Tongue Cancer - Diagnosed two days ago

Hi, I am a 32 year old single mum to my two year old daughter and I found out two days ago that I have tongue cancer.  I'm waiting for an appointment for an MRI scan and a CT scan which should hopefully be within the next few days and this can find out if the cancer has spread.  I then have to have an appointment to discuss a treatment plan but I have already been told that this will involve cutting out the lump in my tongue and a neck dissection to remove Lymph nodes.

It's all such a lot to take in and I'm trying to come to terms with the fact that in a few weeks time my life will never be the same again.  I have read some horrific stories about what I have to come and I am willing to face any of it so long as I stay alive for the sake of my daughter.  I have only told my parents and one friend so far, no piont telling everyone until I have more facts after the scans but I'm concerned at how far the cancer could have spread.  I have had this painful lump on my tongue for six months but the doctors kept giving me prescripotions for other things which has delayed diagnisis.  I have also had pain in my throat and more recently I've noticed ear ache and jaw ache and neck pain.  I'm trying to stay positive until I know more information from the scans but I know I will crumble if it has spread beyond repair.

From reading stories from others on here and other websites, I'm a little confused that I haven't yet been told what stage the cancer is at.  Isn't that something that could be identified from my biopsy?  How could the doctor be so sure that I will need a neck dissection before knowing what stage it's at?

None of this has come of much of a surprise.  I googled my symptoms of a persistent ulcer back in April, before I first went to the doctor and was alarmed to see the word "cancer" everywhere I looked.  I had all the symptoms but was just hoping I was wrong.  The first two doctors I saw about this reassured me that it was nothing more sinister than an ulcer, which put my mind at rest a little, how wrong were they?!  I am just glad that I stayed persistent and kept going back to the doctor about it.  I don't think they treated it as an urgency as I don't fit in with the usual risk factors, I've never smoked, I hardly drink and I'm not in the right age bracket.  I'm now feeling annoyed at the waiting game.  I want to know when the scan will be.

It helps to come on here and read other threads but I still don't think it has fully sunk in yet but when it does, positivity for the sake of my little girl will just have to get me through.  I would love to keep hearing stories from others or any advice would be greatly received.

Nicola xx

  • Hi Nicola,

    Thanks for replying on the other thread.

    Your cancer sounds similar to mine. I guess mine was further advanced and they said it was aggressive. I lost about 65% to 70%. which

    didn't leave much. They didn't suggest a rebuild, perhaps it was too far gone. They also removed various other bits and pieces at the same

    time so I cannot eat. This is no big deal as I have a perfect diet from 3 bags a day of nourishment via  my PEG. (2,100 calories).

    The advice to eat well before the op. is good. I lost 2 stone plus after my op. I was 3 weeks in hospital but part of this was due to a blood

    infection caused by the one grotty nurse.

    The operation scars are very neat and I look pretty much the same as before, so I would't worry too much if I were you. They are just fine lines

    on my chin and throat.   They took muscle (pectoral) from my chest for the blood supply. My OP. took six and a half hours.

    The thing about an operation is that you are entirely unaware of it and should wake up without pain. I suffered fo 2 months with tongue teeth and ear

    as you are so it was a relief.

    I can speak, but not very well, you sound to be in a much better position.

    The feeding tube in your nose is not uncomfortable, you just have to be aware it is there when moving in bed. Mine would often

    come out an inch or two overnight. It pushed back in very easily.

    It is not going to be a lot of fun but you will get through it and be fine. Just be positive and keep your sense of humour.

    I used to tease the nurses and we had a good laugh. (Not easy with  my French)

    Kind Regards

    Colin

  • Hi Meerkat,

    Thank you for your lovely message. I've not been given any drinks yet but my pre op appointment is next week so perhaps I'll receive some then. Another member on here has said he lost two stone following his operation and I can't afford to lose much weight at all so I've been eating well and trying to pile on some calories!

    It is a relief to hear it hasn't spread isn't it. I felt like there was so much of a build up for me before my scan results, the days were a blur. So happy to hear yours didn't spread either and a good word - manageable - is sort of how I'm dealing with it too. I hope you have a lovely holiday, I'm taking a break from work before the operation too, I have so much to do beforehand and organise what with a two year old. Please keep me posted on how you are doing. My operation is in two weeks and I'm sure I'll post again before then.

    Take care,

    Nicola xx

  • Hi Colin,

    Thanks for your reply and thank you for the tips with the feeding tube etc. I must admit I'm not much looking forward to that, I'm focusing ahead on when I can try swallowing some soft foods, that's helping me stay positive about it all. Glad to hear the scars are neat and you are right, it will be a relief to finally have this thing out and eventually no more pain - I hope?

    I wonder why you weren't offered a rebuild. I must admit I didn't quite understand it all at first, I thought they were taking skins grafts etc to cover the wound on my to tongue, I didn't realise I would be having a new half built! It's going to feel very strange. They have said my tumour goes from the right side of my tongue (I can see it on the side of my tongue) into almost the centre of my tongue so they will be taking it away and a little extra. I'm glad you say no pain after the op, although I'm told my arm will probably feel the most painful due to the artery being removed and the skin graft, but all for a reason eh?!

    Glad to hear you are sounding so upbeat and happy post op. I just hope I can be the same five years from now. I will post again with my updates.

    Speak soon,

    Nicola

  • Hi Nicola,

    I had another thought.

    I live in France so the routines may not be the same but after my Op.the bed was set so that I sat

    at an angle of about 45 degrees. I think this was because of the large amount of mucus generated.

