Tonsil cancer

Newly diagnosed Tonsil Cancer - sorry it's a long one !!!

I am 46 years old and my world was been turned upside down.

I found a lump on the right side of my neck, now this lump had appeared back in May 2017 for about 2 weeks but disappeared as quick as it came. Therefore I left it and typically ignored it. So NOW this lump is back........I waited two weeks it didn't go, attendedGP's advised to have antibiotics for one week if still there to come back at get referred for ultraseeound.

November 15th 2017 - Attended clinic, had ultrasound and fine needle aspiration, left clinic with doctor saying he thinks it suspicious  of Lymphoma or brachial cyst.

November 16th 2017- Telephone call to attend MRI on 22/11/17.

November 17th 2017 - Telephone call to attend PETCT on 21/11/17.

The telephone call for the PET scan came late on the friday evening, this scan request worried me. Its a PET scan I couldn't help thinking they use this test to STAGE!!!! OMG this means ive got cancer!!! I got to prepare my family for this!!!

MY MIND WAS ON OVERDRIVE.

Anyway i'm the type of person who likes to protect everyone else's feelings even if it means neglecting mine.

I attended both Scans not the most pleasant experiences but hey ho needs must!!

D-DAY 22nd November 2017 (my husbands birthday)

I went to clinic with my husband and son as I knew it was bad news!!! (don't get me wrong I'm not a quivering mess or woo me). They are both trying to be positive. The clinic was delay by an hour due to delivering bad news to another patient...... my son (26) bless him said oh that means your ok! I explained its doesn't quiet work that way.

We went into the room and there was my answer right there!!!!!! .......... The cancer diagnosis........the BIG C and no one had even said a word. ................The Macmillan nurse sat there in the room!!!

The consultant examined me and then said unfortunately I had cancer, the fine needle aspiration of my neck lymph node had shown cancerous cells. The MRI scan had confirmed my Right tonsil to be the primary.

The PETCT results are not back!!!

The likely pathway as explained that day in clinic is.

Biopsies under GA and remove any problematic teeth.

Surgery then to remove tonsils etc and radical neck dissection.rest for 6 weeks then 12 weeks of radiotherapy (mon-fri)

This is if the PET hasn't changed the outcome. The results are back but the consultant has to tell me and that will be biopsies surgery day.

So fingers crossed it has spread anywhere else.

Is my planned pathway much different to anyone elses?

I will update with staging !

On Thursday 30th November I was admitted to theatre for a biopsy of my right tonsil, examination of throat and mouth and extraction of 1 tooth that had root damage.

I was very nervous but this is the easy step....... RIGHT?

I feel a little rough following this surgery...... very tired, but then was very tired before so think that do with the cancer not the surgery!! Throat is a little tender but nothing that has stopped me eating!!! Making the most of it while I can.

The good news I woke up too is that they were no signs the cancer had spread in my mouth and that my PETCT scan was clear.

So left hospital with an outpatient appointment for December 7th.

My biopsy results, scan etc will be discussed at Aintree Head and Neck MDT on December 6th.

So The 7th should be bring some answers to my treatment plan. My consultant has asked me to consider my options and think about questions for the outpatient appointment.

Options prior to MDT:

Radio chemo therapy no surgery

Surgery tonsils lasered, radical neck dissection then radiotherapy

As above with chemo/radio

My first thought is take it all away and blast it with everything they can!!! But in relatity it's not that simple is it!! I need to consider side effects and complications.

The specialist nurse has said to increase my calorie intake prior to surgery but being on the chunky monkey side I don't feel I need to do this..... I have enough padding to be able to lose some through the treatment.

If we can all support each other we CAN and WILL beat this.

 

Bcsp

  • Hi Maria good luck withntonsil op tomorrow let us know how you get on when you feel up to it. Deep breath you will get through this 

     

    don’t forget the painkillers use them if yiu need to 

     

    hazel x

  • Hi Hazel , I’m overwhelmed how lovely all you people are , thank you so much , I’ve stocked up on tablets so might me high as a kite next few days haha , thank you again and I truly appreciate how lovely you have been , I’m gonna kick it’s ar*e if it is what I think so I’m not done yet , thanks again for all your kindness will update when I’m home thanks again and you take care

    Maria xx

  • Hi Nicola

    sent you reply in private message so hope worked.

