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

Parents
  • Hi Nicola,

    How are you doing?
    My mom starts her radiotherapy from tomorrow onwards, she took the expensive treatment which doctor told her that will have less side effect, I hope it does. She told me that her upper neck near her ear have a big swollen there, is that normal?
    and can i know that is it completely recover after the radiotherapy? 

    Hope you are fine there.

    Take care!

    Ping

  • Hi Nicola,

    How did your ultrasound scan go? I assume that there was no problem?

    Ping - If the swelling you mention is a swollen lymph gland then you may well find that it reduces in size during the radiotherapy. I had an initial swelling that was a swollen lymph node - this was removed for biopsy. Then another one swelled up to the size of half an egg. It slowly disappeared when I was about half-way through the treatment.

    Guzzle - Everyone recovers from radiotherapy at different rates. Personally I would not have been comfortable travelling just a few weeks after the treatment had finished but then everyone is different. I couldn't eat, drink or talk for a few weeks and my PEG tube wasn't removed for four months. You may well be fine. I know a lot of people who have sailed through the recovery. Radiation to the head and neck is a funny old business and can do strange things to eating and sleeping habits. As I said, I would not have gone abroad but you may well be okay. You will need to tell your travel insurance company about your situation though.

    Simon xx

  • Hi Guzzle,

    Sounds as if you have survived your first week without too many problems! Well done. As Colin has said, the mucus issue does become a problem when your bolted down wearing the mask, cough up as much as you can beforehand, I didn't find this to be too much of a problem for me, only once I had to raise my hand for them to release me so I could have a good cough! The anti sickness meds are a God send, you have reminded me of that awful sticky feeling and I shuddered at the thought! I look back at those days with much sorrow as it was a difficult time. I hope you haven't suffered too much with the nausea.

    Yes the Penny Brohn Centre was very good, I'm going back for a cooking demonstration soon, they give ideas for healthy eating and give samples of food. This will be useful to me as I still finding my feet with eating properly again. I've also got a meeting with a support person who will help me figure out what I need. I'm really struggling with the fatigue problem since treatment ended. I had hoped it would have got better by now as RT and chemo finished four months ago but as I was so tiny beforehand my consultant seems to think I'll suffer a little more fatigue. Typical! I didn't take the toddler to the centre though, she doesn't sit still for long!

    Keep using the cream even if your neck isn't sore yet, it worked well for me but otherwise, keep going! Time will fly by from now and before you know it, it will all be over. Sounds as if your hospital are helpful with letting you stay in for the night. Also sounds as if Colin received some great treatment too although I have to say, I have no complaints with our NHS with the treatment I have received, it was brilliant.

    I hope you've managed to eat well and have some more curries - I miss curry! Good for you with gaining 8lbs!

    All the best for another week of zapping!

    Nicola

  • Hi Colin,

    Good to hear from you.  My RT sounds similar yours although I only had the one side too. The machine seemed to zap me from the far side, then keep moving over until it was directly above my head, stopping to zap me as it made it's way. So it zapped me from five or six different positions. Each one was a few seconds but I remember counting the zaps and in total came to around 90 seconds. Then I always knew it was time to be let out from the mask! A couple of times the machine broke down which was frustrating. I have the mask at home now as I wanted to keep it however I got it out of the cupboard recently after three months of not seeing it and I must say, it stirred up some horrible emotions.

    Two sessions a day sounds harsh! That must have stepped up the side effects for you. I'm shocked that Gary hasn't been offered a PEG as we were, I hope he can manage to eat without too much pain. I remember that you said you still have yours, I'm due to have mine out soon and I think it will feel strange not to have it!

    Speak soon,

    Nicola

  • Good to hear from you Nicola. Glad centre was helpful. Only had v. Mild nausea but still eating and meds ok. Going to attempt another curry tonight! Apparently you eventually get your curry buds back! It just takes time and maybe you develop milder tastes. Try to bulk up a bit that should help fatigue. I guess Im adjusting to not running etc but inevatably will start to lose weight. A few people have said they can get a bit down when they finish treatment so keep your chin up. G.

  • Hi Nicola,

    Good to hear from you and I'm glad that things are moving in the right direction. I think you'll find that having your tube removed is a bit of a milestone for you - it was for me. It felt wonderful not to have it dangling about. It was a lifesaver though. Like you, I'm surprised that Guzzle hasn't been given one. Gary - I would ask for one straight away if and when you start to have difficultly swallowing.

    It's a shame about the fatigue, Nicola. Five months post treatment was the point for me where I felt that the fatigue had reduced to near normal so maybe you'll see an improvement in the next few weeks.

    My phantom tooth has been diagnosed as, wait for it......... osteoradionecrosis! I didn't know what it was either. Apparently it's bone that has been killed by the radiotherapy and started growing through my lower right mandible. I'm to see yet another consultant to get it sorted out. I'm still having the night-sweats about 4 or 5 times a week and the next port of call for this is the endocrinology department to get my hormones checked. I'm certainly getting my monies worth from the good old NHS - imagine if we had to pay!

    Good luck Guzzle and get that curry down you while you can - I used to love vindaloo but it's a dim and distant memory nowadays.

    Simon.   

