissection and RT updates

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Hi everyone,

I just wanted to open this thread to post a few updates on my father in law's progress.

As a quick summary, he had a partial glossectomy in July 2023, followed by a partial neck dissection in December 2023 (2 lymph nodes had cancer, with extra capsular spread).

He had a tooth out in preparation for 33 RT sessions in Leeds in mid January 2024. After the tooth came out he got mouth thrush. He's been having tablets for it, but it's still there...

RT started last week and, as expected, he's been doing well. Still managing to get out on daily walks, including an 8 mile one at the weekend!

Will keep updating here roughly every week, in case it's useful for anyone going through a similar path.

  • I'm really sorry to hear the side effects and the toxicity have been so hard for you Tobi Le Great. Were you able to get in for treatment? And have you had a chance to discuss options with your oncologist? You probably know this or are already on it, but people here have said about how long lasting morphine helped.

    Thank you for your words of support, definitely everyone's different and coping as best as they can in an incredibly difficult situation. Of course we continue to be there for him. We'll be travelling to the UK next week so we can be with him for the final days of treatment and the infamous 2 weeks after.

    A silver lining to the accident is that some family and friends have rallied round and are providing support.

    Please take care, take it easy and keep us posted. Xx

  • Hi Fab1, thank you for sharing and for your kind words. I can update you that since the accident, several positive things have happened. He has agreed not to drive anymore and will not be getting a courtesy car from his insurance. Between local friends, family and taxis he will get to and from the hospital. He's sorted with deliveries and has learnt to set up notifications on his mobile phone as not to forget all the different meds he's on.

    At the oncologist review today he accepted to trying morphine as he had lost some weight (only 0.8kg though, so not to worry too much just yet).

  • At the oncologist review today he accepted to trying morphine as he had lost some weight (only 0.8kg though, so not to worry too much just yet).

    Oh Isabel....I'm so pleased. It will make life so much easier for him. I was ten years younger than him when I started treatment and I found it hard enough, and he is getting a week more than I did. You must have an exceptional FIL.

    We'll be travelling to the UK next week so we can be with him for the final days of treatment and the infamous 2 weeks after.

    Not 2...

    For two weeks after I largely slept. It was another month before I can say the treatment was behind me and recovery could start.  I'm glad the family have rallied round

    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

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  • Hi Isabel 

    pleased he’s taken oncologist advise. Goid luck for next few eeeks. 

    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/

  • I forgot to say what he's been eating, in case it helps anyone with ideas and alternatives.

    At this stage everything is basically liquid or almost liquid. Mushroom soup has become a favourite, banana custard and some protein mousses. Yogurt is part of almost every meal, and fortisips are a staple.

    So far morphine only needed after the RT sessions.

  • I forgot to say what he's been eating, in case it helps anyone with ideas and alternatives.

    Smoothies.

    Banana, avocado, peanut butter, ice cream has mostly everything you need. Add the peanut butter last in small bits or it will just stick to the blades in one sticky glob. You can substitute the ice cream with a fortisip 

    There are masses of recipes for high calorie smoothies on the Internet 

    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

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  • Radiotherapy is over! 33 sessions done and he is back in his house. My partner and I came over for the final week of treatment and will stay for the following 2 weeks. Here's how we found him:

    Neck is very raw, but fortunately only a small area of the skin is broken. Flamigel 3 times per day seems to feel nice and cooling on the skin. Aloe Vera gel also helps with hydration and cooling in between flamigel.

    Mouth, especially tongue, is very sore, full of ulcers. However he is still able to eat and only lost 2kg overall. Only thing that seems to really make a difference with the pain is dispersable aspirin. He still takes the other stuff (gelclair and Antacid Oxetacaine), but swears by aspirin. Cocodamol at night, and no morphine. Whatever amount of pain he has seems to be manageable for him with this painkiller amount.

    Main complaint is how swollen the tongue is, which means he can't talk as clearly as he would like. However we can understand him no problem at all. He also gets tired if he talks too much. Lots of sleeping and napping.

    Appointment with the oncology team in 6 weeks to assess toxicity. He thinks/hopes he'll be back to normal in two weeks...

  • Appointment with the oncology team in 6 weeks to assess toxicity. He thinks/hopes he'll be back to normal in two weeks...

    Hi Isabel. Thanks for the update and well done to your FIL. 
    We are never back to normal but I’m as good as I ever will be at five years ( improvements continue) 

    I was happy with my progress at a year. 
    Just warning you. There are a few potholes in the road to come. 
    Hugs 

    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

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  • Thank you Dani for your kind words!

    I'm as aware as I can be of the ongoing challenges and the slow road of recovery. My FiL on the other hand gets angry and calls my partner a pessimist every time she mentions this...

    On the bright side, after not being able to tolerate Difflam for a few weeks, he's back on it and says it feels nice.

    Food is still very soft. Mushroom soup is the staple lunch with some soft brioche bread in it, and dinner has been scrambled eggs with lots of milk slowly cooked in the microwave with some cheese added at the end, constantly mixing and making it soft.

  • Well he's cracking on being able to eat anything at all at this stage. I've a feeling he will do really well. I think you can relax a little 

    I'm as aware as I can be of the ongoing challenges and the slow road of recovery. My FiL on the other hand gets angry and calls my partner a pessimist every time she mentions this...

    Partners are often Yin and Yang, eh? Stan and I are though the roles are reversed to your FIL's.

    He really does seem an exceptional man

    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