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 marv,

       Like Carol I am devastated to hear your news.

    My first thoughts are to try a second opinion. If the growth rate is that fast then action is required

    right now. If you have to lose most of your tongue then life being unable to eat is not that bad and 

    definitely better than the alternative.

       I find it hard to believe that the new growth has happened that fast. I was told my growth was

    fast and virulent so they operated within two weeks. I had been in  a lot of pain (tongue,teeth and ears)

    for about three months prior to the biopsy and confirmation that it was cancer.

    We had been on holiday for three months in the USA and I had a biopsy there which came back negative

    The doctor was unhappy with this but we were due to return to the UK.

           I hope they will be able find a course of action that will overcome their dire prediction.

      Our thoughts are with you.

          Colin

     

     

     

     

  • Hi Colin and Carol,

    I got a second opinion. The doctor said pretty much what the first one did. That he would not recommend surgery under the circumstances. He described the surgery required as morbid. He too said radiation and chemo were my best options. I talked to a radiologist also and he said the same thing. I had a new mask made and they're going to redirect the radiation to focus on the new site. I'll also have three sessions of Cisplatin. They're eight hour sessions. Three hours flushing my system, two hours of chemo and three more hours flushing my system. It's to help prevent kidney problems and reduce nausea.

    If I do nothing or the treatment doesn't work, one doctor gave me two months. Another gave me six months. I always thought if I heard something like that I would want to go out and do all the crazy things I wanted to do but hadn't. Instead I find that all I want is normalcy. I don't want excitement. I don't want adventure. I just want my normal, everyday life back.

    Anyway, I'm glad you are doing well and hope you continue to do so. 

    Marv

  • Hi Marv,

          Pleased to hear there is a plan of action for you.  As you are now aware RT is no problem.

     The chemo for 8 hours sounds exhausting. I hope you will be able to read or watch TV especially for the two flushing periods.

      I assume they will start the treatment immediately as the tumour is fast growing. I wish you

    well and that the treatment will be successful .

     Colin

  • Hi Marv

    Like Colin I’m so pleased to hear they are going to give you another course of treatment.

    The chemo is a bit rough but it’s worth it.  I had Cisplatin with another drug, It made me feel crap the day after but I wasn’t sick due to the anti sickness meds so please take them regularly. Try and keep in touch when your feeling up to it.

    I wish you all the best and the treatment will be rewarding.

    luv Carol x

  • Hi,

    My treatment starts in three days for chemo and radiation and I get a PEG tube in a week.  I also get a PET scan in a week to see if it's spread into other areas. I'm glad they're starting treatment soon. Unfortunately, I'm not getting positive feedback about the outcome from any of the doctors involved. They don't come right out and say they don't think it will work. They just say it could and it's the best alternative. About three weeks ago I was getting to the point where I could talk and eat semi solid food. Now, with the swelling and never ending pain from the cancer, I can't talk because it hurts so bad and soon won't be able to eat at all soon because of the swelling. I'm in more pain and worse shape now than I was before I had the hemiglossectomy.

    I've heard that chemo attacks fast growing cells first. If that's true, then these cancer cells should be the first ones to go. The cancer now extends into the floor of my mouth and causes swelling on the floor. I can tell a difference in size from two days ago and it's spreading from the left side into the right side. The doctors I'm working with are all surprised at how fast this grows. It's almost a noticeable daily change. Since it grows so fast, I should be able to tell if the treatment is having any effect at a certain point in the treatment. The radiologist said that if it continues to grow during treatment after a certain point, then treatment isn't working and may be discontinued. The oncologist said he has seen that happen but in only a few cases. I asked if he had ever seen cancer  grow as fast as mine was. He said no. He's been practicing over 30 years. 

    So, That's where I am now. For anyone who read this I hope everything is going well for you. 

    Marv

     

  • Hi Marv

    Wishing you all the best for your treatment. I know it’s going to be very hard indeed but try and keep a possible attitude if you can. That got me through and I really believe it helps your body deal with all the trauma better.

    I’ll be thinking of you as I know only too well the journey you have ahead of you.

    bless you Marv

    Carol x

     

  • Hi Marv,

    I agree with Carol - you must try to keep a positive attitude. Life without eating will still be 

     worth living.  At 82 I am hoping for a few more years yet.  

     I realise that the fight you are facing must be daunting, but life is worth fighting for and

     I can assure you will still be enjoyable.

     Our thoughts are with you.

     Colin

     

  • Hi Colin

    Any news on Marv?

    I just keep,thinking about him. Bless him,

    Hope your well

    love Carol x

  • Hi Marv

    if your reading this I’d love to hear from you 

    sending my thoughts and hugs

    Carol x

  • Hi Carol,

                The first thing I do each day is look to see if there is any news from Marv

    so I am as much in the dark as you.   But if the news is bad I can understand him not

    wanting to put it in print.  I just hope there is some other OK reason.

    Regards 

    Colin