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 Caroline 

    sorry to hear your diagnosis , but everyone on here is lovely , I had mine fitted Wednesday morning fitting was ok I’m just experiencing a lot of pain after , and I don’t usually feel pain ? Gonna give it another couple days then phone them if it hasn’t gone , don’t worry about it though from what I’ve head the benifits far outway the pain hope all goes well and keep us updated 

    maria

  • HI Caroline,

     sorry to hear that you too have fallen foul of this miserable disease.

    The likely outcome is going to be very good but it is a rocky road. After all the initial terribleness and soul searching I found all the medical staff really helpful. Once the intial dust had settled I realised it was a question of 'doing the time'. The treatment.. or rather the side effects to treatment are awful. But, and as I emphasise, it is simply a question of doing the course and allowing the medical people to guide it all.

    I had a PEG. It was okay... sorta. No issues. Just a big inconveniance and hated it tbh. However it really worked for me in terms of my progression through treatment. I was given a pump and could chuck fluids down it at night. But also used it for Huel, a complete  nutrition solution, and which I was told by the hospital nutritionists was NOT recommended. Slapped wrist there!  But it worked and a month or so after radiotherapy was able to have it removed. That is swiftly done with a tug and a dressing.

    btw. I was sedated for insertion. I knew NOTHING. It was fine. No doubt you will be too.

    Please be comforted by the fact that prognosis is VERY good for this cancer.  I certainly appreciate the absolute dread it creates. Google doesnt help in that respect. 

    I found some of the blogs handy:  'Vatch' that used to post on this forum has an excellent account of his journey:       gammaraygary.wordpress.com

    But also there are a few threads on here well worth sifting through. ie www.cancerresearchuk.org/.../squamous-cell-carcinoma-of-the-tonsil

    One thing that impressed me was the excellent service and treatment provided. I was in very good hands.

    Wishing all the best for you.  
    Please do not hesitate to message me regarding any questions. The forums here are a good source of info and some great people keen to help.

    Paul x 

  • Hi Caroline. Thus is Hazel I am 10 month post radiotherapy for tonsil cancer with several affected lymph nodes..so welcome to the club that non of us really want to join. 

    I have a blog www.radioactiveraz..wordpress.com  where I give a week bybweek account t it my experiences good and bad. I got the all clear in January no peg as oncologist was confident that I would be able to mainwatin swallow which I did but not sufficient to eat all the way so had a NAG nasal tube in for 6 weeks .

    if I can do it anyine can as I am basically a 62 year old wimp .

    any questions ask away we are a friendly lot whintey and help.my blog also has links to another guy in Scotland who has a thread on here under Living with Cancer Radiotherapy for throat cancer.

     

    good luck ,I am proof that there’s is light at the end ofvthe tunnel.

     

    Hazel 

  • Hi Hazel, 

    Thank you so much for replying. Good to hear there is light at the end of the tunnel. I've had sone pretty dark days since diagnosis. 

    Caroline

  • Hi Paul, 

    Thank you so much for your comments. My oncologist has told me the treatment is pretty brutal but that it is a curable cancer. I'm going to just take each day as it comes, but I will be asking for as much sedation as possible on Tuesday! 

    Caroline 

  • Hi Caroline yea think it is quite brutal but as long as it’s a good outcome think you have to think of that , that’s what I’m trying to do , yea have everything they can give you haha good luck let us know how you get on xxxxx

     

    maria

  • Hi Maria, 

    Not sure if my reply to you posted earlier? I hope your pain eases and if not you def need to contact the medical staff. I'm going to ask for as much sedation as possible on Tuesday! 

    I've written off the next few months, but from what others are saying, there is a light at the end of the tunnel,  as even tho the treatment is brutal, it is a highly curable cancer. 

    Sounds like we will be having our treatment at the same time so always here for a chat. 

    Caroline x

     

     

  • Hi Caroline yea if it carries on gonna have to contact them cos I can’t move , yea it does what hospital are you having yours ? Mines the big one in Cambridge not allowed to put name apparently , will be nice to keep in touch and to have someone else going through what your going through 

     

    good luck for Tuesday and keep us updated 

     

    maria

  • HinCaroline You aren’t on your own Re:the dark days.Strange as ut sounds once treatment starts yiu get into the swing of things ,I was diagnosed after biopsy  June and treatment started 16 July . I too took comfort from my oncologist s words treatmentbus brutal but results are good .He said if he wasn’t to get cancer it’s the pone he would choose, best piece of advise keop off  Dr google  stick  to cancer U.K. and  Macmillan, my blog and Ian’s blog are accurate as far as we are concerned just don’t take  everything as gospel as although we have the same diagnosis our paths through it are all individual.

    Find out if your cancer centre has. CD players mine did and I made up several cd s all no longer than 20 mins and I only got tinthe  end of one  of them once that was when we all forgot I had left my earrings in ! Usually 10-14 mins and youare out again xx

    keep in touch 

    Hazel x

  • Hi Hazel this sounds like a really stupid and trivial question but can you wear nail varnish and make up , just wondered cos sometimes just makes you feel bit better doesn’t it 

     

    maria