New to H&N and very SCARED

RobLee
RobLee Member Posts: 269 Member
edited November 2017 in Head and Neck Cancer #1

Hi... I've recently posted here a few times already and only one person replied, but here goes.  In a few hours I will have an MRI of my neck to confirm a mass that was recently scoped by my new ENT at the base of my tongue.  He suspects it is HPV.  I don't know anything else YET but both my wife and I have had other cancers and so I'm guessing that the next step would be a biopsy and then treatment.

Okay, I know that "it isn't cancer til they say it's cancer", but I know that this is SOMETHING and it's not nothing, and not anything that's going to go away on its own. If it is not P16+/SCC then I will have to once again go thru the arduous struggle of trying to get a diagnosis (in the past, that has taken months and even years).  I have had a sore throat and ear pain since July with mild swelling in my neck and sharp pain when I use my tongue. Note that I had a sialoadenectomy on the other side of my neck 35 years ago and that took multiple surgeries and three years on antibiotics. My fear was that this was the same thing, but the ENT said no it isn't.

Given the possibility (or likelihood) that the doc's differential diagnosis is accurate, I have researched the standard treatments, so as to be prepared... the mask, cisplatin, erbitux, possible feed tube, weight loss, rashes. I have tried to prepare my wife for the possibility that for a time I may not like to eat what she has prepared (we go thru that already!)  She says I am just being pessimistic. I realize that in a forum such as this, we are more likely to hear the worst cases and we rarely ever hear from those who had no difficulties with treatment.

Note that she breezed thru her chemo for lymphoma and went from no symptoms to diagnosis, treatment and full remission during the same time between my first and second surgeries. She has been treated very well by the medical community, where I have always had to struggle to get a disgnosis and fought for treatment. Also I have just completed eight weeks of radiation (40 Tx, 72 Gy) just three weeks ago and fear going back under the zapper for more rads. I'm still having tremendous fatigue and digestive disturbances from these past two months.

I know a couple other survivors from this forum and they tell me not to jump to conclusions. I understand, and I won't really know anything for at least another 24 hours. But I can't help the feeling of "here we go again". So please tell me, am I wise to try to prepare for the worst, or should I just keep quiet and hope that everything will come up roses? Thank you!

Comments

  • johnsonbl
    johnsonbl Member Posts: 266 Member
    edited October 2017 #2
    Good luck on the MRI...

    Seems a little unfair of life to kick you in the nuts again with a H/N cancer after already having what sounds like colon cancer or something...  So I hope things come up clear for you.  My wife is much more able to just think positively and not worry than I am.  I was convinced the the small nodule the ENT saw at my 6 month followup 2 weeks ago was recurrence.  Gloom and doom and all that.  Turns out it was just a bit of inflammation.

    I suspect it won't matter what any of us say, if you are pessimistic like me (and it seems you are) then you're going to stew about it and prepare for the worst anyway.  I don't think there is anything wrong with that.  I'd rather assume the worst and be pleasantly surprised.  Just how I roll.

    That said, there are plenty of folks who make it through P16+ treatment pretty well.  Wasn't long ago that there was pretty much one treatment for it...radiation and a crap ton of chemo.  Now there are more options.  TORS surgery and reduced doses of radiation and chemo.

    Good luck.

     

    Brandon

  • CivilMatt
    CivilMatt Member Posts: 4,722 Member
    16 hours and counting, the wait is almost over

    RobLee,

    I hope you have SOMETHING, which is not cancer.

    SCC can be HPV + or HPV -.

    The aversion to food and eating only happens to most of us, not all and the condition has nothing to do with whom and how the food is prepared.  You need to live it to understand it.

    You are correct to realize that H&N members who have no difficulties with treatment don’t post often?  There are 2 members I’ve heard mention they (may I say) breezed through treatments.  Lucky dogs.

    Stage IVa, SCC, BOT, HPV+, 1 lymph node (surgery, rads & Erbitux) was my first go with cancer.  I did not want to believe it and a couple of positive biopsies did not make it any more palatable. I like to stay as positive as my current condition allows me, but life turns on a dime.  Look, you are here.

    Matt

  • OKCnative
    OKCnative Member Posts: 326 Member
    Let's be realistic.... in

    Let's be realistic.... in most cases 'the worst' is a few weeks to a few months of feeling pretty rotten with the knowledge that an overwhelming number of people go on to have a very good outcome and lots of life ahead of them.

    A positive attitude at this point is key. I celebrated my cancer. I didn't allow anyone to tell me how sorry they were for me. I knew the road would be rough but that I was almost assured lots of life still to be lived. My last meal before I could only consume liquids for 2 months was literally TONGUE tacos  - because some friends threw me a small party and served up tongue in honor of my cancer. But that's just how I approach things. And, it paid off. No loss of taste, no loss of saliva, no PEG tube, never threw up and seven weeks post treatment I was eating pizza, sushi and my favorite Mexican food.

