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.

Parents
  • 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,

    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

  • Hi Colin

    its very hard not knowing but can only hope he’s just getting on with his treatment bless him.

    i sent a friend request a month ago but no response to that but I’m sure he wouldn’t have seen it with all his stress etc.

    take care 

    Carol

  • Hi Carol and Colin,

    I'm still here. I just finished chemo and, have a little over two weeks more of radiation. When it's over, I'll have had 39 radiation treatments instead of the original plan for 25.. They said the first for weren't being counted because they didn't target the new cancer area and,because the cancer was growing, they increased the dosage and added two weeks. The chemo was really bad. Though it was going to kill me. I ended up in the hospital because of it. I also found out that they can't tell if the cancer has changed with a CT or PET because of the edema from chemo and radiation was so bad they cloud the image. They said it would take about three months after treatment before a CT scan or PET scan would work. I reminded them that that was past the time they gave me to live if it didn't work. I didn't get a response. My tongue swells up past my teeth and I can't close my mouth. That makes me a drooling mess until the swelling goes down.It usually only lasts a day or two.   

    On top of all this, we went to see my my 94 year old mom yesterday. Within an hour of us leaving her she passed away. She was in great health until about a year or so ago, then went down hill fast from kidney disease. Fortunately she didn't suffer much. My brother took care of her at his place until the end. I, unfortunately wasn't a lot of help.

    I hope you both enjoy the holiday weekend assuming you're in the US. It keeps me from being on the road half the afternoon to get to treatment and back for three days. Instead I'll be shopping for some suits that fit. I've lost 55 pounds and really didn't need to lose it. I look like a stick figure with a big head. 

    Anyway, that's where things are with me. 

    I hope you're doing well,

    Marv

  • Hello Marv!

    I’m so so pleased you have replied to our messages and that you are getting through the worst of the treatment. I always find it so hard on here not knowing how new friends are doing. Sounds like you’ve had the bad chemo experience, so sorry to hear you had to be admitted.  I can sympathise as I felt like I was dying too! I had cisplatin and NF5U? I felt terrible! In fact my district nurse was worried that I might not make it at one point. It’s quite amazing how the body copes with all that poison. 

    I hope your tongue swelling gets better soon so you are more comfortable in your mouth.  Do you have a feeding tube to keep up your nutrition and weight? I tried very hard with the help of hubby to have as many bottles of food supliment syringed in my stomach tube as possible to try and keep my strength up.  

    Hopefully your scans will bring some good news and give you many more years to get on with living. 

    Try and keep in touch but I understand its not always possible when you feel so rubbish. I will just keep sending you positive thoughts.

    Oh by the way I’m in Canterbury in England! Where are you in the US ? 

    Take care 

    Carol  x

  • Hi Carol,

    Yes, I live in the US in Michigan. We usually spend our winters somewhere south to get away from the snow, like Florida or the Alabama coast. It's beautiful down there from about January through April. I don't think we'll make it this year. Based on my prognosis, I probably won't make it any year but, I'll fight it until there's no hope. 

    I did have a feeding tube put in. I was eating on my on and maintaining weight after surgery and once the original feeding tube was removed until the cancer came back and became evident. Then it became more difficult to eat. Since radiation, the swelling of my tongue and the floor of my mouth, along with the bad taste made my decision to have a PEG tube installed. I started losing weight once this PEG was installed. Bosst VHC helped slow down the weight loss but, I found a product that's great for people going through this. It's Scandi shake mix. It can be purchased at Walmart on line. My wife combines them with some of the high calorie TV dinners or with chicken, kayro syrup, canned chicken, sweet  potatoes, yogurt, etc. and I get meals that are around 800 calories each and loaded with protein. Unfortunately, it was a recent find. Fortunately, my weight is holding and increasing slightly now. I would recommend it to anyone who needs to add weight.

    Once I'm done with radiation, I have to wait until late November or early December to get PET scan and a CT scan. If they show cancer, I can go to a clinical trial at the hospital where I'm being treated. They have several going on there now. Another option may be Keytruda because I have the PT-1 and PTL-1 receptors which make Keytruda a very good option. They said if nothing works and it progresses at it's rate as of last check, I have a few months, maybe a little more. So, the outlook for me isn't all that good. Already made and paid for funeral plans so my wife doesn't have to. My last slim hope is for a good clinical trial outcome. Th oncologist agrees with me on that.

    Take care. I hope things are going well now for you.

