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

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  • hi nicola. can you give me some advice please. i was diagnosed with squamous cell carcinoma tounge base. july 23rd 2014. ive had 65 gy in fractions 31st oct 2014 i could only manage 1 cycle cistplatin as it made me very ill (chemo). i have a freeka peg. im trying to eat what i can. ive lost nearly 4 1/2 stone. diagnosis ct4 n2b. its affecting my mental health. hope you are ok. x

  • Hi Zoe, I'm sorry to hear you have been struggling a bit, I think I replied to your previous post? The mental impact of not being able to eat is huge and I don't even think my cancer nurses/oncologist/consultant could comprehend just how hard it is. What sort of things are you managing? I started on small sips of tea and coffee although they did not taste as I remembered (they do now) then I progressed onto very runny porridge or soup but it had to cool down a lot as my mouth is now extra sensitive to hot and cold. Then I moved onto scrambled eggs and omelettes and fried eggs before I was confident enough try proper solids. Sausages was one of the first things I enjoyed when I got to the solid stage as they are quite soft and don't take quite as much chewing, I also ate a lot of lasagnes! Then anything with gravy such as cottage pie, roast dinners, beef stew (but I didn't eat the beef). I also snacked on yoghurts, angel delight, rich pudding with jam, jelly with cream and custard. I was told to eat all the naughty foods so I could gain weight and I added grated cheese and cream to my scrambled eggs and soup for extra calories. I eat pretty normally now although there is a lot I can't eat and probably never will again. I'd say it took me nine months to get the confidence and ability to eat as well as I do now but I was eating fairly well by 6 months after treatment ended. I hope this helps and gives some guidance with foods. I had a very good dietician, have you got any support like that? Please keep in touch and I'll help with any tips that I can or feel free to private message me. Wishing you all the best, Nicola xx
  • Hi all,

     Am just back from States.  Afraid I can't make April; perhaps another time.

    I also have the problem that I am unable to eat at all, so a meal would be awkward.

    I still find this new format not to my liking. I think it was not designed by DP professionals

    in concert with the users. I find it less than intuitive. Perhaps senility is my problem?

    Regards

    Colin

  • Hello, this is my first posting on this site. I have been reading every post so far and bought the book 'In Your Face' which was mentioned and I must say it was an inspirational book and gave me an insight into what was in front of me.

    I was just discharged from hospital on Friday after nearly three weeks. I had a large tumour on my tongue so I had 9/10th of my tongue removed and also my lymph nodes. I had a reconstruction usng an artery from my arm and then a skin graft. I then had a skin graft from my tummy to my arm. Everyone is saying how well I have done in this short period as people can understand me whenI speak through my trachy. I go back next Monday 23rd for my DMT meeting to see if I will need Chemo/Radiotherapy. I think I am more worried about that than I was about the op.

    My problem at the moment is: I am on a Texture C diet, moving up to a Texture D but I find I always feel my mouth is loaded with creamy gunge. Is there anything I can use to keep my mouth fresh, I do have an antiseptic mouth wash I'm using. I'm wondering if it is just this alien being that is my tongue now.

    Any advice would be very much appreciated as you have all been an inspiration to me prior to my op and since my op. At least when my Consultat was explaining what had to be done I understood it more after reading all the postings on this site.

    I'm just so grateful to have my life back and want to do everything in my power to make it more comfortable. Many thanks for listening to me. Mary (Scotland)

  •  Hi Mary,

     

    Welcome. It is nice to hear such a positive first posting considering what you have been through.

    Like everyone here I can only speak from my own experience.  I think that the radiotherapy is

    no problem. I had 42 sessions and apart from something like mild sunburn had no ill effects at all.

    When they do it you have no sensaton of any kind - they could be taking a slow photograph.

    The chemo will depend on what they give you. I was lucky and felt almost no discomfort or nausea.

    I didn't lose my hair either which upset my balding friends.

    I still have gunge in throat and mouth after nearly 8 years.  I have about  35cc of hot coffee about

    4 times a day which thins it so I can cough it up.  The doctor warned me against attempting to drink but if I'm careful I only have a coughing fit now and then.  I also use listerine twice a day. I am very careful not

    to let it get to my throat, only my mouth.

    Keep up the positive attitude and you will be fine.

    Good luck

    Colin

  • Hi all

    i would love to meet you all but we are away on holiday in April for two weeks and then, on the day you are meeting, it's a friends 40th so I can't come. Hope you have a great time.

     

    my brain op is being brought forward as i had a headache for 15 days. I go next week to put the wheels in motion. Eek!

     

    hope everyone is continuing to improve.

     

    debbie

    x

     

     

     

     

  • Thankyou Colin for your reply. Unfortunately I don't like coffee but I will try the mouth wash. I was wondering if it was those complan drinks I have been having and I've also been drinking milk. Time for a rethink||| I did try some fizzy orange but a no no.

