6 months on...

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So I finished treatment for tonsil/tongue/SCC (T2N1M0 later regraded to T1N1M0) on 1 September.

I've since had 3 post treatment MRIs.  First one was too early (was given a cancellation appt on 10 Nov); 2nd one (24 Nov) showed good results but my throat had healed more than my neck and so they wanted to repeat in three months; 3rd one was on 29 Feb and whilst results looked excellent, there was what they thought to be a sac of dead cells and so ordered a PET scan to be sure.

Had the PET scan last week (6 March) and the results show low level activity where the neck lump was. Said it is unlikely to be disease but not 100% certain.  My case will be discussed at MDT on Friday and guess options will be another MRI, another needle biopsy or a surgery to just remove whatever is in my neck!. None of these options thrill me as MRI and needle biopsy were inconclusive pre treatment (when I definitely had cancer) and surgery feels like such a step back.  It's been such a slog recovering from tonsillectomy followed by chemoradiation - not keen on being back on that road. Not that I know what impact a surgery would have. 

Think I'm just feeling a bit deflated.  Has anyone else had this... ? 

  • Hi Liesle

    Hopefully your Friday outcome will be positive....waiting for results is always stressful for patients.

    Best of luck

    Peter

  • Hi Liesle

    Everything x for you  in Friday. My pet Ct scan wasn’t;until 18 weeks post treatment   The waiting’s the wors5 part sorry you're going through this. Wait and see what the mdt decides , I do know a few who have had neck dissection post pet Ct scan as activity was still showing. 

    hugs 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/

  • Thanks Hazel.  I'm not too bad with the waiting... just thought I'd have a more definitive scan by now. Don't want to get ahead of myself but neck dissection at this stage feels like such a step backwards.  I'll obviously do whatever needs to be done.  Usually take these things in my stride but this has knocked my confidence a bit.  Will regroup after Friday and set myself some new goals but for now feel like I'm having a bit of a wobble! Lx

  • Had the PET scan last week (6 March) and the results show low level activity where the neck lump was. Said it is unlikely to be disease but not 100% certain

    I had activity on my PET too. I had a proper biopsy under general six weeks afterwards and it was negative. Some trusts wait three months and re-PET. 
    If the surgeon is simply going to remove that one lymph node I’d be tempted to go for that 

    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 

    https://todaymycoffeetasteslikechristmasincostarica.com 

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

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  • Thanks so much for this Dani. I'll see what they say but helpful to know about your biopsy under general and grateful to have your thoughts on removing that one node. Will update when I know more... 

  • Good luck 

    I was really cheesed off. It's madness to think you've done all the treatment for nothing. I was told it's very common to have avid PETs but really rare for treatment to fail this early

    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 

    https://todaymycoffeetasteslikechristmasincostarica.com 

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

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  • Hi Liesle I have been given the all clear twice  only for a pet scan to pick up issues and unplanned  surgery to find 2 lymph nodes cancerous out of 33 after a neck dissection . They are the experts and are going for the best fix possible. All the Best Minmax We all have to go through the uncertainty of what are scans will show which is stressful to say the least.  

  • I am generally ok managing my worry/stress levels.  I tend to 'hope for the best, plan for the worst' but I just didn't expect to still not know after 6 months... (clearly an oversight on my part!). I'll wait to hear what comes from MDT tomorrow but still feeling a bit deflated.  

  • News from MDT is good. The radiologists came with comparisons of all scans and said the node has not only significantly reduced but we’re seeing continuing reduction. The ‘low level activity’ not classed as ‘avid’ so doesn’t need further investigation. So, a good response to treatment. I will have another scan in 3 months anyway + continue with regular monitoring. They said this is news to be celebrated… Such a relief. 

  • Such a relief. 

    Great. That is wonderful news 

    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 

    https://todaymycoffeetasteslikechristmasincostarica.com 

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Community Champion badge