HPV 16 neck journey…

Posted by kent8692 @kent8692, 1 day ago

57 years old, male, typical patient for HPV cancer…

Found lump back in October. Lymph node, left side near jaw. Did all the usual procedures, antibiotics for infection, ultra sound, CT, etc…Biopsy in late December, get the news from my ENT some cells “look suspicious”.
Referred to the James Cancer Hospital at Ohio State. (So lucky it’s literally 20 minutes from house). Fast forward to February, surgery removes a “tiny” (Doc’s words) primary tumor next to left tonsil, achieves clear margins and 23 lymph nodes were removed. 2 nodes very near tumor have cancer, 21 have no cancer, but the big boy lymph node is a problem - shows ENE. Great, radiation and chemo is the standard treatment. Even with negative NavDX test, post surgery. So…started schedule 33 radiation steps and five chemo days this week.
Already noticing side effects, funky taste, loss of a bit of appetite. Feeding tube scheduled for middle of week 3.
I am a bit depressed, worried, all of it.
Wife has been great. Hope I can look back one day and say “remember when?” But seems really far away…

Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.

Profile picture for hopeblos @hopeblos

Hello. My husband started his chemo radiation for HPV positive SCC, T4N0M0 tongue cancer a year ago and completed 6 weeks of treatment. He recently celebrated his 76th birthday and we attended my granddaughter’s wedding.

This group has been so supportive and insightful and we would have never made it without the incredibly caring and expert teams from the James Cancer Center! My husband had a feeding tube placed prior to the start of his treatment and we quickly adapted to using it to maintain his nutrition and calorie intake. It became impossible for him to eat and without it, he would have been harder for him to recover and rehabilitate. Everyone’s journey through treatment and recovery is different. Some days will be better than others. Keep moving forward and marking those treatment milestones off your calendar. You will get there!

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@hopeblos Thank you for the words of encouragement:)

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Profile picture for jcl2018 @jcl2018

Hello. I am "vintage" 2008. Was 48 at the time. SCC right tonsil. Sorry, I don't know the cause, or radiation type. I did have both tonsils removed, 6 chemo's and 33 radiation. My guess is radiation is more targeted vs 2008. In my case I relied on a feeding tube the last 3-4 weeks for calorie intake.

The important message is 2008! While the journey can be tough, keep your focus on the long term/end game. There are many people on this site who are 15+ years post treatment (I'm pretty certain that includes the site mentors). There are no promises, and how you react to treatment will be an individual thing. But, it's entirely doable.

A few personal tips if I may (have you Drs. verify as I was 2008):
* try as best you can to keep your calorie count and hydration up. Taste changes and swallow issues
during treatment make things tough.
* once you finish and are sufficiently healed, ask about swallowing and stretching exercises (neck). Radiation
is the "gift that keeps on giving". Side effects vary, but I think all long-term survivors will tell you they
experience them in some form.
* assuming 6 months, diagnosis to starting to get back to some normalcy, you are dealing with a relatively
small percentage of your life. You can and will make it through!

Best wishes

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@jcl2018 Thank you - your words are appreciated.

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Profile picture for albion223 @albion223

You will get through this! I’m into my 4th month post radiation (33) & surgery for hpv tongue and lymph node cancer. Radiation was a challenge so go slow and take it one day at a time…you’ll get tired, things taste “funny” but it’s temporary.
Please please do exercises for swallowing and neck muscles.. did them religiously 2X/day during radiation and it certainly helped with long term recovery. Posted this before but Google “Stanford University speech and language therapy cancer treatment head and neck” for specifics.
Lost about 20lbs, for short term weight management I used to drink a smoothie with premium ice cream for the calories (it worked). Sleep may become an issue but it will get better with time.
Finally try to keep a positive attitude…it’s not easy but imperative for your recovery. I didn’t realize how mentally challenging going through cancer treatment was (still can be), for patients and caregivers alike. For me I ended up doing counseling sessions with a therapist who was able to help me sort through all the issues and feelings that arise from dealing with cancer.
Today I can say that my experience has made me a better person who appreciates his life, his family and the gifts we all have been given with more gratitude than I ever thought possible. It’s a long journey but you’re not alone! 🙏🙏🙏

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@albion223 Thank for the good advice and encouraging words - it is appreciated.

