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

  • Hi Kat 

    My treatment ended on the 28-6-19 , I was back at work early October , during that 3 month period post treatment I lost over 2 stone , the mouth ulcers were bad especially to the left side of my tongue , at one point I was waking every 2 hours during the night because of the discomfort , my clinical nurse was wonderful regarding what to expect and she supplied me with medicine for pain management . I remember swigging morphine straight from the bottle !! Like most of the side effects the ulcers eventually disappear, not sure if Bonjela would help . The hospital will supply you with everything you need at every stage . Although at times it won't feel like it you will be fine . I can honestly say that almost 2 years on i am back to normal ( my version of normal !) . I kept a diary during the process to list initially the pain relief , calorie intake and the jaw exercises the speech therapy people gave me to do , this grew to include thoughts and feelings and side effects , it makes interesting reading 2 years on . It's all very daunting where you are currently but look at it as a small chapter in your life . Keep the questions coming ,you will be ok 

    best regards 

    Peter

  • Hi Hazel and Pete 

     

    Thankyou both for replying especially as some of your memories of this are so harrowing. I must admit reading your posts I now want to run for the hills but obvs not an option. I’ve been steering away from info as it feeds my anxiety but actually I think I need to know what’s coming. My last appointment felt quick and so much to take in... I had no idea how long recovery would take. 6 weeks of radiotherapy and then the recovery takes me well past when my son is due to start at secondary school so I really need to think about all of this. The ulcers sound pretty hideous ... does that mean I would be on painkillers all day and night or mostly pre trying to eat/ swallow. Also, I was on morphine when I had the neck disssction ( and codeine ) and I got very badly constipated... is this something likely to happen again as on so many painkillers for so long ? Were you on painkillers for months ? 

    Hazel I’ll look at yr blog thank you 

     

    Kat 

  • Hi Kat 

    I was on painkillers from end of week 2 to around week 10/11 of recovery. We are all different in how  we react remember there's no one size fits all. I don't believe in sugar coating as it does no one any good. But all I will say is week 8 we flew to Spain for 3 weeks was allowed to travel as we were going to our own place. I rode my bike week 10 over there. The constipation will be with you all through treatment i daily took laxido or movicol it just became part of the long routine. 

    I will need duraphat toothpaste for life as our saliva never returns 100 % I would  say I am  95 % during day but at night time still sticky. 
    eating can be problematic even now but onky rarely thrn I just have an ensure the high calorie food drinks we are given to get us through treatment. 
    the amount of opiates I was on at my worst 8 x30 mg co codomol and 40 mil of oramorph. 
    I hope you have someone who can take you to hospital as after week 3 I couldn't have driven myself I know if only a few who could drive. 
    do you have a treatment plan in place. All you need to remember as brutal as the treatment is the alternative is worse. 
    if I can do it at 61 when diagnosed you can do it. 
    don't get stressed it doesn't help you or your son 

    I haven't needed any painkillers since January 2019 apart from paracetamol if I've had usual headaches 

    Hazel ask any questions if I can helpl I will 
     

  • Hi Kat 

    The ulcers are an annoyance , you will find different products from the hospital work better than others , all of us probably have varying results from each medicine . Xylocaine spray which numbs the ulcers was my favourite , sounds odd calling it my favourite but it was so effective , Biotene gel I found a great help to offset the dry mouth at night . Lots of water is a must . 
    I had 2 rounds (2 days ) of Chemo , the 1st on my first day of radiation and the second was at the mid way point , this caused me to be constipated . Pain killers mostly at night for me as everything is always worse at night . I think I was on pain relief for quite a while , I wasn't in severe pain though more of a nagging pain . You don't mention Chemo , are due to have any ?

    Peter

  • Hi Hazel and Peter

     

    thank you for your frank and honest replies. Hazel that’s a lot of painkiller ... I was on 5ml oromorph every 4 hrs after surgery for a week or so ... luckily my husband is driving me to treatments ... I do have a team but I haven’t met them all yet apart from the clinical nurse and for a short time the oncologist so I don’t have a plan as yet. I really didn’t realise the ongoing issue with saliva shortage and trying to get my head round long term change but yes you are right this is the only alternative. Peter I’ve been told I’m having 6 weeks radiotherapy but not chemo as I had the neck dissection ... thanks for giving me some brand names I’ve written them down ... any other tips on getting through the night pain most welcome as I found pain post op still tricky. 

     

    Thank you  

    Kat 

  • Hi Kat

    The only way to manage pain is by rote pre empt  it before you are in pain. My oncologist was excellent at giving me tips hus favourite saying was the clues in the name pain killers to kill the pain. Hence why I was on what I was on the oramorph was 10 mil 4 times a day many i knuw had more one called m s t which is long lasting there's also fetynal patches which are stronger. When the times right you do a phased withdrawal.  You won't get hooked you're taking them for pain . Only take a paracetamol now if I have headache. 
    what you  must do is keep on top of pain once it starts don't wait for it to start  eg  once you start on pain killers xxkeep them in your system don't think oh its gone ciz in a hours time it's back xx

    hazel x

  • Good luck with your ongoing recovery.

    I used very little pain killers and was always able to drive myself to my radiotherapy ( every day for 6 weeks) following my neck disection and 2 ops for tonsil cancer and one lymph removal. However my op was last October and my radio therapy finished in Dec 2020 but for the last 6 weeks I have had a very sore throat and ear ache on operation side and a very uncomfortable tongue that does not move easily around my mouth. Has anyone experienced such symptoms after so long?

  • Hi 

    Sorry just seen message sorry I've not had ear ache or sore  throat at any time or tongue difficulty. Might be an idea to contact your consultant. I had a 3 year check up the other day consultation went well she did say any issues to get in touch. Nothing is too much bother and they are seeing more face to face patients. 
    more than likely nothing but please get it checked. 
    Hazel 

  • Glad your 3 year check up went well. They gave me a scan and the results came back clear today. Thank Goodness. They say this discomfort/pain is probably a result of radiotherapy changes. The pain level and difficulty eating is almost as bad as at the beginning. Especially with the tongue.We dont realize how much the tongue is used when eating until it becomes painful to move it around! So back on pain meds for now. Thanks for replying .

  • Hi excellent news onwards and upwards.  Ok done days 2,steps forward and one back but you'll get there. 
    sny help just ask. I don't always get notifications but do check regularly on the site 

    Hazel x