Base of tongue carcinoma

Hi

Following a discussion with a Head and Neck CNS, something has been lying heavy in my mind..... Survival rates

My husband is currently  2 weeks into his treatment plan for base of tongue carcinoma. Presently classified as T3 N2 M0. Squamous cell but HPV +

There has been a misunderstanding on our behalf on what the T3 actually meant and that if this tumour is resistant to treatment or treatment fails there is no second round of chemo etc.Since I have been put in the picture I am now extremely anxious to % prognosis/survival rates.

I was trying to feel positive but now my emotions and concerns are back to the day we heard the diagnosis. I am keeping this to myself as I feel my husband wants and needs to think on his day to day treatment and how it is affecting him.....and quite rightly too as he still has a challenge and journey ahead of him.

Treatment is of curative intent but at the moment feel very worried.

  • Calshe

    welcome to the forum and sorry to hear of your concerns

    although my cancer was not as advances at your partner I guess the treatment is the same and I guess that now two weeks into to treat the impact is starting to show 

    loss of taste mainly at this stage

    im sending you my blog. I wrote this all the way through my blog, it might help but I’ve also been told it’s  a good read

    gammaraygary.wordpress.com/.../

    ask whatever you want we are here to help

    vatch

  • Hi CalsheB. I'm sorry to hear about your husband's situation and I can fully understand your worry.

    I'm not a doctor, and what I know about tongue cancer is sketchy, but I believe the HPV cancers are generally more treatable and easier to cure, so this might be a good sign. 

    You can look up survival rates for most cancers, but there are some things you must bear in mind. By their very nature, they always relate to older forms of treatment. If you think about it, if you count how many people have survived for 5 years after treatment, then every single one of those people was treated at least 5 years ago!  Given that doctors are continually striving to improve their treatments, someone who is treated today can be expected to do better than 5 years ago, but we won't know how much better until another 5 years have passed. 

    So, this really means that looking at survival rates for any particular cancer can be a sobering (or downright frightening) experience, which ultimately yields nothing of any value, because it's all out of date anyway.

    I think it might be best to take comfort in the words of the consultant, who is aiming for a cure. Assume that this is going to work and there will be no major setbacks. If things don't work out, then there is still hope in clinical trials, or if the NHS listens to the words of Jessa Jowell there may be some completely unexpected experimental treatment available. 

  • Hello

    I have just seen your email.  I had a sqarmous cell carninoma stage 4 at the base of my tongue.  I was not expected to survive as most of my tongue was taken and neck disection carried out.  That was in 1982! and im still around.

     

    I think the T3 refers to the stage?  I did not have chemo only drastic surgery and radiation.  The late side effects of the radiation have now affected me and I am now unable to swollow due to a value in my neck being damaged by the radiation and scar tissue. I now feed through a tube.  I believe these days surgery is not so drastic and radiation is much reduced.   Things have improved greatly since my time in 1982.

    It comes with it challenges but there are many that survive for many years like me.  Your husband has to  have a positive attitute and that will help immensly.  

     

    Hope i have helped

    Kind Regards

    Suzy 

     

     

  • Hi

    The cancer staging can be confusing - TNM vs staging. I think my husband’s base of tongue cancer was T2N2M0 but was horrified to see it also written as stage 4!  I believe the HPV cancers respond better to treatment so please hold on to that.

    My husband had 6 weeks of radiotherapy with 2 rounds of chemo at the end of 2017 and is still doing well! The treatment was gruelling. We invested in a nutribullet and he made smoothies out of any fruit and veg he could - he was pretty much vegetarian during treatment due to his taste changing plus he could get his smoothies to the right consistency for going down his PEG feeding tube towards the end of his treatment, when his throat became sore. 

    He has had a year’s worth of monthly appointments and we are currently down to 2 monthly appointments. His taste buds have returned, he is eating and drinking as usual and back working full time again (after a very slow year of building things up gradually)

    it is easy to get bogged down with statistics of survival rates - believe me, anything out of the ordinary and I’m checking google and we have had a couple of scares along the way! Try to have faith in the treatment. My husband was the 5th patient in this area to go through this but they have taken many more in since. 

    Good luck, support each other and let others support you too - it’s often harder for the partner in some ways. Be prepared for dark times but know there are others out there who have got through this and there’s a good chance your husband (and you) will too.

    Very best wishes xxx