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Welcome to the group of people who wish they were anywhere else. The good news is there is plenty of hope for you. I'm speaking to you 20 years out from my ordeal. My situation was similar, a small tumor on the base of my tongue was discovered after I noticed a pea sized lump in my neck. Treatment was no picnic, but I've learned to live with most of the inconveniences that developed afterward. There is plenty of information here to help with symptoms you may develop. The one that caught me off guard is baroreflex failure that developed a decade later. I suggest you monitor your BP for any changes. I'm sure they've improved treatment since my time, so I hope you have a speedy recovery and few aftereffects.

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Kent,
Trust “us” that have been there and are now able to tell you that you can get through this! That bell is waiting for you! I was 69 and in great condition. I was diagnosed with cancer on left tonsil and lymph nodes on both sides. Too far along for surgery so chemo/radiation (5/33 same as you). Drank lots of High Calorie Boost (530 calories /8 ounces) and was able to bypass feeding tube. Still lost about 27 pounds and was right at threshold. Originally Stage 4, but HPV changed it to Stage 1. Here a virus is actually a good thing as your chances for recovery are greatly increased. I’m 2 years and 9 months out from treatment and while it’s a long road, it’s one many people (including yourself) can make! Mainly, you’re going to be tired, no exhausted as that’s what radiation will do over time. Get those infusions of IV the days after radiation treatments too as it helps greatly!! You’re not alone my compadre, we are all here with you!

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Profile picture for kent8692 @kent8692

@albion223 Thank for the good advice and encouraging words - it is appreciated.

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@kent8692
You’re not alone in this…keep the faith and know that a lot of people have traveled down the path you’ve started down.

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If I may join the chorus of encouragement as you start your treatments, hope things go as well as they can. I had similar timing and ramp up to diagnosis, a bit different situation: a tonsil tumor and involvement with soft palate and one adjacent lymph node. Initial NAVDx through the roof. Straight into chemo and radiation. I’m three months out and am returning to life as it was, a step at a time. Past the pain, appetite and ability to eat and swallow pretty well restored. Ability to taste has been slow to recover, but there’s enough to make food interesting and optimism for recovery. Taste went away two weeks into treatment, mouth and throat pain followed shortly thereafter. I lived on high calorie Boost, six a day, thinned with coffee (decaf after noon). The thick liquid coated my throat and sustained me, though it was love-hate. I did not need a feeding tube and lost 10-15 pounds. I think recovery has been easier as a result, but I was sure down and out as the cumulative impact of chemo and radiation made themselves felt. My heart soared with a clear follow up NAVDx, looking forward to PET retake in a week or so. Now settled into swallow and neck muscle exercises, feeling pretty good about life. Hang in there.

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My journey started in January 2017 with nodes removed (41) with 2 being cancerous. Radiation only for 35 sessions and a feeding tube for 7 months. Lost 55 lbs but needed to lose some weight but not that much. My diagnosis was cancer of "an unknown site" but the doctors figured it was under my tongue in the back so they concentrated the radiation to that location. The first 5 weeks of radiation was simple but the last 3 is when the side effects kicked in. I live only and needed help so hospitalized for last 2 weeks. The feeding tube was the best decision I made. I needed the nutrition it provided. The journey has its ups and downs BUT you will make it. Just listen to your medical team they have the knowledge to make you well again. I am 9 years out and I still do 6 month check ups. Also, this website helped me survive the tough times so I suggest you continue to be on the site. God bless you and hang in there.

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Profile picture for 56tburd @56tburd

Welcome to the group of people who wish they were anywhere else. The good news is there is plenty of hope for you. I'm speaking to you 20 years out from my ordeal. My situation was similar, a small tumor on the base of my tongue was discovered after I noticed a pea sized lump in my neck. Treatment was no picnic, but I've learned to live with most of the inconveniences that developed afterward. There is plenty of information here to help with symptoms you may develop. The one that caught me off guard is baroreflex failure that developed a decade later. I suggest you monitor your BP for any changes. I'm sure they've improved treatment since my time, so I hope you have a speedy recovery and few aftereffects.

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@56tburd Thank you for your response - it is appreciated:)

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