Tonsil cancer radiotherapy

Hello Team

So sorry you’ve all had your struggles. I was about to celebrate twenty years clear of breast cancer when I was diagnosed.....

I've just had my cancerous tonsil removed but whilst looks contained there is not room for 5mm clearance margin and it was at the top of my tonsil. No results yet but scans for spread looked clear at time of surgery although unreported. 

I have two two teenage children in the midst of exams  and have not told them yet. Am waiting for more information but they are my greatest concern. 

I also wondered how small the radiotherapy field can be or is or is it a blanket dose to entire left side of neck even if nodes not involved? Is chemo likely? 

 

thank you

Parents
  • Hi Jane

    I also have just been diagnosed with cancer in the RHS Tonsil area ( I dont have any they were romoved as a kid 60 years ago) to say I am scared is some understatement also I am so emotional, I have no experience of hospitals and everthing scares me to death. I have a tosil biopsy next week , I have had biopsy of node in my neck<positive> and a PET/CT scan showing the primary as tonsil area.

    First I was told it would be just surgery, then surgery and Radiotherapy and following the PET looks like just Radiotherapy will be used although they want to see the results of MIR scan before final decision.

    As far as I know and was told Radiotherapy is very pecise although it will destroy some of the good guys near the target area but it is not a blanket area that is zapped.

    I am scared of everthing and anything, especially the PEG thingy and the side effects that will come later, I have a terible gag reflex in my mouth so its the worst possible place to have people poking me about.

    But we have no choice and have to face it head on. Keep strong!!

  • Hi CB,

    Try not to worry. I'm just recovering from tonsil cancer and whilst the side effects of radiotherapy is no joy the survival rate is one of the highest of all cancers.

    You'll probably get 7 weeks x 5 days (Mon-Fri, weekends off!) of radiotherapy (10-15 mins & painless), plus a dose of chemo on your first day and one about 5th week in. It's Grade A world class treatment. They'll probably test you for a virus called HPV, which if you have, bizarrely increases your survival rate further.

    You'll probably need to arrange lifts after first week or so of treatment, as you'll feel *** for driving. Get a rota in place for people to take you as soon as you get your treatment schedule. Taxis other option if hospital not too far away, wouldnt recommend public transport. 

    Pre-treatment you'll have a PEG or some other type of feeding tube fitted to your stomach as you'll be living on medical nutrient milshakes for a while as your throat being nuked by high powered X Rays will be "closed for business". Eventually this will be taken out post treatment and you'll wean yourself back on to normal food over a few months, sloppy stuff to start, then more lumpy stuff then tougher stuff to chew and swallow still later (I'm still on semi-solids 4 months after treatment but PEG removed).

    Tips :

    1. Don't worry about Radio or Chemo they aren't painful

    2. If offered some "sedation" for your PEG fitting, take them (benzos) as it can hurt a bit

    3. You'll probably have to a have a few teeth out on the side of your cancer. These are any teeth deemed at risk of future extraction as they can cause problems with your jawbone if extracted after radiotherapy. Restorative denistry is an option, I'm just chewing on one side of my mouth at present.

    4. Worst time is last week of radio and the week that follows it. After that you'll gradually start to feel better.

    5. Relax, it'll all be fine. They successfully treat up to Stage 4 tonsil cancer and once it's gone it doesnt come back.  

    Oh, and I lost my wife to suicide early in my treatment (unrelated, Bi Polar depression) so if I can do it, anyone can.

     

     

  • Hi so sorry to hear of your diagnosis , I'm nearly 3 months post treatment , and to be honest I'm still in shock , don't think you take it in for a while , and once treatment starts that takes over and u don't have time to think , I had 7 rounds of chemo ,one a week , then six weeks every day apart from weekends of radiotherphy , to be honest they only takes about 15 min , are you far from hospital ? I had a two hour journey every day so it seemed to take up whole day , there is no pain in any of the treatments , the radiotherapy is the worse one , and the side effects are not nice ( I'm still suffering ) but I'm  alive so that's the main thing , no one person is the same so all our side effects are different , if you read radioactive raz blog she gives a no hold bar of everything , and she's lovely will always  help or give advice if u need it , she has been my saviour many a time , hope everything goes well with scan , keep us informed xxxx

     

     

  • Thank you Maria for your kind words ,as the saying goes been there  git the T-shirt read the book etc .only too pleased to help anyone throughit. Have already accepted friend request from Cornwall mum xx hope u r ok and the rains not effected you. 

    Set iff hime at weekend brrrrrr am ready for home though lol x

  • Hi as Maria says the radiotherapy doesn’t hurt at the time ,the journey to and from hospital takes up the time. The after effed to start around week 3 of treatment gently to start with then gradually build up .

    ask at your m d t meeting for tumour size and any spread and are you h p v 16+ which makes a difference to treatment .

