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 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 

     

  • 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

  • how long did they give you to live before you survived it 

  • Hello 

    i am in your same situation but my cancer is srage 4 my last pet scan result neck clear but in my tongue thr's a little sign . So i am having another biopsy this week . My question is how long it take to eat solid food again? I finish my treatment in june but at today i cannot eat or chewy anything.

    thank you 

  • Hi Giuseppe and welcome to Cancer Chat.

    I'm sorry to hear your scan had mixed results and that you've had trouble eating properly since finishing your treatment in June.

    Unfortunately Kjar53 hasn't been on the forum since 2014 and this discussion hasn't been active since 2019 so it's unlikely you will hear back from anyone here, but if you start your own discussion or find a more recent discussion to post on, you will increase your chances of receiving advice from the community.

    You're also welcome to give our cancer nurses a call on 0808 800 4040, Their phone lines are open Monday - Friday between 9a.m - 5p.m and they will do all they can to help.  

    I hope this helps and your biopsy goes well next week.

    Kind regards,

    Steph, Cancer Chat Moderator