Hypopharyngeal cancer: Anyone treated with proton radiation?

Posted by lisa_sj99 @lisa_sj99, Aug 26, 2016

My husband diagnosed with hypopharyngeal cancer in late June. He had a tonsillectomy and the right tonsil was removed. He will be ready for radiation and chemo treatment next week. Based on our research, we have decided for him to be treated with Proton Pencil Beam radiation in San Diego. Have anyone has the similar cancer and treated with proton radiation? I heard there are still many side effects (I.e. Dry mouth, swelling, skin irritation and fatigue etc.) with proton treatment. What do you use to alleviate the side effects? Thanks!

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Welcome to Connect Lisa.
I have a few members I can introduce you to. Please meet @mrsjhagen18 who has squamous cell carcinoma of the tonsil, @sylviapf whose husband has salivary duct cancer and @lzzie who has squamous cell carcinoma of base of tongue. While they don't have the exact same cancer as your husband, I'm sure they can offer thoughts about side effects of treatment.
@mrsjhagen18 @sylviapf, have either of you had proton beam radiation?

@rossam @audrapopp have had proton beam radiation for brain cancer.

Lisa, you may also be interested in this discussion "Mouth sores, no taste and no saliva and other side effects" http://mayocl.in/2bGXo9g

We look forward to getting to know more about you.

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We have not had surgery nor radiation. Ken completed 6 months of chemotherapy..Pacliitaxel and CARBOPLATIN. While his response was excellent, we still have 3 tumors with little to no response. Considering the PET scan in January, we are thrilled, and praising the Lord for this response. We have 3 months off; the second line of treatment will be Nivolumab. As of April, FDA approved this line of treatment for head and neck cancers. We will have scans the end of September to determine when this treatment will begin. There is no cure for salivary duct cancer, but these treatments are giving us hope for more time and quality of life. Prayer support is essential to maintain a positive attitude.

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Welcome back @sylviapf and thank you for responding so quickly to give us an update on Ken. Enjoy your 3 months off.
By the way, I will be opening a new group just for Caregivers this weekend. I'll be sure to let you know when it is ready.

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@colleenyoung

Welcome to Connect Lisa.
I have a few members I can introduce you to. Please meet @mrsjhagen18 who has squamous cell carcinoma of the tonsil, @sylviapf whose husband has salivary duct cancer and @lzzie who has squamous cell carcinoma of base of tongue. While they don't have the exact same cancer as your husband, I'm sure they can offer thoughts about side effects of treatment.
@mrsjhagen18 @sylviapf, have either of you had proton beam radiation?

@rossam @audrapopp have had proton beam radiation for brain cancer.

Lisa, you may also be interested in this discussion "Mouth sores, no taste and no saliva and other side effects" http://mayocl.in/2bGXo9g

We look forward to getting to know more about you.

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I have had 2 chemo treatments and will not start any radiation until after a 3rd treatment is completed so not much help from me...sorry.

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@sylviapf

We have not had surgery nor radiation. Ken completed 6 months of chemotherapy..Pacliitaxel and CARBOPLATIN. While his response was excellent, we still have 3 tumors with little to no response. Considering the PET scan in January, we are thrilled, and praising the Lord for this response. We have 3 months off; the second line of treatment will be Nivolumab. As of April, FDA approved this line of treatment for head and neck cancers. We will have scans the end of September to determine when this treatment will begin. There is no cure for salivary duct cancer, but these treatments are giving us hope for more time and quality of life. Prayer support is essential to maintain a positive attitude.

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sylviapf, thank you for responding. The oncology said my husband thoat cancer is curable since it is HPV (Human papillomavirus) positive. He will start 7 weeks of proton radiation and chemo next week. We are praying for a good outcome even though the treatment journey will be difficult. I read several articles on the Internet, radiation and chemo have many side effects such as mouth ulcer, dry mouth, swelling, difficult swallowing, and fatigue etc. I am sorry sick about his upcoming treatment.

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Lisa_sj99. The journey for your husband will be tough but you will definitely get a good outcome. I was diagnosed in September 2015 with SCC of the base of the tongue stage II and III. Had chemoradiation and my last three weeks of treatment was double radiation, which was radiation in the morning then again in the afternoon every day. I did get mouth ulcers and loss of saliva glands but if your treatment team are really good they will certainly help your husband through this. I am now seven months since treatment and I am now at my new normal. Your husband will have to listen to his body and just take it easy and rest plenty of rest. Good luck and you are both in my thoughts

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@sylviapf

We have not had surgery nor radiation. Ken completed 6 months of chemotherapy..Pacliitaxel and CARBOPLATIN. While his response was excellent, we still have 3 tumors with little to no response. Considering the PET scan in January, we are thrilled, and praising the Lord for this response. We have 3 months off; the second line of treatment will be Nivolumab. As of April, FDA approved this line of treatment for head and neck cancers. We will have scans the end of September to determine when this treatment will begin. There is no cure for salivary duct cancer, but these treatments are giving us hope for more time and quality of life. Prayer support is essential to maintain a positive attitude.

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Be sure to tell your dentist about the treatment. My husband uses a special toothpaste with more fluoride.

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@lzzie

Lisa_sj99. The journey for your husband will be tough but you will definitely get a good outcome. I was diagnosed in September 2015 with SCC of the base of the tongue stage II and III. Had chemoradiation and my last three weeks of treatment was double radiation, which was radiation in the morning then again in the afternoon every day. I did get mouth ulcers and loss of saliva glands but if your treatment team are really good they will certainly help your husband through this. I am now seven months since treatment and I am now at my new normal. Your husband will have to listen to his body and just take it easy and rest plenty of rest. Good luck and you are both in my thoughts

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Thanks! Sorry for not responding. It has been relatively hectic trying to settle in our new rental apartment in San Diego. My husband just completed 2 weeks of proton radiation and chemo. He seems to be fine other than minor fatigue. His taste buds have changed since bottled water now tastes like salt water. We manage with favored water for now. The radiation oncology said he may not experience radiation side effects until week 4 or 5 due to lower radiation doses. With proton radiation, the doctor was able to avoid the saliva gland and tongue on the right. The left side of the saliva gland will be impacted since his cancerous tumor was hiding inside of the voice box. Anyway, I am keeping my fingers crossed and hope he will ride this out without major long term side effects.

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@lzzie

Lisa_sj99. The journey for your husband will be tough but you will definitely get a good outcome. I was diagnosed in September 2015 with SCC of the base of the tongue stage II and III. Had chemoradiation and my last three weeks of treatment was double radiation, which was radiation in the morning then again in the afternoon every day. I did get mouth ulcers and loss of saliva glands but if your treatment team are really good they will certainly help your husband through this. I am now seven months since treatment and I am now at my new normal. Your husband will have to listen to his body and just take it easy and rest plenty of rest. Good luck and you are both in my thoughts

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Hi
That seems a good outcome and hopefully there is no major side effects for him. When I first finished treatment I totally hated bottled water it had such a horrible taste but I did not like anything with flavor either. Now seven months out from treatment that is all I drink is bottled water. I also find that hot water is quite soothing. Wishing your husband all the best for his recovery on this journey

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Hi @mrsjhagen18 @sylviapf @lisa_sj99 @lzzie,
It's been a while since we've been in touch. I thought I'd check in.

Lisa, how is your husband doing? Any new or challenging side effects lingering?
Sylvia, has Ken restarted chemo yet?
MrsJHagen, How is the radiation treatment going? 35 treatments must be exhausting.
Izzie, how is the underactive thyroid? What did the blood tests in September indicate?

I look forward to hearing from all of you.

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