Still awaiting biopsy results

Hi everyone

i attended hospital to have a lump removed from the back of my throat in August. I had the initial results on 27th Sept via telephone.  If I am honest I am now confused as I probably didn’t take in all of the information. The Dr said that there were signs of a carcinoma of the saliva gland but it could be benign but the biopsy was being sent off to Cambridge for further tests and as these tests were quite niche it would be another 4 weeks. The Dr said these tests were to confirm the grade but she was confident it was low and they are to see if it was benign or malignant. I tried to get further information but they said to await the results.

I had a further appointment on the telephone on the Friday and unfortunately the results still aren't back. To make matters worse, I waited all day for the appointment and the phone cut off twice and I was unable to ask any further questions as when I called back the offices were all closed at 5pm  Obviously my head is spinning and I am replaying the initial conversation over and over in my head. Her saying carcinoma and low grade seems like she thinks I do have cancer but I really don’t know and she did mention the word benign at the same time as low grade. 

Is it usual for your biopsy to be sent to another hospital?

Also is this likely to be to confirm a diagnosis or to just complete another check with fresh eyes.  

Is it usual to wait so long as its been about 9/10 weeks for a result

I appreciate there are so many factors to consider but was just putting it out there to see what people thought as I feel I have been on a real rollercoaster of emotion. 

Thank you

  • Hi Jolamine,

    I got my results today and it wasnt good news I'm afraid. I do have a carcinoma in my saliva gland and the consultant said they think it is a low grade at present. She has informed me that i will need surgery to cut out the remaining tissue plus a large margin as although the initial biopsy was supposed to be a removal it was too large at the time so they took a sample instead. I have an MRI booked for Sunday, more bloods on Monday and also an eye appointment on the 12th as I was diagnosed with a cataracts in my left eye last week, but I suspect it may all be linked?? She initially said the above tests would take 2/3 weeks but my phone starting ringing about an hour later so maybe she meant the oncologist appointment would be 2/3 weeks?

    I must say I was relieved to finally get a diagnosis of sorts. I am terrified at the prospect of the 'large margins' surgery given the location at the back of my mouth/throat but will take it all step by step. I have spoken to work and they are amazing. I am a front line cop and they have been so accommodating, so I cant fault them.

    The hardest part was telling my husband as he reacted exactly how I knew he would (absolutely no criticism, `but he is the emotional one) and then the kids. The first thing my 16y.o son said as we sat them down 'oh God, who is dying' - bless him

    Hopefully I will get some slightly positive news with some of upcoming results x

  • Hi Emma,

    This is definitely not the news that any of us were hoping for. I am so sorry to hear this. It doesn't sound as if this was your week, what with a cataract diagnosis, as well. I have had both of mine operated on a number of years ago. It was a very straightforward procedure and my sight is now better than it has ever been. I have always been very short sighted and they corrected that at the same time.

    Unwanted as your cancer diagnosis is, I expect that it is better to know at last and to start to deal with it.  It is good to hear that there have been no further delays and that your MRI is already booked, along with your bloods on Monday. Has the consultant indicated how soon you could have surgery?  I don't expect that there's any urgency for your oncology appointment, until after you've had your operation. It is good news that your carcinoma seems to be low grade, but not so good that it is so large. I understand your concerns about taking a large margin in that area, but this is something that your surgeon must do routinely. Did you ask whether or not she expected any problems in getting a clear margin? 

    I am delighted to hear that your work have been so accommodating, as I have heard very unfortunate stories about some employers - it's hard enough to deal with all that is going on, without having your employers on your back as well. 

    It is never easy to break the news to loved ones.  My husband has dementia, along with a plethora of other medical conditions and he gets very emotional too. Many people on this forum complain that their partners are not at all understanding, so I suppose that we're lucky. My children were young teenagers when I had to break the news that I had breast cancer. We hadn't long lost my mum to secondary breast cancer and I had a second bout myself, a year after my initial diagnosis. Both dealt with it surprisingly well and have been very supportive.  That was all 14 years ago now and i still lead a busy and fulfilling life. What family do you have, as well as your son?