    Marv 

     

Reply
  • Hi Carol,

    Yes, I live in the US in Michigan. We usually spend our winters somewhere south to get away from the snow, like Florida or the Alabama coast. It's beautiful down there from about January through April. I don't think we'll make it this year. Based on my prognosis, I probably won't make it any year but, I'll fight it until there's no hope. 

    I did have a feeding tube put in. I was eating on my on and maintaining weight after surgery and once the original feeding tube was removed until the cancer came back and became evident. Then it became more difficult to eat. Since radiation, the swelling of my tongue and the floor of my mouth, along with the bad taste made my decision to have a PEG tube installed. I started losing weight once this PEG was installed. Bosst VHC helped slow down the weight loss but, I found a product that's great for people going through this. It's Scandi shake mix. It can be purchased at Walmart on line. My wife combines them with some of the high calorie TV dinners or with chicken, kayro syrup, canned chicken, sweet  potatoes, yogurt, etc. and I get meals that are around 800 calories each and loaded with protein. Unfortunately, it was a recent find. Fortunately, my weight is holding and increasing slightly now. I would recommend it to anyone who needs to add weight.

    Once I'm done with radiation, I have to wait until late November or early December to get PET scan and a CT scan. If they show cancer, I can go to a clinical trial at the hospital where I'm being treated. They have several going on there now. Another option may be Keytruda because I have the PT-1 and PTL-1 receptors which make Keytruda a very good option. They said if nothing works and it progresses at it's rate as of last check, I have a few months, maybe a little more. So, the outlook for me isn't all that good. Already made and paid for funeral plans so my wife doesn't have to. My last slim hope is for a good clinical trial outcome. Th oncologist agrees with me on that.

    Take care. I hope things are going well now for you.

    Marv 

     

Children
  • Hi Marv

    Sounds like you have your diet all sorted, I’m so pleased you are putting on weight and not loosing it. I had Scandi shakes and fortisips  prescribed to me by my Oncologist, paid for by our National Health Service. They really helped me keep the weight on. I was told if I loose too much weight the treatment wouldn’t work properly and my mask wouldn’t fit my face properly for targeted radiotherapy. Thankfully I maintained a lower weight (lost 2.5 stone over all during and after treatment) 

    i know your thinking only too well with your organisation of your funeral etc . I did a similar thing getting my affairs in order in case of an early departure! My treatment seems to be keeping me well but I am in constant pain from the severe burns on both sides of my neck and from the neck dissection. I live on pain killers and struggle with a very sore mouth when i eat anything that’s not mush!  Somehow we just have to muddle through and enjoy everyday as much as possible. I know I try to remain positive. 

    I hope you can get away after treatment, if only for a little while to get some normality back and quality time with your partner. bless you 

    I will keep thinking of you and hope your keep in touch 

    Take care 

    Carol x

     

  •  

      Hi Marv

     Pleased to hear you are still here and fighting. I am amazed that you are able to eat. 

    Like Carol I assumed you were English.  I am English but retired in 2002 to France - in the countryside.  We had a home in Vero Beach Florida for 21 years but sold it 18 months ago.We used to spend the winter there, but it was becoming expensive to maintain - insurance alone was 3500$.

    You are obviously more thoughtful than I. When I was hanging on and times were bad it didn't occur to me to arrange my funeral.  I am very impressed by your positive reactions.

    I hope that the news will be favourable in November and you can join a trial.

    My best wishes.

    Colin

     

     

     

  • Hi Colin and Carol,

    I'm not really able to eat right now. I could eat very soft food but it tastes so bad I don't want food orally. The radiation has caused part of my throat to swell. Hopefully it will go down soon.

    Well ,the news just keeps getting worse this week.My 94 year old mom passed away on Saturday. We had just gone to see her at my brothers house. He called us an hour later and told us she passed away shortly after we left. He funeral is tomorrow. 

    Also, I have a new radiologist. She did a physical exam of my yesterday, tongue which is something the previous radiologist never did. She said the tumor hasn't shrunk. So, we're not going to do the extra week of radiation since it and the chemo combined did nothing and the radiation dose is so high it's causing a lot of permanent damage. I still have to finish my last three treatments before I can move on to another treatment plan. The radiologist sent me to see the oncologist who said they're going  to put me on  Nivolumab (Opdivo) which is an immunotherapy drug.  If it works, it works well. The downside is that it's successful in only about 16 to 20% of oral cancer cases. If that doesn't work and I'm still around, then possibly a clinical trial. I start the  Nivolumab in about two weeks. They said they would know after one or two doses if it's accomplishing anything. It's administered once a month. Needless to say, this hasn't been a good week. 

     

    I hope things are going netter for you than they are me. 

    Marv