Tonsil cancer and recovery, my story so far.......

Tonsil cancer and recovery, my story so far.......

I discovered a small lump on the left hand side of my neck, just under my jaw, sort of gland area in May 2018. I assumed it was a swollen gland, but when it didn't go away after approx. 2 weeks, I went to my doctor. He wasn't overly concerned, but said it should be investigated if it was still there after 3 weeks, which it was. I went back to my doctor and he referred me to an ENT clinic. I underwent various tests, blood test, ultrasound, biopsy, CT scan and pet scan and all of the results were inconclusive, the doctors were adamant that the lump was harmless, however they would have to remove the lump. The operation was a success and a 4.5cm lump was removed, one week later I was told that it was cancer, a secondary cancer with an unknown origin. A second operation was required to find the origin, so my tonsils were removed, a small piece from the base of my tongue and all lymph nodes from the left hand side of my neck. This operation was much more complex, took around 4 hours and recovery was very difficult to say the least. Around a week later again I was told the cancer had originated in my left tonsil (HPV+) and found in a further 4 lymph nodes. No trace of cancer in my tongue thankfully and the lymph nodes with cancer were directly surrounding my tonsil and had not spread further down my neck. Around 40 lymph nodes were removed in total. I was told I would need 6 weeks of radiotherapy.  Which, quite frankly was the worst news ever, based on the possible/likely side effects, and not forgetting that horrible mask. I was to have a high dose of radiation to the left hand side of my neck and a lower dose to the right. I postponed my treatment until after christmas and at this very moment I finished my treatment just over 6 weeks ago. The treatment was difficult and I felt side effects almost immediately, my saliva thickened up and my taste changed very quickly. I managed to eat the whole way through and even now without too much pain, obviously with a lot of medication. I am on a fairly strict, bland diet so not to aggravate my throat and ulcers. I started getting ulcers towards the end of my treatment which are only just clearing up now, but over the past few days managed to get oral thrush too.  I get quite alot of pain in my jaw/gum that goes up to my ear, which is really painful at night, but have eventually found a pain killer to help that. The mucous towards the end of my treatment got pretty bad and is only just subsiding. My taste is quite good already and saliva slowly getting better. I am convinced that I have faired better than most throughout the treatment because of the lower dose of treatment to the right hand side of my neck. I had no internal side effects on that side whatsover, just slight burning on the exterior. The left hand side of my neck burned quite badly in the end, then scabbed, then peeled, over already fragile skin due to the previous operations, but it did heal quickly. I am of course still healing and still very much in recovery right now, but I'm hoping things will still get better. Looking forward to my first packet of crisps and sweeties and of course some alcohol........

I thought I would share my story in the hope that I can help someone else, or give other tonsil cancer patients hope and be able to give some friendly advice if needed.  I am 38 years young, diagnosed at 37 if that is of any interest.

Best wishes to you all x

  • Thanks everyone for their posts, I have read them all. I am male, 63, never smoked and been t/total for 20 years.  I was initially diagnosed in May but it took a while with the Covid stuff going on to get a biopsy and then treatment. I found a lump in the roof of my mouth, at the back left, 19mmx12mmx8mm. This was identified as a T1N0.  Could have lived without the 3 week spell in hospital with the NG feeding tube, but I was weakening at the end of the Radiotherapy. I have to say that all the medical staff that dealt with me have been fantastic and supportive.

     

    I am 13 weeks post treatment now and I have lost a huge amount of weight (34Kg), but I have stabilised and have gained a kilo. I still can't eat solid food but can finally eat porridge and soft cheese. I find the milk supplements a struggle as is the lack of saliva and the taste buds (lack of). 

     

    I'm just trying to find the average time to when people can actually eat something. Cheers if anyone reading this can reply.

     

    Rod xxx

  • Hi Rod,

    Sorry to hear about your diagnosis and current problems with eating solids.  The lack of saliva is a pain, I still don't have the saliva I once had.  I was able to eat solid food throughout, of course not crisps or anything jaggy, and I either had something with sauce or alot of water to help wash everything down.  Going by what I have read, there doesn't seem to be an average for anything, everyone seems to have varied experiences, so I don't think you'll get a straight answer for that I'm afraid.  I remember being scared to try different things, but it wasn't so bad when I did.

    I hope things improve for you soon.

    Diana x

  • Hi Rod

    this is HazelI am 27 month post radiotherapy for tonsil cancer with I had 35 radiotherapy sessions and 2 chemo.

    The best advise I was given was for a while great food as as fuel nitbto Ben eaten for any enjoyment justbas we put petrol in a car we put food be it the high calorie drinks or nibbles if whatever you can Taste will eventually return .I had n g tube in last 3 week so if treatment and firstb3 weeks into recovery. I finished 31 August 2018:and that Christmas I managed a small tea size plate of Xmas dinner no starter and from memory a bit of cheesecake but not the  base. 

