I am a stage 4 tongue cancer survivor

It was a long tough road but it seems as if I have won the battles so far.

Let me start this by saying I smoked from 1972 - 1977 and the Dr's do not think this was an issue.  I am a extremely light drinker.  I drink socially and only a beer or a glass of wine and never more than one.  HPV could be a culprit as I dated more than a few women when I was dealing with my divorce in 1987-88.  It's amazing that it took 20 years to present if that is indeed the cause.  I read that an oncologist wrote we have cancer in our bodies all the time.  It's just a matter of some trigger setting it off.  Stress, sickness of another type, etc.  I had tons of stress in July of 2007.  My wife lost her Dad and 10 days later I lost my Mom.  Her parents live in China and my Mom is in the US (as am I).

September of 2007 - lost taste of food.  I tasted something but it was only half the flavour I expected.  My family Dr said taste issues are in the brain so she ordered a CT of my brain.  No abnormalities.

November 2007 - Still experiencing loss of taste but now have developed a nagging pain under my right ear. - Went to see a Ear, Nose, Throat Dr.  He said it was TMJ and take Ibuprofin.

January 2008 - Went to another ENT Dr who said it could be a nerve in my ear.  He ordered an MRI.  The guy who read it said he thought he saw something on my tongue.

January 2008 - Another MRI of my head and neck this time.  They found something but don't know what it is.

February 2008 - Biopsy confirmed the worst.  Cancer of the tongue.  Stage 3.

Feb 08 - saw a cancer surgeon - he said it was inoperable (too large) as he would have to remove my tongue and my quality of life wouldn't be there.

February 2008 - went to see an oncologist (1st opinion) who was too blunt.  Said he was leaving to teach at University and had said if the cancr is in my lymphnodes I will be dead soon.  Said I should see my dentist for review.

Feb 08 - Dentist, oral surgeon, gum Dr., all said my teeth should come out.  All my teeth!  So I went in to have them all removed surgically. (Insurance doesn't cover this I found out later).

Feb 08 - Surgery to put in the feeding tube and my 'Port-a-Cath' - makes delivery of Chemo easier.  Ordered several cases of liquid food (Insurance doesn't cover the food either).

March - got to see 2nd oncologist they mapped out my course of treatment.  7,000 units of radiation over a 7 week period.  They made my face mask (to hold my head still) and we started on Monday.

Three heavy doses of chemo (cisplatin).  The chemo would be delivered on days 1&2 of weeks 1, 4, and 7.  The dose is so strong they had to give me half at a time, so two days for one dose.

April 08 - we finished treatment.  Now I just have to start feeling better.

August 08 - PET scan shows tongue and neck are clear but now there is a spot on my spine and my lung to be concerned about (turned out it was nothing)

December 12 - PET is clean from the top of my head to my knees.  Yippie!!!!

Side effects - Good - I havn't had to shave my neck for four years now and it's as smooth as a babys bottom.  Lost a bunch of weight.  Kept it off until I had dental implants put in to hold my dentures in place better.   Now I'm heavy again.

Side effects - Tolerable -  When my weight was down I was cold most of the time.  Because of the targeted radiation my neck cramps up when it is cold in the room.  I can't whistle well at all and my singing voice isn't what it used to be.

Side effects - Bad - none.  I'm still here.

There is so much more to this.  feel free to ask questions.

  • Hi Water Beatle,

    I was diagnosed with SCC three and a half years ago and like your husband, I had half of my tongue removed and a neck dissection to remove lymph nodes. My tongue was reconstructed using muscle from my arm and then a skin graft from my tummy to repair my arm. It was a huge operation and I was in hospital for about two weeks. 

    Advice I can offer is perhaps to expect your husbands speech to be affected at first, mine was pretty good when I came round but a bit 'clumsy' although almost perfect now. You could  take him a mini white board and pens to communicate if he needs it. 

     

    When he able to start eating and drinking via mouth again he will probably get help from a speech therapist as I did to explain how to tilt his head and swallow and be given some mouth exercises to do. I was only allowed to have soups then progress onto very soft foods at first. I'd say it took me a good nine months to become comfortable with eating again but over a year to become confident with it. There's still a lot I wouldn't or can't eat now such as curry, very dry foods such as cake and cheese but you find ways to adapt foods to make them suitable such as some warm custard on sponge cake to help it go down easier or add jam to rice pudding rather than having a doughnut for example. Although everyone is different and my eating habits changed mainly due to the radiotherapy.