  • Sorry to hear that mate. Hopefully specialist can fix it soon. Regards Gary

  • Hello Friends

    Haven't visited in ages due to a really full-on month - back to work, a wedding, elderly mum in hospital for 2 weeks, then sickness bug followed by a cold,so have been feeling pretty whacked!

    Other than that I'm doing fine, having had my monthly check-up this morning.  The only disappointment was I'd been told they might take my PEG out today if I'd maintained my weight.  Well I knew I hadn't with the sickness bug and all the rushing around taking turns with hospital visiting and staying over with our soon-to-be 90 Dad (I'd lost another 8 lbs) but I thought they might take that into account.  However turns out I have to wait for an appointment from a different department anyway, so hopefully it won't be too long.  At my previous check-up I got a gentle ticking-off for not trying hard enough to eat.  Because I wasn't enjoying anything savoury I had given up trying and was only eating puddings and supplementing with overnight pump feeds.  So two days after that appointment I just bit the bullet, stopped using the PEG completely and forced myself to eat normally, just washing everything down with copious quantities of milk.  Apart from spicy stuff (I miss my curries too!) I'm pretty much eating normally as before, just smaller quantities - I can never clear my plate though. Changed days from when I was an absolute gannet, would have seconds if they was enough and hoover up leftovers on the rest of the family's plates - no wonder I was over 13st!  I'm now 11st 6lbs which is hardly lightweight so it just feels so weird that they are concerned with me not losing any more weight.

    I started work at the beginning of this month at 3 hours per day, some days at home, some in the office and have gradually built up my hours until this week when I've done 2 days at my normal 6.5 hours a day.  Am pretty tired by finishing time but coping so far.  Hopefully my Mum will get home from hospital soon which will make life much easier.  She dislocated one of her artificial hips two days before my nephew's wedding, so she missed seeing her grandson get married, which was a real shame. I really enjoyed the wedding, ate quite well and even enjoyed a couple of drinkies - have discovered I like bacardi and coke again with my new taste for sweeter stuff.  I also had a bit of a bop round the dancefloor and even managed a very energetic 'strip the willow' (a poplar Scottish reel with lots of 'birling') with a burly policeman - we showed the youngsters how to do it properly!

    Good to catch-up with all your news and hear of your progress.  Gary, best of luck with the rest of your treatment and don't forget to ask about a PEG if you start to have difficulty eating.  They are much maligned in many ways but I think we all agree them to be a godsend too.  Nichola - let me know how you get on getting yours out, i.e. what's involved?  I'm sure I read somewhere they just yank it out but surely there's a bit of local anaesthetic?!?!?!  Simon bad luck re the osteoradionecrosis - sounds really grim!  Hope they get that sorted out soon for you.

    Best wishes to everyone else on this thread not mentioned above, especially Jo and Debs.    It's lovely to read that some of you are meeting up - wish I wasn't quite so far away!

    Irene

  • Hi Irene,

    From my experience the PEG removal is nothing to worry about. My first one was held in by a disk about 5/8 of an inch in diameter.

    The doctor did just yank it out , a bit of blood but no pain. Since then the following ones had a small deflatable baoon for retention.

    They deflate it and the tube comes out easliy.  I now gave one called a button which has the baloon. This has no external tube, just

    a port onto which a tube can be locked. I can swim or do almost anything with no problems.  I change this myself when necessary.

    I have mine for life and apart from the drag of sitting there for about an hour three times a day it has no drawbacks.

    Good luck.

    Colin

  • Hi Irene, hope your parents etc all good and glad to hear you had a jig/drink and you are getting back to work. Met a few people who said pegs coming out were no probs.Im on week 2. Early days but little jog today, little bike ride yesterday. The first chemo last week doesn't seem to have hit me and had a curry last night but not complacent as early days. Still eating a lot so far! Discussed peg with Dr. She said as they were only zapping one side if I couldn't eat she would have me in the ward with a nasal tube to suppliment what I could get down with pain meds but does not seem for the peg in my case. Have been stocking up on softer foods high in cals. Who knew that a can of mac cheese has 400 cals or cream of chicken soup 300? Weight being maintained but at a push can lose a few stone although this would make me skinny? Trying to say as active as poss without overdoing it. Thinking of you Simon. There are people on CSN who have got through this really well and a guy who is just about to have surgery (US site Leo from Branchial thread used for research). They are a friendly bunch and may be able to give you some experience. Rooting for you.

    Nicola you hit Paris yet! In waiting for your report! Colin where in France are you? I always imagine you on a terrace in the South somewhere! G.

  • Hi all

    It's good to hear that you are all doing ok.

    I hadn't realised you weren't having a peg tube! I only had treatment on one side but perhaps it depends on the particular spot the rt takes place.

    Nicola, I hope you start to feel better soon. I too started to improve after 4 months after the treatment ended and by 6 months I felt pretty good. I suppose the fact that you are so slim may mean it will take a little longer.

    My friends dad had mouth cancer 10 years ago and is still doing fine. However my friend asked me if I too had been told not to drink again! Eek! No one has ever said that to me nor to Irene with her Bacardi! Were any of you told that? I don't want to give up my vodka, lime and soda!!

    Keep going all of you - it does get easier!

    Debbie

    X

  • Im sure if its well diluted its fine! It would only have the same Alcohol as a beer? Ive been told to keep away from neat spirits but even in treatment I can have the odd beer if I feel like it. Had one with my curry last night before my buds get frazzled!

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