    I'm still fairly young at 47. I know more and different cancer could be in store for me in the future. But, while cancer may one day take my body, it will never take my life.


  • swopoe
    swopoe Member Posts: 492
    edited November 2017 #5
    My husband had tongue cancer

    My husband had tongue cancer that was HPV negative. He did great with his treatment (surgery, rads, cisplatin), and had a much easier go of it than most. He worked through it, and was off the peg tube within a month or so of completing treatment. It has now been two years since diagnosis and honestly life is back to normal.  I still post around these parts, and I like to check up on my friends here.

    Get your diagnosis and go from there. We will be with you every step of the way if it is in fact cancer. Every person responds differently, but you will get through it. Thinking of you.

  • donfoo
    donfoo Member Posts: 1,771 Member
    patience

     So please tell me, am I wise to try to prepare for the worst, or should I just keep quiet and hope that everything will come up roses? 


     Please keep your mind from running ahead of what and where you are. There are many different outcomes, just try to not get overly future guessing until you near definitative lab results. Good luck

  • ManOfSteelMan
    ManOfSteelMan Member Posts: 13
    It didn't take long for my

    It didn't take long for my taste to go south. Nothing tasted good except water which is odd because normally it tastes metallic to me.

    As for the other symptoms; I've had them all but then again I was a worst case scenario. Even the anti-nausea medicines weren't effective. I landed in the hospital three times during those three months and had overnight stays becuase I had dehydrated.

    Everything you've mentioned (some hair loss but not much) I went through and it sounds scarier than it is. Granted you won't enjoy food for a long time, you'll have a PEG tube, and the nausea and accompanied vomiting is quite unpleasant but I made it through that. Just becareful not to get your hopes up. I've been in "remission" three times and it only lasted for about four months at most before moving on to somewhere else. I hope for your sake it doesn't come to that; it's just a big let down to go through all this only to have it return in the same amount of time it took for the treatment itself. Again, I'm the worst case scenario so you probably won't be so bad. :)

     

  • Lisa I.
    Lisa I. Member Posts: 16
    2.5 Weeks Post Treatment

    My Husband is now post treatment by a few weeks. He was diagnosed in early July with P16+ HN cancer where they couldn’t find site of origin. He was considered stage 3 because it had moved intot a cluster of lymph nodes in the left side of his neck. He underwent 7 needle biopsies to diagnose followed by exploratory biopsy surgeries - with tonsils removed and 28 biopsies taken from the. Base of his nasal cavity to the base of tongue. THEN underwent placement of the chemo port, PEG (feeding tube) and removal of two rear molars and a wisdom tooth. following the healing from all this, he finally started treatment with 7 weeks of extensive, intense radiation over a larger field due to no site of origin. He also was to have 7 weekly infusions if cisplatin however, only managed 5 weeks due to extremely low white blood count.

    Tony had larnyx cancer 10 yrs ago and successfully completed his surgery to remove the mass and many weeks of radiation then. He was back to normal quickly. This diagnosis hit us both hard. 

    We are sooo thankful he had the PEG tube, as midway thru he needed it, having lost almost 50 lbs! That was scary at first but is ‘old hat’ now and we have a routine. He has just restarted eating by mouth...slow and steady with boullion with egg in it (egg drop soup) and crushed crackers soaked in it too. He also has managed scrambled eggs, Chocolate ice cream, yogurt and boost thinned with milk. We will take the small baby steps! Most food doesn’t taste good still but he is interested in food and is once again enjoying smells of food cooking. 

    Tony thankfully, didn’t have nausea or vomiting as the meds worked for him. We were lavish with the silver sulphate creams and RDD moisture creams for his skin. I recommend that. We also used non stick bandages, secured with a length of gauze for the worst burn spots. Drs and both of us are thrilled with how quickly his skin healed!

    his energy level is returning and we are thinking positive and planning for the future. Rest assured, we had some VERY dark days...and nites in the beginning and during some of the harshest parts of the pre-treatment AND worst of the treatment phases. But we are confident in our medical support and they assure us the statistics support a CURE! So, we will go with that!!!! 

    Please tell your wife that yes, food will be difficult to smell let alone eat! I ate a lot of soup, sandwiches and quick lean cuisine frozen meals. That’s ok! Whatever it takes to help my hubby feel better! 

    Good luck with your journey and ask for your Prayer Warriors to step in to help! We are thankful for our family, friends and neighbors! 

    Lisa I.

  • Lisa I.
    Lisa I. Member Posts: 16
    2.5 Weeks Post Treatment

    My Husband is now post treatment by a few weeks. He was diagnosed in early July with P16+ HN cancer where they couldn’t find site of origin. He was considered stage 3 because it had moved intot a cluster of lymph nodes in the left side of his neck. He underwent 7 needle biopsies to diagnose followed by exploratory biopsy surgeries - with tonsils removed and 28 biopsies taken from the. Base of his nasal cavity to the base of tongue. THEN underwent placement of the chemo port, PEG (feeding tube) and removal of two rear molars and a wisdom tooth. following the healing from all this, he finally started treatment with 7 weeks of extensive, intense radiation over a larger field due to no site of origin. He also was to have 7 weekly infusions if cisplatin however, only managed 5 weeks due to extremely low white blood count.