    Youve come this far its baby steps the rest of the way .Kepmhydtated forbat leastbghe distbyear I drank 3 litres of water every day and uo to 6 ensures which allowed me to experiment with food. I now can eat most things meat some days is difficult but as example yesterday I had home made chicken curry today baked fish and hime made chips. 

    Saliva I always even now have sugar free gum in my mouth in daytime hours normally orbit sugar free gum xylitol is the ingredient that you need to look for. With having limited saliva your teeth do need extra careful , I am now apps 95% back to normal saliva wise.

    There’s  no average time but once you understand food may not be the pleasure it once was it does help. There’s us light at  end if the tunnel 

    i have a blog wwww.radioactiveraz.wordpress.com 

    theres various tips on there it may help you 

    good luck Hazel

  • Thanks Diana,

    All real information is good.

    I, too, have become wary of trying foods due to them "burning" my mouth or just too dry to move away from my front teeth. I dream about crisps and they're not even my favourite food. I've started to liven up the past week or so, but I am resigned to soggy sprouts, soft carrots and gravy for Christmas lunch. I've had no luck with mashed potatoes, no matter how buttery. They still have the consistency of wet sand.

     

    Rod

  • Thanks also Hazel, I will read your blog.

    I struggle with 3 Ensures. I even mix them 50/50 with milk. I have used skimmed milk since 1985 so full fat and semi are a bit of a stuggle. I have tried to adopt the "food is just medicine" principle but 1.5/2 litres of milky drinks are a step too far. I am really aware that I need to force more calories in as I have malnutrition and my body is in "survival" mode. I finished treatment on Aug 21st so I still have nearly 4 weeks to Xmas.:happy:

     

    Rod

  • Yes, it's a tough old time, sadly.  I wonder if the location of your lump and subsequent treatment has made this harder for you.  It's still early days, so there is hope and don't give up trying.  Maybe set yourself a goal every week to add something new to your diet?  I love soggy sprouts, soggy carrots and gravy  

    I lost alot of weight at the end of my treatment and I was adamant to gain it back, so I doubled my calories whether I enjoyed what I was eating or not, like Hazel says, food is medicine/fuel.  I was even putting chocolate spread or golden syrup in porridge for the extra calories.  Now I have gained all the weight I lost  I'm trying to eat cleaner and healthier again, which is just as hard, you cannot win, if it's not one problem, it's another.  My taste is very good thankfully, it wasn't when I was at your stage though, that took time, I don't know exactly how long...

    You'll get there, it maybe doesn't feel like it now, but you will x

  • I stopped smoking about 50 years ago and have hardly ever touched alcohol in the past 23 years.  I still enjoy the odd beer or two now and then and sometimes glass of semi sweet wine.  Howevr I am very fond of BBQs and steaks.  LOL!

    I have been about 20kgs over weight since last Christmas when I over indulged in Hot Chocolate and have never been able to get back down to 93kg which was my sort of "normal weight" although I was still 13kg over weight.

    Unfortunately I also suffer from Rheumatoid arthritis so limited exercise.  We do have a treadmill at home which I try and use regularly, but need to be careful as i have the PEG fitted and it will still be there for another 2 -3 months as I still have a month to go with radiotherapy and one more session with the chemotherapy. 

    Having the actual radiotherapy I am managing, but the side effects are a whole new ball game to me.  the worst being the mouth very painful on the left side where the treatment is taking place and in the mornings the base of my tongue is very uncomfortable and feels to be thick.  Once up and about it improves.

  • Hi 

    It was good to read this my story is so familiar, I have just had a tonsillectomy 2 days ago also had a piece of younger cut away and some more biopsy's. My cancer had been confirmed in both tonsils and one lymph node.  I have been told I need 7 weeks of radiotherapy which if I am honest I am so nervous and worried about after reading some stories, But it was great to read that you managed to eat going through it, as they have discussed a feeding tube with me. 
    I hope your recovery continues to go well, sending you best wishes. I am 47 by the way.

  • Hi Sharonwig

    I am currently 18 months post treatment and was 51 at the time .It is very important if possible to keep your weight up during treatment , I lost a negligible amount in the last week of radiotherapy but that was ok , I was struggling to eat some foods by week 4 and was drinking a lot of full fat milk , creme caramels with double cream topped up with Fortisip drinks , I managed without a feeding tube but it was very tough especially with a mouth full off ulcers and extreme sore throat . I did lose a lot of weight after treatment and the first few months of recovery were a challenge but as with everyone on the forum who has been through the process will agree you do recover and continue to improve over time , looking back now it almost feels like it happened to someone else ! Just try and remain positive and push yourself , the cure rate is huge and you will recover .

    all the best 

    Peter-S

  • Hi Rod 

     

    im seven months out and still find some foods tricky . I can't eat any meat at all . From memory I turned a corner at 17 weeks . I think half the problem is lack of salivia . 
     

    I have got myself a Brie & cranberry filo tart for Christmas with veg & gravy ... I need water with most things . 
     

    it does get better but it's slow & sometimes I just can't be bothered & eat weetabix . 
     

    Hugs x x x