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 all,

    Thank you all for your replies and best wishes.

    I'm off to the hospital later today for a pre-op assessment ready for tomorrow's PEG procedure. It's been agreed that I will have the feeding tube fitted ready for when radiotherapy starts. First thoughts were I wouldn't need a feeding tube due to only one side of my mouth being treated but then it was decided that due to my low weight and that I have a young daughter to care for at home, this would be the better option, to avoid me being admitted to hospital later on if I struggle to swallow food when the side effects of treatment kick in. I'm not looking forward to the having the PEG fitted. I'll be sedated, so I'll be awake and the whole thing sounds not very nice but it's 30 minutes that I will have to get through, then it's all done. I will be required to stay in one night at the hospital too, so I'm wishing away the next few days!

    My mouth is healing well following the teeth extractions. I've hardly had any pain or much swelling apart from my tongue which I got checked a few days ago by my consultant and he said the 'new' tongue now has more room to swell as there are no teeth in the way to stop it! It will go down again but could take months but overall he is very pleased with me and my tongue.

    I now have all of my appointments for radiotherapy and chemotherapy which are due to start two weeks today. Radio will be everyday for six weeks and chemo will be every Wednesday for six weeks so I will finish just before Christmas on 20th December. I'm pleased about this but unfortunately my target of Christmas lunch has now gone out of the window. Perhaps my family can have another Christmas lunch a few months after Christmas! I just hope I can still make the most of the day with my daughter, I know she won't remember any of this but I'd still like to make it a normal Christmas as possible for her but I'm told the side effects will continue to be at their worst for a couple of weeks after treatment ends. We'll see how it goes I suppose.

    Thinking of you all, I'll let you all know how the PEG procedure goes tomorrow.

    Speak soon,

    Nicola

  • Hi Annabel,

    Thanks for letting me know about the book.  I got myself a copy and can't put it down! It's written well and some of the ways Lia Mills has so described things are spot on and I can relate to a lot of her thoughts and feelings.

    I was looking through the discussions to find an update with you and your journey and how you are doing but couldn't find anything recent. I hope all is well with you.

    Nicola x

  • Hi Colin,

    I hope all goes well with your operation and that it's nothing too serious. Will be thinking of you.

    I'm doing ok, dreading the PEG procedure tomorrow but it's just another hurdle. Treatment to start in two weeks from now and just want to get on with it now.  I'll let everyone know how it goes. My mask will be made on Thursday, this has all been delayed a couple of weeks due to my teeth extractions which is frustrating but all will be finished by christmas thankfully.

    Nicola

  • Hi Jo,

    I've been thinking of you, how is your chemo going? Is it like radiotherapy where the side effects don't show straight away? Or do they kick in immediately? Were your hands cold afterwards? It's nice that they warn you of such things, it shows that they care and we're not just 'another patient' to them. I feel like a bit of a celebrity when I go into my clinic at the hospital as everyone who works there knows who I am and what I've been through and can't do enough for me. I'm finding it hard to gain weight, I put on a couple of pounds then lose them again but I'm trying to eat well and have the odd takeaway too! Is the chemo affecting your appetite?

    You sound so positive, keep it up as before we know it our treatments will be over and we can think about getting back to normal again.

    Speak soon,

    Nicola x

  • Hi Simon,

    Good to hear your throat is recovering, lets hope your tongue catches up too. You have approx 9 weeks to get it in order ready for your Christmas lunch! I hope your plan works out for you.

    Looks like my Christmas lunch will be a nutrition drink via my PEG tube this year. It's is being fitted tomorrow, which I'm not looking forward to. It seems that you were lucky enough to have it done under a general anaesthetic. Oh well, at least my teeth came out whilst I was under a general, I don't suppose I could be lucky twice!

    I expect the thrush you have in your mouth is a result of all of this treatment and being run down. Funnily, that was what my doctor diagnosed me with when I very first went to see him about the ulcer on my tongue which turned out to be cancer. How wrong was he?! As far as I'm aware, it's fairly easy to treat normally so I hope that clears up for you soon. Sounds as if you are well on your way to getting back to normal again.

    Speak soon,

    Nicola

  • Hi Garf,

    I can not imagine how awful it must have been to have five teeth out whist being awake and aware of it! I think that would have hindered my decision massively if I wasn't having a general anaesthetic. Well done to you for enduring that! But yes you are right, no more tooth ache on that side of my mouth, it also makes brushing and flossing a lot quicker too!!

    The swelling is still there on my tongue but I'm told its normal and I shouldn't worry about it so I'm trying not to. I've too much else to think about right now so I've put it to the back of my mind for now, but I do hope it goes back to normal eventually as it was all looking really neat before. Smiling and laughing hurts at the moment as there are still some stitches in my mouth but soon enough my mouth will be a lot more painful! I still can't quite get my head around the fact that this is all happening to me. I wonder when it will feel real.