    When he is out of hospital it will probably be a long recovery so ensure he gets to rest and ensure he stays on top of his pain meds. Don't wait for him to feel pain before taking the meds, just keep up the routine of taking them every few hours. 

    He will be fine. A year from now all will be back to normal and you'll both be living life to the full again. 

     

    I wish you the best of luck. It was the biggest and scariest thing I have ever faced but now it all feels surreal!! 

     

    Feel free to ask ask other questions.

    Nicola

  • Hi, my brother is suffering from tongue cancer, he was a chain smoker, Dr. Said that it's a lost case and he will b living only for 1 & half years that too will be very painful. Right now radiation is going on. He needs 35 radiations(regular) nd chemos once a week. We are totally lost now. His weight has reduced, does not want to eat anything. We don't know what is there in fate for us
  • Hi Nicola

    What stage were you diagnosed in? And were u able to eat during or before the process

    Thank you 

     

    Kindly let me know as it's v helpful to read all in the process

  • Hi 

    Why do they say it's a lost cause? How is he doing

     

  • Hi

    Well done you! I'm a tongue cancer survivor too, it's 3 1/2 years for me too and like you I've been through all the treatment etc. I had a neck dissection as they felt as the tumour was bigger than they would have liked ( 9mm) I was at  a high risk of lymph. node involement later ( nothing on the scan though) I had 72 nodes removed and once put under the microscope 7 of them had cancer cells( microscopic) not seen on the MRI. I was lucky they did the op!  I can't believe that doctors talk about loss causes and no hope when there is hope. So many people on this forum have told a similar story about their diagnosis and  will die soon, but they have survived and now enjoying life! Some doctors are too quick to give out bad news before the treatment has even begun. If the nodes are still in tact then it's still very treatable.

    like you I have tolerable side effects including the dreaded neck cramps but I am now having Botox injections every 6 months which really helps, so maybe give that a try, it's not painful to have either.

    take care 

    Carol

  • My mother is suffering from Tongue scc. Stage T4a. Will this be cured permanently

    She is on weekly chemo of paclitaxin and carboplatin.

    Btw how are you now?

    What about remission and recurrence?

  • Hi Kjar, I know you wrote this a long time ago but that was what happened to me I was diagnosed as having tmj and fibromyalgia - my tongue didn't turn green but it took a swollen lymph node for them to finally investigate - I'd asked my Dr if she could refer me to a Private Clinic so I could pay for an MRI a year before it was discovered but my Dr refused and told me to go out and get some more exercise ( I weighed 8 1/2 Stone), as you can imagine I am not too happy with that Dr if I had had an MRI they would have found my Tumour before it spread to my Lymph Node. I had a radical neck dissection and 6 weeks of Chemoradiation and it's a long and *** road but I'm still here so try not to moan too much. How are you doing now? Best of health to you now and for the future. Jo x
  • I'm glad to hear that you're doing well and still have your tongue. I am in the same situation you were in only I'm stage 4. They want to remove most of my tongue and some of the lymph nodes in my neck. I did find a cancer center near me that said they would do radiation for seven weeks and three sessions of platinum based chemo at the same time. My question to you is, do you know of anyone else, besides yourself that was successfully treated in this manner? Everything I read and hear says surgery is the best way to eliminate the cancer. However, I've seen people who have had most and all of their tongue removed. I refuse to live that way. Thanks in advance for your help.
  • Hi badgolfer, I had the same diagnosis 11 years ago. the options were a six an half hour op or go home with a supply of morphine. He said I would not be able to talk or eat. I can't eat and my speech leaves a lot to be desired, but I still manage golf, angling and driving my sports car. Life is good and I have enjoyed every minute and hope enjoy a few more years. I am 82 and in not bad shape. I cannot understand when you may have no choice. Colin

  • Hi Colin, Thank you for the reply. So, did you go through with the operation? I wasn't completely sure from your message. The operation they say I should have lasts 10 hours and will remove most of my tongue and the lymph nodes on both sides of my neck. Then they want to follow up with radiation. I have another clinic that is offering Chemo/Radiation at the same time without surgery. I'm just wondering about the sucess rate on that approach. I'm looking for any good alternatives. I don't want to go without a  tongue. Thanks again.