    Did you get a chance to ask any questions today? Make sure that you write down any, as you think of them and take them along to your appointments. This  may not be the easiest of journeys, but it is perfectly "doable" and you will find the strength to get through it. 

    Please keep in touch and let us know how you get on with your tests. Thinking of you and always here for you.

    Kind regards,

    Jolamine xx

  • That is reassuring about the cataract. My vision just staring getting blurry and cloudy in my left eye about 6/8 weeks ago and I assumed it was high BP/Stress but booked the eye test to make sure. I asked for the hosp referral due to everything going on and as I drive on day/night shifts at work and it was getting to a point where I couldn't comfortably or safely drive at night given my job. I was given new reading glasses (wearing for years) and distance glasses (had eyes lasered 15/20 yrs ago) but I think both prescriptions are wrong as they really aren't helping. That's probably a problem for next week.

    My direct manager knew what was going on but I hadn't told any of my staff. I think they all thought I was either about to get divorced or going through a mid life crisis as I haven't been myself. Some days I was so distracted i struggled to remember what I was doing or put a sentence together. I sent them a message earlier and they have all been very supportive. It is surprisingly reassuring to share - probably a first for me as I am a very private person ( I say typing on here!). Hiding at home on a computer/text message is quite a bit of a safety net and I certainly couldn't have these conversations in open forum at the moment.

    I am really lucky with my husband, although he drives me insane (as Im sure I do him!). Up until now he refused to accept that it would be cancer so I think that is what has hit him so hard. He has been very defensive in a way I think to protect me but now its out there. My kids are 14/16 and that was tough and I can now imagine what you went through, especially with the sadness of losing your mum. They both reacted in the opposite ways to each other and to what imagined, Glad to hear that you are doing well. Are you all clear now?

    I did have lots of questions but you were right and tunnel vision crept in very quickly. The Dr had answered most of them already but most of them werent really appropriate as she said I need the scans to confirm the precise location/extent of cancer/whether spread/level of surgery and treatment plan with or post surgery. She said the oncologist would discuss this with me. 

    Emma xx

  • Hi Emma,

    I needed good sight for my work too. I was a Podiatrist  and worked until last year, when I finally retired at 73. It will be equally important for you to have good vision for driving, especially at night. Is it just your left eye that is affected? Both of mine were bad. Don't get any new glasses until after your had your cataract operation, as you'll need new glasses then. Have you got an appointment for eye surgery yet, or is your appointment on 12th just for further assessment? 

    I know just how hard it is to keep yourself functioning when hit with a cancer diagnosis. I had 6 members of staff in my own practice and I'm sure that they had similar thoughts about me, as yours had. I didn't want to say anything to patients, until I eventually had to explain my absence from work. I have always been a very private person. My first visit to this forum was when I discovered it by chance. I was so distraught at the time, that I decided to dip my toe in the water, so to speak and I found it helpful to write down how I felt. In a short time, I had some tremendous support from other members, who really understood what I was going through. I have remained here ever since, trying to support others. 

    It sounds as if you will have the support that you'll need from your family and friends, which is good. I found this really helpful. Your kids are both old enough to know what a cancer diagnosis entails and will have heard horror stories from friends at school, who may have lost parents, etc. You will find that the more positive you can appear about the outcome, the better they will cope.

    You will probably find that you will have a lot more questions, now that you know what you are dealing with. You'll find new ones creep in, after you've had your scans I found that I had a new batch every time I saw my consultant. I am fortunate in that I've been clear for the past 13 years, although I am going back to the clinic shortly to check that there is no regrowth. It's hard to tell whether what I feel are lumps, or scar tissue. I had a lumpectomy first time and then a double mastectomy for the second bout, so there is quite a lot of scarring after both surgeries. 

