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

    I just thought i would drop you a line as I have been chatting to simon who appears to have gone through the same thing i am now facing

    At present I have a secondary site in my lymph node on the right hand side of my neck ... they can not find a prime site I have had multiple cameras and tubes doen my throught had a ct scan and a PET CT scan and no primary site found ... I am now going into Addenbrookes on monday for multiple biopsies from the back of the toung throat and a scape of the tonsil area (although i had them out when i was 8) before they assess my treatment plan

    At present i have been told that they seeno need to operate and think the lump can be dealt with ... via the 6 week of chemo and radio therapy ... so you appearto have had it a lot worse than myself

    I know what i have and accept it and like where Simon was i just want to get on with it and reading your and Simons posts has given me a flavour of whats ahead ... i know its different for everyone

    Im just trying to get a perspective on what i am now facing and how long im going to feek crap for as i have a business to run and am trying to put in steps to limit the impact of my absenses

    regards

    Gary

  • Hello everybody,

    Sounds as if everyone is doing well especially Gary. Have you finished treatment now? How are you feeling? Sounds as if you have coped well, how was the cookie? There was no way I could have eaten a cookie at this stage with a frazzled tongue! As for being bunged up, Laxido was what I was prescribed, it seemed to help. Strangely I've still got them as well as some other meds, I feel weird about throwing them away but I'm not sure why I'm keeping them, kind of a safety net I suppose. Keep me updated with the Leeds meet up, I love Leeds. I will try and make it if I can. You sound as though you have escaped the phlegm issue, I still get a sticky mouth first thing in the morning but the phlegm problem settled down a few weeks after treatment.

    Simon, I've noticed an improvement with food too. I eat three meals a day most days now which helps the fatigue. Pleased to hear you say you have days when you feel like you've never had cancer, I look forward to that. I'm still waiting for my peg to come out, I have a tongue check up next week and I'll be making my disappointment known, I just want it out now. The referral should have been done almost eight weeks ago so it's time to make a bit of fuss I think! I'll be glad to be rid of it however every time something comes to an end and its another step closer to being normal again I get a little wobbly. I suppose like you were saying, it's all been a safety net and when it was time to have my PICC line out or stop meds etc I felt a bit shaky. Sounds as if you are back into the swing of life which is great, I hope you get the help you need with the night sweats.

    Irene, sweet potato chips are a great idea! I will try that. I find regular chips too dry too and I can't have ketchup as it stings but I did try chips and mayo but again was still too dry. I add caramel syrup to my coffee and a big spoonful of sugar, otherwise I can't taste the coffee alone. The worst times are in the evenings when I fancy picking at something nice to eat. I used to have chocolate or cakes/biscuits, now it's rice pudding with a dollop of jam but it all takes so much more effort! Sorry to hear about the episode of blood, perhaps something was a little harsh on your throat which made it bleed. I know my throat is still ever so raw and wounded. If feels as if someone with long nails has scratched down the inside of my throat and the same areas seem to sting most when I get brave and try something a little spicey. It was also very sore when I had a bit of a cold and cough recently.

    Gary, I'm sorry to hear of the position you find yourself in because of cancer. None of the treatment is pleasant but it is manageable. It does get depressing at times especially if you are unable to eat but you just have to keep reminding yourself that it won't be like that forever, only three months ago I couldn't ever imagine eating normally again but I'm already tucking into meals. In terms of time off of work etc, I didn't work at all throughout my treatment but that was due to the major operation I had a couple of months before my treatment started and I was told to expect a minimum of four months of recovery time from the surgery alone. However I did meet another person having the same treatment as me and he managed to continue working through most of the six weeks, I believe his job was partly physical. I would suggest putting steps in place to ensure you don't have to work and if you can then its a bonus. You never know how you'll feel from one day to the next and it can be quite exhausting. I know I couldn't have thought about working when it was happening for me, I struggled for three to four days following the chemo each week but everyone is different. Also, try to remember that the recovery for a few weeks afterwards is when you will also need to rest. It all sounds like such a lot to think about in the beginning but as long as you have help and support, it's only a short time of your life that will be disrupted. You'll be back at work and back to normal before you know it! I hope all goes well on Monday, let us know how you get on and please feel free to ask any questions. I'll be thinking of you.

    Speak again soon,

    Nicola xx

  • Hi Nicola

    I do not think anyone will blame you for delaying the biopsy.  I know from your previous posts that the Paris trip has been planned for some time.

