Having neck dissection next Wed very nervous don't know what to expect

Hi, I'm Karen from Australia, I was recently diagnosed with a stage 2 tumour but no lymph node involvement and no Mets scan results (T2 N0 M0) but it won't be until they open me up that they will really know.

I'm very nervous about the operation, the surgeon says it will take most of the day, they will probably also take out the lymph nodes near the tumour to make sure it cannot spread, has anyone else had this procedure? If so can they advise me on what to expect and also how best to deal with the limitations post surgery then of course the Radiotherapy which will follow, thanks :)

Comments

  • Duggie88
    Duggie88 Member Posts: 760 Member
    Hi Karen

    Welcome to our little corner of the world. It sucks that you have to visit this site but you found the best support group on the web.

    I had stage 4 resulting in a full neck dissection, they removed my epiglottis, part of the base of my tongue, a few lymph nodes, and my uvula. I also had a tracheotomy for about 3 weeks and feeding tube about 5 weeks until I learned to swallow again. They put me out at 7:30 AM and I never woke up until after 9:00 that evening. This took place December 18, 2009 and I started radiation February 17, 2010 and ended March 30, 2010.

    I’ve said this many times, if I can do it anybody can do it. For me the surgery wasn’t as bad as the radiation, but we stress everyone is different. I started feeling the effects in three days they told me I would begin to feel in about ten. I was ready to call it quits but went through with it and I am certainly glad I did because it increased the odds that I could sit here five years later and help you get through it. The best advice I can give you is stay positive, have your husband or someone (caregiver) go with you for all appointments so they can help remember all that is discussed including what to expect. Once they expect you to start swallowing again practice practice practice. Stay hydrated which goes along with the swallowing in the event you don’t they will want you to get another feeding tube. I lost 92 pounds during my treatment and they threatened a feeding tube but I needed to drop some weight anyway.

    How about next year on April 19 2016 you get up and say to yourself Jeff was right if he can make it through it anyone can.

    As stated above you found the best support group on the web, there are many fine folks on this site that can help you travel that bumpy road ahead. Hell we will even hop in the driver seat and steer you around the potholes. Without sugar coating it this may be the toughest thing you ever have to go through, hang in there and stay positive. We are here for you.

    Enjoy the day………………I do…………….every one of them

          Jeff

  • Karen1361
    Karen1361 Member Posts: 2
    Duggie88 said:

    Hi Karen

    Welcome to our little corner of the world. It sucks that you have to visit this site but you found the best support group on the web.

    I had stage 4 resulting in a full neck dissection, they removed my epiglottis, part of the base of my tongue, a few lymph nodes, and my uvula. I also had a tracheotomy for about 3 weeks and feeding tube about 5 weeks until I learned to swallow again. They put me out at 7:30 AM and I never woke up until after 9:00 that evening. This took place December 18, 2009 and I started radiation February 17, 2010 and ended March 30, 2010.

    I’ve said this many times, if I can do it anybody can do it. For me the surgery wasn’t as bad as the radiation, but we stress everyone is different. I started feeling the effects in three days they told me I would begin to feel in about ten. I was ready to call it quits but went through with it and I am certainly glad I did because it increased the odds that I could sit here five years later and help you get through it. The best advice I can give you is stay positive, have your husband or someone (caregiver) go with you for all appointments so they can help remember all that is discussed including what to expect. Once they expect you to start swallowing again practice practice practice. Stay hydrated which goes along with the swallowing in the event you don’t they will want you to get another feeding tube. I lost 92 pounds during my treatment and they threatened a feeding tube but I needed to drop some weight anyway.

    How about next year on April 19 2016 you get up and say to yourself Jeff was right if he can make it through it anyone can.

    As stated above you found the best support group on the web, there are many fine folks on this site that can help you travel that bumpy road ahead. Hell we will even hop in the driver seat and steer you around the potholes. Without sugar coating it this may be the toughest thing you ever have to go through, hang in there and stay positive. We are here for you.