    I am surprised that nobody with a similar diagnosis has come along to talk to you and wonder if this is because your title doesn't indicate that you have problems with your saliva gland. If you want to, you could ask the moderators to change the title for you - perhaps to something like Saliva gland Cancer - this would find people who are on the same cancer journey, which you might find helpful. It's often reassuring to be able to discuss day to day problems with others who've had the same experience.

    I am glad to see that you are having an MRI - this should give a much clearer picture of what you're dealing with. Have you had an MRI before? You are just slowly passing through a tunnel, but it can feel claustrophobic at times. They usually offer to play you some music. I have found that Meat Loaf's "Bat Out of Hell" , played really loud, is a good distraction.

    I shall be thinking of you on Sunday and hope that it goes well.

    Kind regards,

    Jolamine xx

  • I am thinking of you too. I understand what you mean by "Hiding at home on a computer/text message is quite a bit of a safety net and I certainly couldn't have these conversations in open forum at the moment."

  • Thank you Mary. I have actually told a few people that I immediately work with and family via text and it actually feels ok to type about it. I struggle with being the centre of attention so Im happier to drop the bombshell and make a joke for distraction to make my escape. Ive decided to take a few days off work and asked my boss to tell my extended shift. At least it is done then x

  • That's impressive Jolamine - sounds like you have earned your retirement - Congratulations! :-)

    I have just over 4 years to go until I retire but will probably just stay on or look for something a bit calmer in another sector for a quieter life. Feeling quite old at the moment so I might just want to put my feet up! 

    I had already picked up the glasses and I questioned whether I should wait for my results at the time of my eye test and he said it wont make a difference. I picked them up a week later and they are terrible. I mentioned it in spec savers but put it down to their bright lights instore.  Either my vision has changed in a week or the prescription is completely wrong. Even my reading glasses are off and i can see best when I put them towards the end of my nose so I will definitely be taking them back. The cataracts is just the left eye at the moment but it feels like it is progressing very fast. I am trying not to be suspicious of it and keeping that thought at bay, but I did speak to my surgeons secretary today to ask if that should be included in the MRI as I think they are just scanning my throat/neck. 

    I have had an MRI before but only my lower body. Would it be just my head that foes in this time - I hadn't even considered that. I also had a call a short while ago and I've also got a CT scan tomorrow now. It is great that I have all these appointments at once but I am also finding it quite daunting as it really has stepped up a gear xx

  • Hi Emma, 

    Thank you. I'd always intended to retire at 50, but my hubby had to retire at 50 instead, after he had a quadruple by-pass. He got no benefits whatsoever, so I had to continue working. I certainly could have put my feet up at 50. I suspect that, in 4 years time, you might be glad to find something a bit calmer than your present job, which must be pretty full-on.

    It certainly sounds as if you need to take your glasses back, as your sight should never change so quickly. I had a brain MRI a few years ago and that was just for my head. It sounds as if you might have something similar - it was definitely a lot more pleasant than the full body one. I doubt that your eye is connected to your latest diagnosis, but do mention this when you go for your MRI, as I'm not sure whether they do your whole head, or just your throat/neck. Don't worry about the way that things have stepped up a gear. This is probably to make up for the time lost in giving you a diagnosis. I am delighted to hear that your CT scan is scheduled for tomorrow. Here's hoping that once all of your results are back next week, you'll get an appointment with the oncologist quickly too.

    I saw my GP on Tuesday, when she emailed a referral to the breast clinic. Like me, she's not sure whether I have another lump, or whether it is just scar tissue.  I spoke to my breast care nurse today and she  has already received the referral. I was amazed when she told me that my appointment will either be this Tuesday or next Tuesday. She will phone me on Monday to confirm.

    It sounds as if you are going to have a busy few days and I hope that all goes well.

    Kind regards,

    Jolamine xx