    Try and keep off dr google so much bad and miss leading info it scare you. Like my oncolgist says in 5 mins on dr google even he could self diagnose himself dead . Keep on here recognised blogs and macmillima have a community web site .

    keep in touch private message me if you need anything have accepted your friend request .easy for me  to say I know but try and keep calm ,one cry a day is allowed. .

    positive mental attitude git me through it .

    Hazel xx

  • Hi Hazel no problem you have been lovely , oh bless you weather awful here lol but sometimes nice to be home , take care gonna have nice afternoon kip now lol 

    maria xxxx

  • Just had mine quick 20 min power nap sees me through it yes deffo ready fir real life here’s great but we live a fantasy life it’s nit real. Lol xx

  • Hi Cornwall Mum , sorry to hear you are joining this club , you will find some great advice and encouragement from this forum , being told you have cancer is like being hit with a sledgehammer ! I was diagnosed in April , 6 weeks of radiotherapy from mid May to the end of June with 2 days of chemo . I found the radiotherapy and Chemo ok , you don't feel a thing , the skin to my neck became red and sore but has now healed and is a normal colour ! The side effects post treatment for me was the hardest period. I know exactly how you are feeling at the moment , but you will get through this !!
    The only good thing about this type of cancer is the high cure rate which is a real positive to hang on to. I got the all clear on the 2nd of October , a date now etched in my mind for ever .Dont hesitate to ask any questions on here as you will get sound advice which I found invaluable . Good luck , everything will be fine even if it doesn't feel like that for you at the moment . 
     

    Pete

  • Oh god wish I could just have a power nap but I can't. , never got to sleep bloody dog wouldn't stop pestering me lol , I'm not sleeping at night that's the trouble so I'm bloody knackared all the time , hoping as I've not had any sleep today I might sleep tonight. , yea that's the trouble it's not real life is it be nice if it was haha cxxx

  • Took me months to have a full nights sleep at least 7 months or so n whatbwith water for dart mouth am uo for loo some nights although this trip I’ve done a lot of 7 hour sleeps !!!!!!!!! The xyimelts do help with dry mouth 

    fingers x for u tonight H x

  • Yea it's horrible ain't it yea have used them few times keep bloody forgetting lol , thank you I've got everything crossed haha xxx night 

    maria xxx

Reply Children
  • So it's starting to get real ! Had my scan last Thursday and now waiting for results , to say I'm scared is an under statement , I was told on the day that my results will go to my dr and should be available by Monday , dunno if I have to phone to make appointment or what ?? Any one else had that , hope u all doing well xxxx

  • Hi Maria 

    umm I got my results from my oncologist 10 days after the scan. Was it a pet ct scan or a ct scan ? I was uve. My appointment before my scan so maybe ring the hospital. Don’t fret am sure all will be fine. Try and sleep tonight let us know what you hear and good luck am sure once agin all will be ok. how are yiu progressing ?

    Hazel xx

  • Hi hazel was a pet/ct I thought I would have to see consultant but apparently not , bloody horrible this waiting , just hoping all ok my last two cameras down the throat were clear so hoping that's a good sign apart from that not too bad , see dietician couple weeks ago , when I had camara down , they were but concerned about my weight but I've managed to put on 5lb since then so hoping they will take my feeding tube out next time , sitill have some sores on one side of my throat , but apart from that and the gunk and the dry mouth I'm ok lol , how about you hope all ok xxxx

  • Hi Maria ,like younsay  your cameras have been clear so that’s a good indication. Dry mouth still,plaguing me got home on Tuesday it’s dark grey  and rainy as you know lol. 

    Had flu jab and acupuncture on Wednesday they knocked me a little for 6 but am good really.how many weeks post treatment are yiu now ? I had my scan at  17 weeks Dr  wanted to make sure that all hot spot s would have gone .sat here trying to eat my favourites plain crisps I know mouth will be dry but a girls got to have some pleasures. 

    Please let me know when you hear something,just ring tomorrow not sure if they give them overnight phone know my dr liked to *** at the m d t meeting then tell his patients face to face ,but as we know they are all different  the pet ctbscan is the best scan to have a special it does show a through picture  

    onwards and upwards Look how far youve  come  

    Hazel xx

     

  • Bless u I could kill for a bag of crisps lol , I finished my treatment middle August , I've got a feeling they won't tell me over the phone , but your right we have both come along way , it's only when u stop and think that you realise and I suppose it is still early days yet , well will know soon I hope will let u know tomorrow if I find out.  Off to bed now the morphine kicking in lol so hopefully will get couple hours sleep , enjoy those crisps have one for me haha take care speak soon

     

    maria xxxx

  • Night night private’s message me tomorrow if yiu feels better doing that. 1/2 way down a 30 gram packet used to take me 4 mins niw can take up to an hour !!!!  Make s the agonies worth it lol. H xx

  • Haha well you enjoy them lol , ok will do thank can can always rely on you for lovely words and advice take care xxx