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 Noonie64,

    sorry to hear your news, I had a lateral partial glossectomy on the right side of my tongue. As it was a stage 2 they also did a selective neck dissection on the same side and found a very small amount of spread into the lymph nodes. 
     

    I believe a partial glossectomy can be anywhere from a small snip through to removing a large proportion of the tongue with reconstruction it will depend of the size of the tumour. I found my tongue healed fairly quickly with plenty of ice cream. Just stay on top of your pain relief.

    taste can take a while to come back and if you have the radiotherapy it can be a very long time. I had my op in May last year and radiotherapy finished in July and whilst my full flavour profile is back on the side of the tongue which wasn't removed I'm now starting to get some taste back on the other.

    a watch out though I've just been told the cancer is back on the other side of my neck now, there's about a 5% chance of a lateral spread which is what I've got so I'm back in surgery on Monday and probably back into radio and chemotherapy.

    All the best for your treatment and this is a great forum throughout we are all with you

    Joe

  • Hi Joe

    Sorry to hear the cancer’s come back on the other side, as you mentioned and the same thing I was told, that’s pretty unusual (less than 5% is what I was told too), so you’ve been really unlucky! How did they find it, in a scan? I’ve just had my second follow up and all ok so far, but my doctor doesn’t want to do another scan until the one year mark. That sounds a bit too far off to me. 

    Hi Dan

    Sorry to hear your diagnosis. I had a partial glossectomy, selective neck dissection and RT. Luckily there was no spread to my lymph nodes, but I had RT as I had 3 risk features - depth of the tumor, one margin was a bit narrow, and peri-neural invasion. If you go a few pages back through this thread you can read about my experiences. Hope your surgery goes well!

    Selina 

     

  • Hi Selina,

    I hadn't actually had any more scans since the end of treatment, I found a bit of a hard lump in my neck a week or so before my December check up and I thought it was because I had a cold and a bit run down but thought I'd mention it anyway.

    my consultant had a feel and sent me straight for an ultrasound which was then biopsied on the ultrasound table and a CT the day after.

    Thanfully I have 6 week check ups with my consultant and it wasn't present at the last one so it's flared up quite quickly. 
    I'm really grateful that they've managed to jump on it so quick and get me into surgery so quick too.

    dreading going back into RT and concerned about the potential for Chemo this time too. But if it's what I've got to do then I'll push through it once again.

    Joe

  • Hi Joe

    So sorry to hear of your latest diagnosis.Its the kind of news we all live in dread of.

    Its good that you are on 6wk checks too. I find treatment etc varies so much some people get scans some dont,I only had a CT scan before surgery none since.My origional surgical oncologist wrote to my new Dr and said he wanted me seen 6weekly but no he put me straight onto 3mthly.No rhyme or reason to it.

    Anyhow I hope all goes well for you and you get a good outcome.I really feel for you facing RT and possible chemo.Take one day at a time as they say stay strong xxx

  • Hi Joe

     

    Ah I see. Great that it’s been seen so quickly.

    i had a scan just prior to my first 6 weekly check up, about 8 weeks after the RT ended. This was what they called a “baseline” so they can monitor any changes in future scans. After all the treatment a lot of areas show up on a scan when it’s just scar tissue. My doctor said for this type of cancer nothing beats a careful examination by an experienced doctor.

    selina 

     

     

  • Hi Joe

     

    thanks for the reply and I’m sorry too you have just got that news it must be hard after going through that already. I was concerned that the doctor is only doing my tongue surgery and not the nodes because how can they be sure it hasn’t already spread to some of them?! 

    Thank you for your information, the surgery im Having is removing the lump right at the back of my tongue so they are using the robotic method and the doctor didnt mention anything about reconstruction. It is booked for a months time it seems like a long time away but they don’t seem too worried as it hasn’t shown to spread on the mri and ct scan.

     

    I hope your surgery has gone well.

     

     

  • Hi Selina

     

    thank you for replying to me I will definately read back on your posts to see your experience hope you are doing well now. 

    Danielle 

  • Hi everyone I have been reading this thread all night as I'm struggling to sleep at the moment with worry. 

    I have a lump on the front left hand side of my tongue which has been there for a few months and I have been to the doctors and had my first appointment at the maxofacial in the hospital to be told they had no idea what it was and I'm booked in this Monday coming the 27th January for my biopsy. I have 4 young kids and I'm absolutely petrified of the outcome I'm not sleeping I'm snapping at people and I'm just hiding away from it all. I'm hoping and praying that it's not cancer but I kind of know deep down it is. 

    It's very reassuring to read all the positive posts on here and how so many of you are living a normal life

    I'm very anxious even about the biopsy is it as bad as I have read on some threads. 

    Thank you in advance for any response I get I didn't know else to speak to about it. 

  • It must be a worry but I’m honestly not going to say don’t worry as it’s natural , I myself just became the opposite I went out and socialised. , spent time with my family , deep down like you I had that gut feeling , I’m now 5 months on from sugery for partial tongue removal and neck dissection , won’t lie has been a long recovery , but I’m a live cancer free , my speech good , apart from stiffness in neck and shoulder as you can get post op probs when nerves getvdussruopted I’m goid , going back to work soon and very happy and I’m just saying everyday I’m going to live my life now , I do hope all goes ok and you are in my thoughts lots of love my friend xx

  • Thank you for the reply I have already accepted that it basically is cancerous so if the results come back negative it's an incredible bonus and relief. Nice to hear another positive story and really happy for you. I know what you mean about worrying I'm the biggest worrier about and I'm Dr Google as well and having the 4 little ones doesn't help as keep thinking what if this is worse than I think and I don't get to see them grow up