    Thankyou also for comments about your radiotherapy. I had heard some horrendous stories regarding radiotherapy to the mouth. At least your experience gives me a little hope. How long does chemo and radiotherapy last? We are hoping to go on a cruise at the end of July but have until the end of April before making the final decision. I think we, cancer sufferers are a very resolute lot. I was able to have a shower this morning by making a cling film scarf to put round my neck to protect my trachy and then I cut the fingers off a rubber glove and put it on upside down over the dressings of my skin graft on my arm. Hey presto| a beautiful shower was had. So, as you can see your post has cheered me up no end and I'll just have to wait until Monday now to find out the next step forward.

    Thanks again

    Mary

  • Hi Mary,

    The normal time for RT seems to be about 5 to 6 weeks. That is 32 sessions 1 a day for 5 days a week.

    I had 6 chemos at 1 per week. The chemo took about 3 hours on 2 successive bags of whatever,

    via a drip feed.

    I foregot to mention I have a lymphoedema. I massage it and it remains unchanged(ie. not larger)

    I understand this is fairly normal where lymph nodes are removed from the neck. I have to take

    pills for my thyroid which also suffered from thr RT, but this is no big deal.

    I lost about 60%of my tongue but there was never a suggestion of a graft. this was probably because

    they told me up front that I would not eat or speak again. I do a good impression of the village idiot

    and my wife picks up most of it if she listens carefully.

    Rubber and clingfilm - the mind boggles. I used to use film dressings at first but since I have had

    a button type PEG I don't bother. (The other scars had healed by then)

    I hope the news will be good on Monday and your fears allayed.

    Colin

  • Hi Mary

    Just wanted to say hello and 'welcome' to this site.  I can't stress enough how important it has been to me and how much it helped when I was going through my chemo and radiotherapy.  

    It's really good to know that reading our posts has helped you cope with your diagnosis and possible further treatment.  If you do need to have chemo/RT, you will already have gathered that it can affect us all in different ways.  My cancer started in my tonsil but I had no idea there was a problem until I found a lump in my neck because it had spread to a lymph node.  I had surgery to remove that and later the tonsil but no tongue surgery or neck dissection.   I did have follow-up treatment though - 6 weeks of daily RT with weekly chemo (Cisplatin) which appears to be pretty standard.  As Colin has explained, you don't feel a thing during RT and I only had a very short spell towards the end where the skin on my neck broke down, but it healed very quickly.  I did have quite a few problems with sickness though.  I remember being told if you were prone to travel sickness or had sickness during pregnancy, then you might fare worse - and both applied to me!  However I'm delighted to report that all this is now a distant memory.  I am almost 14 months post treatment and life is pretty much back to normal.  I too have a bit of a 'dewlap' due to lymphoedema and I my eating habits have changed a bit, but not too much to complain about otherwise.

    I've also read your second post and was really impressed by your resourcefulness in the shower!  You must have been in the Guides and learned the art of improvisation or maybe its just good Scottish common sense ;)  Sounds to me like you have a first-class positive attitude to this, which I am convinced really does help, as well as trying to hang on to your sense of humour!  

    Can't really give you any tips on keeping your mouth fresh as I tried all sorts and nothing really worked.  I did for a while suck Ricola herbal sweets which were the best option I could find.  I still have a bit of a problem with that but I do recall it was a lot worse when I was on lots of Ensure drinks/milk and PEG feeding.  I also get recurrent bouts of thrush so it might be worth getting checked for that?

    Wishing you all the best for your appointment on Monday.  Fingers crossed no more treatment needed, but if it is, you've come to the right place to ask questions, sound off and get good support.  Keep in touch.

    Best wishes from Irene (Perth)

  • Hi Debbie

    Great to hear from you.  Sorry you can't join us next month but we'll toast all our Cancerchat friends and report back afterwards.

    The thought of your operation must be pretty daunting (understatement) but it's just another hurdle to cross after everything else you've been through and you will get over this one too.  

    Keep in touch. 

    Love Irene x

  • Hi Colin

    Hope this post doesn't appear twice!  It reaffirms your comments on the new site with which I wholeheartedly agree so it can't be senility can it?!;)  I was 100% sure I had already replied to your post but no sign of it now!

    Anyway, lovely to hear from you.  Sorry you can't join us next month but we will raise a glass to all our chatroom pals.

    Best wishes

    Irene

  • Hi Guys,

    I hope you are all well.

    I am roz_dog just had a name change.:)

    Summer is approaching so we can say goodbye to this cold weather. Can't wait to see the sun and going for a walk in the park.

    I am still around on here, I pop up every now and then when I see a topic I can help on.

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