    Enjoy the day………………I do…………….every one of them

          Jeff

    Wow, thankyou for all that

    Wow, thankyou for all that Jeff :) Being stage 2 I'm not sure how much they will be removing, I guess it depends on the margins after testing once they operate, they will be removing lymph nodes on that side I suspect, thanks Karen :)

  • debbiejeanne
    debbiejeanne Member Posts: 3,102 Member
    hi Karen.  i just want to

    hi Karen.  i just want to welcome you to the family but so sorry that you had to join us.  I will be praying for the surgery to go well and for a fast and smooth recovery.  will you be having any other treatment, rads or chemo?  I hope not.

    God bless you,

    dj

  • CivilMatt
    CivilMatt Member Posts: 4,722 Member
    early steps

    Karen,

    Welcome to the H&N forum, so  sorry you find the need.   

    I was stage IVa, scc, bot, 1-lymph node, hpv+ (surgery, rads & Erbitux), a lot said, mostly behind me now.

    I  started with a Jugular Vein dissection to remove a pesky lymph node and an area of my tongue.  Neither was too bad and I hope you have the same good luck as I did.

    Matt

  • MrsBD
    MrsBD Member Posts: 615 Member
    Nervous

    Hi, Karen.

    Welcome to the family. Hopefully you will look back in a few months and feel you had some awesome brothers and sisters to help you during this time. My experience was with T2, N2c, M0, Stage 4a, HPV neg, BOT, and I finished treatment six months ago.  While I did not have surgery,  I did have radiation with chemo and will be happy to offer support if you need it. You have a great team of advisors on this site, so don't hesitate to ask questions about anything. Many of us will be praying for you too. I'd like to echo the advice about bringing someone with you to appointments. I also kept a notebook to write down questions and took it with me to all appointments. In it I wrote down the doctor's answers and any suggestions so they wouldn't be forgotten . Keeping a journal was helpful as well. If someone asked when a symptom started, it could be looked up easily. Please let us know how you are doing after your surgery. 

    Beth 

     

  • wmc
    wmc Member Posts: 1,804
    Welcome to the H&N Group

    Karen welcome and sorry you need to be here. You have found the best support group you could. Tha folks here are the best on support and questions you have and just an overall cheer section.

    I had SSC and the tumor was laying on my vocal cords. T3; N0; M0; [They thought it was T4;N2;M0] mine got better when they got in and could see what was there. Now I have bad lungs so for me, and this is not for you, they had to remove my larynx, voice box, and they did the neck dissection on both sides to be sure it not only was clean but had nothing to come back to as well. They had a pathalogist right there and checked the lymph glands and all 86 were clean. Mine was an 8 hour surgery, then in recovery and I woke up in my bed, never had to go to ICU. Not it was harder on my wife because I slept through it all. I woke up with some drain tubs which stayed in for a few days. I was swollen but very little pain and in a day or two I had NO pain. Did get some when the drain tubs came out but it was always taken care of and kept under controll. They got all of mine so I didn't require chemo or radiation. If you require radiation it can make it a bumpy road with some of the effects, but so many here went through that and will gide you through your journey. Heck, we will all be here for support and any questions you have. Remember if you need to see the doctors first or again, take someone with you, because they will say something and you will go blank and not really hear them. You will be fine through this. As for the surgery, you're asleep so don't wory about it. I seemed Like I took a nap for an hour or two and woke up and it was over. You just take one day at a time, and remember you will be fine, and we're open 24/7........

    Bill

  • jcortney
    jcortney Member Posts: 503
    Been there

    I had a radical neck dissection of the right side.  I have three nodes removed (that were all positive) and the others tested ok.  The recovery from the surgery was surprisingly not too bad.  I spent two days in the hospital and then the next few days to a week were pretty uncomfortable, but not terrible.  Some of the lingering effects you MIGHT have you should know about and ask your doc.  There is a nerve that they have to move (most times) that results in the inability to lift your arm (obviously depends on which side they are working on which arm is effected) and you may have a complete loss of sensation in your neck and side of your face. Both come back with time (and or physical therapy).  Mine was done in June of last year and I've got about 75 % of the feeling back on the side of my face and my neck.  Scar tissue and your lymphatic system making new pathways might also be an issue as my right side is still very hard.

    All in all, as far as major surgery goes, not too bad.  You should be REALLY happy they found it this early (stage 2).

    Good luck and don't be afraid to ask questions.  The folks here are an amazing source of great information.

