Squamous Cell Cancer in Salivary Gland

I found a lump about 6 months ago, went to GP who did bloods to make sure I didn't have an infection and then referred me. After ultrasound, needle biopsy (inconclusive), PET-CT scan had Lymph node/lump removed. As scan hadn't 'lit up' anywhere but the salivary gland thought having it removed would sort me out. However, the lump turned out to be a secondary cancer so now have to have biopsy from base of tongue and tonsils removed. After that will get radiotherapy, either broad target (more side effects and damage) if they can't find primary, or targeted if they can. May also need chemo. Will probably be fed by tube during radiotherapy.  My lump was Squamous Cell cancer, unusual in salivary gland and more common in men (I am female aged 56).

 

 

  • Hi tuffcookie, 

    I'm sorry to hear that the lump you found has turned out to be secondary cancer and that you will have to have your tonsils removed but I'm glad treatment is available to you. Do you know when you're due to have your biopsy? I hope you don't have to wait too long and that your radiotherapy can start soon.

    Many of our members have been in a similar situation and I know a few have also been diagnosed with this type of cancer and I'm sure they will be along soon to offer their support and share their experiences with you.

    Do keep us updated with your progress and remember that we are here for you if you need us.

    Kind Regards,

    Steph, Cancer Chat Moderator

  • hi tuffcookie

    I have had the same cancer of the salivary gland,  also spread to lymphatic system and throat, it too was a secondary cancer. The radiotherapy treatment for this is quite brutal, but the first 2 weeks are OK.  if you are offered a peg for feeding, accept it, I refused and it made getting enough nutrition very difficult. Calphosol 2 part mouthwash is really good to prevent you getting stomatitis in mouth and throat. Get a soft toothbrush and gently clean your teeth 3 times a day. You will lose your sense of taste about 2 weeks in, eat nice smelling food to compensate. You will get some skin burns the radiotherapy team will give you some cream slop it on generously. You will probably get fitted with a mask to hold your head steady during treatment, this can be nerve racking first time. But you will quickly get used to it. Buy a sports type water bottle and carry it with you everywhere taking regular sips to keep your mouth and throat moist, a lip salve is also good as you may have dry lips. Aloe vera drinks from the health food shop can be very soothing on your mouth. Avoid anyone with a cold or cough, the last thing you need with a raw throat is a hacking cough, take precautions like washing your hands whenever you've been out, use one of those masks that you see chinese students wearing when they are sightseeing. You will get through it and come out the other end, the side effects will eventually subside, Im nearly 2 years on from treatment, I've had a few setbacks and further treatments but not so severe and have recently returned to work part time. Life is very good right now. Let us know how you are doing time to time and if you have any problems I may be able to suggest ways to overcome them. Good luck with whats to come. Kim

  • Thanks Kimchosen, this is really useful advice to deal with the radiotherapy. I Have got date for Op, next Weds. I have already opted for a stomach peg for feeding after talking to Clinical Nurse Specialist. Fingers crossed now that they find it!
  • Thanks Steph, I am pleased to say biopsy/tonsillectomy date has come through for next Weds, 23rd which is quicker than I had expected.  Should get results 10 days after then I will start the prep for radiotherapy at the beginning of January.

     

    Kind regards

    Trudie

  • That's good news Trudie - not long to wait now!

    Let us know how it goes and when you get your results. We'll be thinking of you and hope it all goes well.

    Lucie, Cancer Chat Moderator

  • Hi again Kim, after I replied I thought of a couple of questions.  

    Did you have 'broad' radiotherapy or had your Primary been identified enough that it could be targeted?

    Did you get your sense of taste back, and if so how long did it take?  Cooking and eating is a big part of my life; if I have to find something else to do then so be it, but if I get my taste back it will be a bonus!

    Did you have any teeth removed?

    Did you lose a lot of weight?  I am 13 stone, 5ft 5in, having lost 1.5 stone this year through healthy eating.  So I have a safety margin going in to the treatment, probably the first time I have been happy at not being svelt by nature!

    How long did each radiotherapy session last?

    I am hoping to be back at work by the end of Feb, am I being unrealistic?  I am a management accountant with MoD so mostly in front of a computer, in meetings etc but I do have an hour plus commute.  I am working from home at the moment as I have some nerve damage from the first op on my neck which makes driving difficult.

    I hope you don't mind me asking all this.  

    Thanks, Trudie

  • Hi Again tuffcookie I had a radical neck dissection which left me too with some nerve damage, a speech therapist gave me excercises to do for the facial nerve damage and I had problems lifting my arm, I did excercises for this too. Both problems are now very minor. I dont know what type of radiotherapy I had but it covered throat neck face and ear. The primary was a skin cancer which was successfully treated with surgery and radiotherapy. Lost my sense of taste two weeks into radiotherapy but it started to return about 6 weeks after end of treatment and took a further year to fully return. Was resigned to eating slop, porridge, custard, runny cottage pie, soup etc and fortisip type nutritional supplements and all of these with the greatest difficulty due to burned throat and mouth. Alcohol, citrus, pickles salty food are too harsh to take. And with beer having no more than the sensation of fizzy water not much point. I lost 20+ pounds over the period. I did not need any teeth removing, but if you have any problem teeth they will remove them, as one of the side effects of radiotherapy to your jaw is osteonecrosis. This is due to many of the small capilliaries in you jaw being killed off by the radiotherapy. So if in future you need a tooth extracting it can be very hard for your mouth to heal. To this end dental hygiene is really important, brush after every meal, cut out sugar and sweet stuff if you can. You may be prescribed duraphat high fluoride toothpaste to help your tooth enamel which is also weakened by the treatment. The radiotherapy sessions last about 20 minutes, 5 or 10 minutes to get you prepared, 5 minutes treatment and 5 minutes to get you out during which time let them know any problems you are having. They will make sure you get anything you need creams, pain killers, anti nausea tablets mouthwash etc. Re working, if your employers insurance pays your wage whilst you are off work, take as long as you can! Even if you are a conscientious hard working person and it goes against the grain to do so. This will be one of the hardest things you ever do in your life and will make you feel totally exhausted. The first 2 weeks you can continue working, then take you leave, for a minimum of one month after the end of treatment, and see if you can start back part time for first few weeks. I wish you all the best with your treatment and a successful outcome with many more good years ahead for you. Kim
  • Thanks Kim, I really do appreciate you taking the time to share your advice and experience.  It is encouraging to talk to someone who has come out the other side.

    I am fortunate with work, I get 6 months paid.  However, currently on temporary promotion with impending interview for the permanent post.  I am by nature a hard worker but intend to do what is best for my health.

    Luckily I don't have a sweet tooth!  However, I also think porridge is the Devil's food lol, hate the texture as well as the taste.  Looks like I will be living on Greek yoghurt!

    Thanks again

  • Thanks Lucie, I will do, should be around 3 Dec

  • Hi again

    I can see why you'd like to get back to work soon as possible as you are at an important stage of your career. You also have a good attitude that your health comes first. I returned to work too early and I think it took longer for me to fully recover than if I'd had longer to convalesce. I hope your employer is understanding and appreciates the hard work you have put in to date, and the hard work you will continue to put in once you have recovered. Impress upon them that you will get better and be taking up that post permanently. I am nearly 2 years on from the major surgery and radiotherapy and having a good life, there have been a few setbacks but I've dealt with them one at a time. I do still suffer from fatigue but Im told the best way to combat it is to actually do more! I think continuing work, if you can, is good for you, it gives you a sense of normality, its good to be interacting with people, keeping your mind active and of course an income is very useful. Book yourself a really nice holiday for next year after recovery you deserve it. Kim