    This may not happen with you.  I found after a couple of days in this position I had a numb bum.

    If this does happen to you and the hospital do not provide a cushion which is doughnut shaped

    it would be worth gettng a friend to buy one. Two weeks in this position is a long time.

    Regards

    Colin

  • Hi Colin,

    Thanks for this tip! They seem to think I'll be up and about after about three days, I hope they are right. I've been at the hospital all day today. I had five appointments in total, one after the other, I was at the hospital from 10:30am until 5:30pm and now feel exhausted! I had my pre-op assessment, a meeting with my cancer nurses and speech therapist, a meeting with the surgeons, a dentist appointment and a meeting with the Head and Neck 5000 research project coordinator.

    Turns out I'm having one of my wisdom teeth removed during my operation. This alarmed me but they say its got to come out anyway so best to do it at the same time as everything else.  I've also been given some of those nutrition drinks to drink before the op, as Meerkat mentioned. I have to drink three a day for three days then two on the morning of the op. The surgeons went into more detail about the risks of surgery and about the skins grafts. The risks are a droopy mouth on one side as they may damage the nerve in my neck when taking out the lymph nodes and also the nerve to my shoulder which can cause problems with the shoulder muscles. This worries me a little. The grafts will be from my arm to rebuild my tongue then from my tummy to cover my arm. My tongue will be two toned in colour due to the different coloured flesh of my arm to my tongue!

    Just want to get on with it now but I have over a week to wait. I plan to keep busy and not think too much about what's to come, I will face it head on at the time. I'm still eating well, lots of yummy food whilst I can and everyone is wanting to take me out to lunch before my operation!

    I will post again before my op, everyone from here are always in my thoughts, the support I've gained from this site alone has been wonderful.

    Speak soon,

    Nicola

  • Hi Nicola,

    Have just seen your latest post to Colin. Wow! What a day you had yesterday! It sounded as if you were in the hospital longer than some of the staff who work there! No wonder you're exhausted. Probably physically and mentally with all the information you're processing.

    I see the hospital team have said you'll be up and about after 3 days. The nurse at my pre-op assessment said pretty much the same thing. . . Up and walking about asap after the op and walking to markers on the ward corridors by day two, further by day 3 etc! Hope I'm not expected to do a lap of the car park by day 4!! I know it's all to do with DVT, just hope our bodies perform eh?

    It's good that you're planning to keep busy. That's my 'coping' mechanism too! My partner gets exasperated as I'm beavering about doing 'little jobs' all the time! (I think his exasperation is two fold - 1. he says I should be resting and 2. I have this habit of starting a job then moving onto something else and so on, resulting in loads of things on the go with none being completed!) they will be! No doubt your little girl will keep you busy too, in a good way.

    Glad you're eating lots! As you know, I'm following your example and I've reached the heady (should that be heavy) heights of 8 stone 3 pounds!! (Eating lots is tricky for me as my normal preferred eating pattern is 5 small meals a day (my partner likes 3 hefty meals a day) so I try to sneak a couple of extra snacks in through the day. Enjoy your lunches out!!

    Do you know how long your surgery will take? It sounds as if there are a lot of procedures within one operation.

    Your op is a few days before mine so I'm not sure I'll see your post-op post as our hospital times may overlap (don't think there'll be wifi in the hospital and my phone is archaic (just calls and texts!) but I'll look you up as soon as I'm back in the land of technology to see how you're doing.

    I do hope you don't mind my ramblings. . . I think I write like I speak! Probably a good job I'm 'virtual'

    Take care of yourself, Nicola

    Best wishes, Meerkat (Jo) xx

  • Hi Nicola,

    If you are having you op to-morrow I hope all will go well for you. Look upon losing your

    wisdom tooth as a bonus.  I lost part of my jawbone. The fact I had a bridge fitted six

    months previously at a cost of 2,400 euros made it more painful, financially that is.

    I guess you will have to be fed by tube until your tongue graft has healed, so the

    tube is definitely a good thing. I wonder if anyone else on this site has had a tongue rebuilt.

    I'll be thinking of you.

    Colin

  • Hi Nicola

    Ive just read your posts and I wanted to wish you good luck. It is so hard waiting.

    I was diagnosed with cancer of the tonsil and a brain tumour in february. After chemo and radio, I had a clear scan in relation to the cancer last month. The treatment was pretty grim in parts but you get through it. Like you, I've got kids and have never smoked or drunk to excess. I'm a bit older (45) but it has all been a massive shock.

    I'm now waiting for a brain op which will probably be early next year.

    Make sure you accept all offers of help so you can rest. I didn't see anyone apart from immediate family for two months because I couldn't speak and felt so rough due to the chemo but I kept in touch with my friends by text. I know they felt helpless and wanted to help.

    You will get through this. It too six months but I feel fine now - just nervous about the next op.

    Take care.

    Debbie

  • Hi Nicola,

    Just wanted to come on and wish you well in your operation. Will be thinking about you and your little girl.

    Take all the help and support you are offered.

    will be here when you get back.

    Hugs and best wishes

    Annabel.

  • Hiya Nicola, I've followed your posts on here as my mum was diagnosed with base of tongue cancer a few weeks ago, she isn't having an operation, her situtaiuon is different to yours... the cancer has spread to both sides of her neck. she's doing ok after having her tonsils removed and a neck dissection (she found that bit easier than having the tonsils removed) he's just completed 6 weeks of RT with weekly chemo.

    i just wanted to say (as the others have) your attitude and approach to this is so positive .. so  keep fighting and we'll be thinking of you xx

    Andrea