    Tony had larnyx cancer 10 yrs ago and successfully completed his surgery to remove the mass and many weeks of radiation then. He was back to normal quickly. This diagnosis hit us both hard. 

    We are sooo thankful he had the PEG tube, as midway thru he needed it, having lost almost 50 lbs! That was scary at first but is ‘old hat’ now and we have a routine. He has just restarted eating by mouth...slow and steady with boullion with egg in it (egg drop soup) and crushed crackers soaked in it too. He also has managed scrambled eggs, Chocolate ice cream, yogurt and boost thinned with milk. We will take the small baby steps! Most food doesn’t taste good still but he is interested in food and is once again enjoying smells of food cooking. 

    Tony thankfully, didn’t have nausea or vomiting as the meds worked for him. We were lavish with the silver sulphate creams and RDD moisture creams for his skin. I recommend that. We also used non stick bandages, secured with a length of gauze for the worst burn spots. Drs and both of us are thrilled with how quickly his skin healed!

    his energy level is returning and we are thinking positive and planning for the future. Rest assured, we had some VERY dark days...and nites in the beginning and during some of the harshest parts of the pre-treatment AND worst of the treatment phases. But we are confident in our medical support and they assure us the statistics support a CURE! So, we will go with that!!!! 

    Please tell your wife that yes, food will be difficult to smell let alone eat! I ate a lot of soup, sandwiches and quick lean cuisine frozen meals. That’s ok! Whatever it takes to help my hubby feel better! 

    Good luck with your journey and ask for your Prayer Warriors to step in to help! We are thankful for our family, friends and neighbors! 

    Lisa I.

  • RobLee
    RobLee Member Posts: 269 Member
    edited November 2017 #10
    Good News and Bad News

    The ENT called this morning and the MRI did not show the mass that he had seen with the scope.  So the good news is that - at least for now - it is not a tumor.

    The bad news is that now I am back to square one, and don't know what it is.  The pain has progressed and besides hurting when I swallow it also hurts down into the sub clavicle area of my chest.  I know it is something, and while it would be nice to believe that it will go just away, I know better.  I suspect this may be more like my prostate cancer, which grew for two years before it became large enough to show up on a scan.  What a terrible experience that has been!

    So I can thank my lucky stars that the horrible treatments I was fearing so much won't be happening any time soon anyway.  But now I only have to worry about what this is and hope the pain doesn't become unbearable during the holidays.  I see the ENT again in three weeks and I'm hoping he has a plan.

    Thank you all for your replies!

     

  • SuzJ
    SuzJ Member Posts: 427 Member
    Actually..

    It sounds like GERD.

     

    The pain when eating etc.. sounds like GERD

     

    Try an OTC zantac.. see if it helps.

  • RobLee
    RobLee Member Posts: 269 Member
    Got that under control already

    Thanks Suz, but I've been on PPI's for Barrett's esophagus for over a decade.  I take Nexium or Prevacid (Rx strength) every morning.

    I appreciate the suggestion, but this new pain is definitely something with the tongue, so for now it remains a mystery.  Thanks again!

  • JBBW
    JBBW Member Posts: 30
    edited November 2017 #13
    Glad it's nothing to worry about

    I am glad to hear that it's not a tumor.  I hope it never becomes anything bad.

    I just had my three-month post treatment PET scan looking for anything *active* in the throat/tongue area.  I get the results next week.

  • RobLee
    RobLee Member Posts: 269 Member
    edited November 2017 #14
    JBBW said:

    Glad it's nothing to worry about

    I am glad to hear that it's not a tumor.  I hope it never becomes anything bad.

    I just had my three-month post treatment PET scan looking for anything *active* in the throat/tongue area.  I get the results next week.

    Good Luck JBBW!

    I hope your PET comes back negative.  I see my ENT again next week also, to discuss where we go from here... the pain persists but for now reduced by meds.

  • Fireman
    Fireman Member Posts: 39
    Scared

    Hello

    I consider myself a very positive person and always look at the bright side and the optimistic point of view. I feel I am able to do this because I prepare for the worse case. Don't confuse being smart and prepared with being pessimistic in others peoples view. Because you prepare, that is being positive and it gives you confidence to face whatever you have to with a better attitude. I only wish I had done a little more preparation for treatments I had post cancer which turned out to be more devastating than having the cancer itself. Be informed, be prepared, and be apprehensive because it gives you an edge to ask questions so you can stay positive. Of couse you can smile, be scared and wish for the best outcome, or you can be diligent, be informed and prepare for the best outcome. I think others are actually more scared than you are because they really don't want to know.  Best wishes to you!!!