    Re your question re sore throat and scan - Throat was still tender i would say but not really sore. I've never really been in much pain throughout as Ive had a wonderful support team and Ive always had medication strictly controlled and upped when required. Both Hazel from here and myself are big advocates of utilising painkillers when needed.
    My neck is still a little swollen and Im being referred to get some specialist help with neck exercise.
    I woundnt worry too much to be honest around expectations of healing quickly as this treatment is quite different and pretty intensive so our bodys take some time to recover from it all. Some quicker than others and I have been told a few times by my consultant and my medical support team that it can take between 6 months to 18 months to fully recover from. Thats not to say thats how long it will take you nor is ir normal to take that long usually, but again I was warned at the start the potential for a long recovery process. I had appointment with consultant last week and as Ive still got fatigue issues he just stated again, not concerned and as far as he is concerned all normal and they consider it early days.
    this is very easy advice with hindsight, but I've tried to stay quite positive throughout and tried not to over analyse everthing and just went with the flow and advice from team and the re assurance that all the side effects and slow recovery is ok and normal.
    Hope that makes sense, but you can have a look at private message and get back to me with anything you feel I can help with

    kind regards

    ian
     

  • Hi Maria we are all in it together when you have your m d t meeting let me know and will send you list of questions to ask as your brain can’t take it in somtake someone’s with u tonweiteb things down 

    We are a small bunch as relatively speaking tonsil cancer is rare even rarer for us females 97% male 3 % female my hospital oncologist s were fighting over me !!!!LOL hence why I got the top man !!!

    we are proof that’s light at  end if the tunnel exists 

    keep that tbought

    hazsl x

  • Hi Hazel that’s made me laugh , always new is have someone fight over me one day lol , joking aside I know I keep saying it but I really do appreciate your kindness , and that’s great thank you my mind has already turned to mush so any help will be great 

     

    Maria xxxx

  • Hi Maria how are you feeling ? 

    Ive updated my blog today if yiu need some inspiration.

    keep in touch when you feel able to 

     

    Hazel x

  • Hi Hazel sorry not replied ended up in cardiac unit on Tuesday and an still there , also got problems with bowel now , not a great start really , thank you for asking 

     

    xxxxx

  • I had robotic surgery to remove a stage 3 tumor in July, 2017 and finished up 7 weeks of radiation to the area on October 6, 2017. I only had one bump when I had an ulcer in January of 2018 surface. My energy has been good, my weight has come back and I generally have felt good since the ulcer healed in February 2018. My taste buds still come and go but mostly are good. Some foods have zero taste and others may be bitter tasting at times, not always. My neck feels sunburned still. I had an MRI every quarter in year 1 and will do one at 6 month intervals in year 2. All clear. This is gone and I rarely think of it. It was an outside variable - a virus - that caused it and I am not worreid about reoccurence. 

  • Hi Maria

    I have recently been diagnosed with tonsil cancer and will be starting my treatment in 2 weeks which is 6 weeks radiotherapy with 2 lots of chemo, one at the beginning and one in the middle of treatment. I'm in the process of trying to feed myself up however still recovering from having my right tonsil removed. The tumour is on my left tonsil and spread to my soft palate which is why going for combined radiation/chemo first instead of surgery.

    I've opted to have a feeding tube in my stomach, not looking forward to it but seemed the better option to me. Going to have my mask fitted on Tuesday, not looking forward to that. It would be nice to keep in touch as we are more or less at the same stage in treatment

    Best Wishes Lee

     

     

  • Here in the states there is a product called Mugard that coats the throat and lessens the effects of radiation. I took it and don't know if it was directly responsible but I did not get any ulcers during radiation. Only after when I stopped using it. I gargled with it twice a day.