    Take care,

    Nicola

  • Hi Nicola,

    Just seen your post and wanted to wish you love and luck for tomorrow!

    Sadly, the chemo effects were pretty instant! I left the hospital with tingly fingers and a numb arm. I then woke up in the early hours of Thursday morning feeling so sick! Got very upset by it  all! I now know I need to take 2 anti sickness tabs at bedtime, after the next infusion! Lesson learnt!

    As the days have passed, I don't feel too bad, but like you, weight is becoming an issue! I've lost 2 lbs since last week and although my appetite is good, the nature of the chemo is causing diarrhoea! Taking more tabs for this too! Boy, do I rattle!!

    On Saturday night I had a well known brand, burger for my tea! Just fancied one! And I was a bit of a rebel and had a bottle of coca cola! (Fizzy drinks and a stoma = high winds!) maybe this storm is all my fault! Hehe!

    The community nurse rang me today and she's dropping me off some more high protein drinks! Hope these help with the weight gain!

    Celebrity status eh? Quite right too! I've no doubt you've become well known because of your attitude and the way you're approaching your treatments and recovery!

    Keep smiling, honey! 'Normal' is just around the corner for us both!

    Let us know about tomorrow,

    Big hugs, Jo xxx

  • Hi Nicola,

    Lovely to hear back from you, and I am glad you got the book and have enjoyed it. You are right it is well written. If my memory was better than it is at this age I would have told you about it before your op. I think overall it's a very positive read. I hope it encourages you to continue to write your thoughts and experiences. Such things might help others in the furure.

    As for me and my journey, I am fine as far as I know my dear, My treatment was just the total hysterectomy because I was lucky that my cancer was found at stage 1 grade 1, so I am very lucky. The oncology nurse on my last visit told me they do not expect it to return in someone of my situation. I still have to go for 3 monthly check ups for 2 years and then 6 monthly check ups for 3 years.

    I still come on here to help others if I can because I got such a lot of support when I was pulling my hair out with worry. These people have become virtual friends and are very important to me now. I sometimes think maybe I don't need to come on here anymore but if supporting someone can help then it's worth it. Some of the chatting on here is really good and funny. And why shouldn't we have fun just because we have a cancer diagnosis. We are all more than the sum of our parts.

    I am really glad you have got through your operation so well, I am sure tomorrows minor op will go well too. I will be thinking of you and look forward to hearing from you afterwards, hugs

    Annabel.xx

  • Hi Nicola,

    I just wanted to join Annabel and Jo in wishing you the very best of luck for tomorrow.

    You have been through so much up to now including some extra that you weren't expecting, I don't know where you find the strength to not only carry on with the treatment but to actually want it to start as soon as possible especially while looking after your daughter. Having said that I am sure she is a good source of strength for you.

    Take care and I would say keep smiling but since that is a little painful right now I will settle for a minor grimace.

    Garf, x

  • Well you will never believe my bad luck. The 'PEG' procedure failed! The doctor accidentally pierced my stomach lining as he was piercing the hole into the skin of my tummy and all of the air from inside my stomach came flushing out and is now stuck between my stomach and my skin. So the procedure couldn't continue. I'm now left in absolute agony as all of the air is putting pressure on my tummy and its swollen as if I'm five months pregnant. I can barely move due to the pain. It's awful and certainly something I can do without right now on top of everything else. I was in hospital for two days then sent home with anti biotics (to prevent infection) and paracetamol but the paracetamol was not strong enough. So I was admitted to hospital again yesterday, had a CT scan and an X ray which both show no signs of infection, but definitely a perforation and lots of air. Another operation was suggested to clear out the air but then that idea as abandoned and I have been sent home today with tramadol and more anti biotics.

    I'm so angry with that doctor as now I'm in so much pain and can't care for my daughter properly so have to stay with my parents. Also, I was nil by mouth for about three days this week and can't eat much now due to the stomach pain and I'm supposed to be gaining weight before radiotherapy starts. I also had things planned with my daughter this week as I wanted to make the most of a few weeks of normality before side effects of treatment kick in and I've had to cancel those plans. I know all procedures come with risks but I was not warned of this risk. The doctor responsible said it happened because I only had millimetres between my stomach lining and my skin where as most people have a couple of centimetres. The PEG is now planned for Friday but this depends on how my stomach

    I've lost trust in the medical team who dealt with this and they don't seem to know what's wrong with me. At first they said the air would disperse on its own within 24 hours but it didn't so then they say 48 hours, now they are staying a couple of weeks. Feeling very down now and worried that my tummy will never go back to normal.