    Go away and have fun with your daughter.  There will be enough time to worry when you get back and I doubt that a week or two will really make that much difference.

    Have a great time.

    Gill

  • Hi Nicola,

    I'm really sorry to hear about your mouth. What you describe is sounds very similar to something I experienced some weeks ago. I had a white lump (sort of a creamy colour really, with some pink thrown in) on the rear underside of my tongue - it wasn't raised at all so a patch may have been a better description. I kept an eye on it for a few weeks and it didn't go away. I became quite concerned and the oncologist had a look and said that he thought it was a type of ulcer and that it was being aggravated by tooth friction. Anyway, long story short, it did disappear on its own accord after a month or so. I've since had another similar episode. Apparently these things are common post radiation. Do not worry (hard, I know) and enjoy your trip - you deserve it.

    We're all looking forward to hearing about your trip!

    Simon XX  

  • Thanks Gill and Simon, I appreciate your encouraging words. This really is torture!! I'm beginning to think that I should have just taken the Monday appointment for the biopsy so the results would be ready when I got back, too late now though. I keep thinking the worst and I don't know how to deal with this worry, it's going to be a good three weeks before I know anything and I can't seem to find much info on recurrent tongue cancer except that further treatment isn't usually an option, only surgery. It's not that I panic every time an ulcer appears, I've had loads since treatment ended but this one has hung around for three months now and is looking and feeling more and more similar to the original one last year. I've also been having sharp pains in my neck too. It's also really hit home now how cancer is always going to affect my life - whatever the outcome of this, there will always be that cancer cloud above my head. But I'll live with that, so long as I'm here for my little girl. I'm so, so worried!

    I'll keep you all updated and let you know how the biopsy goes.

    Nicola xx

  • Hi Nicola

    I'm sorry you now have something else to worry about. Hopefully it's nothing. I don't know about you, but it definitely feels like I had a life before cancer and a different life after.

    I've found that the worrying does decrease with time although I'm sure it never goes away completely.

    Try and concentrate on the fab holiday you are going to have with your daughter.

    Debbie

  • Nic, heart goes out to you. We all love our kids. The only thing I would add is that if your mouth has assumed  new shape then tooth rubbing is a logical outcome! Everything crossed for you. G.

  • Hi Nicola

    Just enjoy your trip to Paris and try not to worry.  Once you get back the biopsy will be done and the results will come through and an extra couple of weeks is probably not going to make much difference at all.

    I can understand your feel about the cancer cloud.  Even though there is no trace of my cancer each time I suffer even a minor infection it will be in the back of my mind that maybe it is the lymphoma returning.  Unfortunately I think this is something we all have to expect and will just be relieved when it is confirmed that it is indeed just a minor infection.

    Do let us know how you get on.

    Very best wishes.

    Gill

  • Oh Nicola I am so sorry to read about how worried you are at the moment.  Seems all the more unfair that this should crop up just as you are preparing for your long-awaited and well-deserved holiday.  As we all know, trying not to worry is a very hard thing to do, but I sincerely hope you can put this to the back of your mind and have a fantastic time in Paris.   Keeping everything crossed for you, lots of love, Irene x

  • Hi Nicola,

    And another thing to remember is that the recurrence rates for oral cancer are generally much lower than those of other types of cancer. Not much comfort I know but it is something to keep in mind, along with the fact that aggravated mouth sores, ulcers and other growths are very, very common in people like us (i.e recipients of radiotherapy to the head and neck region).

    The point Gill makes about another couple of weeks not making much difference to how the thing will be dealt with, in the extremely unlikely event that it does turn out to be something naughty, is well made. Also, I think that once you are away this will go to the back of your mind (where it belongs).

    I do understand how you must feel. The world is definitely a different place for us cancer survivors.

    Have a good trip and we all want to hear how it went when you get back.

    Simon XX

  • Hi Nicola,

    Just seen your latest few posts and like the others, I was sorry to see that you've got a few worries just before your long awaited (and much deserved) trip to Disneyland.

    We all know how hard it is not to worry, but hopefully, the sight of your little girl's enjoyment and wonderment in the park, will be enough to push the worries to the back of your mind for a wee while.

    I look forward to hearing all about your trip (I'm off for my op next Friday so will be offline for a while!) but I'll be logging in asap after I'm home!

    Enjoy Paris and we'll chat soon,

    Love and hugs to you, Jo xx

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