    Joe Cortney

  • yensid683
    yensid683 Member Posts: 349
    fear of the unknown...

    is probably the worst part of dealing with a diagnosis like ours.  I've had two selective neck dissections, but they were at the end of my treatment cycles.

    I had stage IVa base of tongue cancer, the primary tumor was 30 mm and the largest of the left cervical lymph nodes was 60!  I was treated with induction chemo, 7 weeks of combined chemo radiation and then had a selective neck dissection some three months after my last rad.  It was surprisingly easy surgery, and I was able to go home the same day.  I had an incision that ran from my left ear lobe down below my adams apple and in the first procedure, I had no neurological impact.  I did find that an overnight in the hospital would have likely avoided the abscess I developed some 5 weeks later, I'd only had IV anti biotics when I was at the surgery center, seems them missed a bug or two.

    I had the second one some 5 months later after a follow up PET scan found additional hot spots.  The second one was with a specialist who did a larger incision and found a larger calcified node under my thyroid.  Their initial impression was that it too was cancerous and got ready to do a modified radical dissection, but pathology (lucky for me) showed no disease. 

    Neither surgery was all that painful, I was on prescription pain medications for just a couple of days post-op and then was able to transition to over the counter things like Advil.

    They did move that nerve though and with this one I some loss of sensation in the left ear and jay area.  It does recover, I'm just over 2 years out and things are still 'waking up' so to speak. 

    I'm holding good thoughts for you for your surgery, don't be afraid to ask questions, share your concerns and don't let the medical professionals dismiss them!

    Good luck on Wednesday, keep us posted and welcome to the family that no one really ever wants to join, but once you're in you're welcomed with open arms!

  • Dalius
    Dalius Member Posts: 1
    Sorry for you

    I had a stage 2 tumor on the inside of my left cheek. The surgeon had to take most of my cheek out (the inside part, so nothing that shows), and replace it with a skin graft from my leg. He also sliced my neck from my ear down about three inches and then across to about my adam's apple and remove lymph nodes for biopsy. He took thirty which were all negative. I was in the hospital for five days, mostly on a feeding tube until I could prove that I could swallow. After four weeks, I went back to work, but I wasn't done there. I had to have radiotherapy, but had to let the surgury heal first. Had my teeth checked to make sure they were healthy enough, or they were going to pull them preemptively, ( the ones in the back on that side.) I had 33 treatments done daily Mon - Fri. for seven weeks. This was two years ago, and in June I will have a Pet scan which will, if neg, show me as cured.

    Long term effects: I am losing my hearing in the left ear, and have pretty bad tinitus. I no longer have to shave the left side of my face. I am supposed to get a chest x-ray every year for the rest of my life. But thank the good Lord, I am still on the right side of the grass.

    Dale

  • tiestiks
    tiestiks Member Posts: 3
    Hi Karen
    The neck dissection takes several hours they spend a long time protecting the facial nerve and other nerves. When you come to you will have drain tubes in your neck, drips in your arm. Your throat will be sore but you will probably be able to drink and eat some soft food. You may have some weakness in your facial muscles due to nerve damage but this will get better over time weeks or a few months, do the exercises they give you. you will feel numb in places, part of my face is still numb 6 months on but its much better than it was. I was able to resume work after 2 weeks, I have a heavy physical job and had weakness in my shoulder which has resolved its self now.
    The surgery was followed up 7 weeks later with a month of radiotherapy. I was fine till start of week 3. Lost my taste, difficulty swallowing and eating, dreadful sore throat, dry mouth, got bad burns on neck inside and out. Felt sick got very tired. Lost hair on back of my head and like previous poster I no longer have to shave on side of my face. I have lost some of my hearing the high notes and have difficulty following conversation in a crowded room in the affected ear. I nearly gave up but the hospital staff were wonderful and knew lots of tricks to overcome the symptoms my family and friends helped me too.
    3 months after treatment I feel really normal again. The scar on my neck is almost invisible. My taste is returning, curry, vegemite, strong beer, all hit the spot, I have adapted my life a little, I need to carry water with me for dry mouth, I go to bed 1 hour earlier to get more energy. I keep up swallowing and neck and face stretching exercises. But its all been worth it, I am enjoying life, working full time again, looking forward to a holiday next month.
    You will at some point come out the other side this, and carry on with enjoying your life.