HPV P16 positive cancer

Posted by frankbc @frankbc, Oct 27, 2020

Hello, I am reaching out to see if anyone in this group is diagnosed with HPV P16 positive cancer We have unknown origin and are being treated for head and neck cancer. Anyone else with similiar presenation?.

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Hi I was diagnosed with hpv 16 tongue cancer. They took a small piece of tongue and then had to do a level 1 to 4 lymph node removal through a neck dissection. During the dissection there was damage to the nerve for my left voice box which is not working right now and then I also had my thoracic duct injured so I have a chyle leak I am dealing with now in addition to recovering from the neck dissection and I have to get all of these things resolved so I can start radiation by the 13 th of February. It has been a lot to go through but the good news is that after taking out the lymph nodes there was no cancer evident or node problems left from the PET and CAT scans which were performed. Does anyone have knowledge of these issues and advice ? Thanks

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@anybody10

I to have been diagnosed with positive HPV16 cancer on the back of the tongue and a tumor on the voice box. I am waiting for an appointment to find out where I go from here. It's getting more painful daily with a constant sore throat, headache and ear pain. I am 79 and will not go through any disfiguring surgeries. I would love to hear from anyone who has been through this. Please don't mince words I want to know what to expect.

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I had it on back of tongue and voice box stage 4 . Chemo and radiation got rid of mine. Almost 10 years now . First 3 radiations i had no more ear pain. But , side effects after it all are the killer I have not felt good since .and it also ruined the heart valves..

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@anybody10

Yes I did say no surgery. I am an elderly women with no expectation of living for many more years. I don't have time to learn to speak again with a tongue flap. The doctors have chosen radiation and chemo as the treatment plan. I will give this a go and hope for the best. If the going gets to rough I will choose palliative care.

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Age certainly is and should always be a major factor in health care choices and I applaud your courage to make your decisions based on all factors. I have dealt with too many young people lately who second guess the doctors or don't take the cancer seriously. I am nearing the age where I would probably seek palliative care myself rather than go through what I went through twenty-some years ago. May God comfort you on your journey.

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@calenbd

In my case, I had 6 weeks of induction chemotherapy (carboplatin) prior to the standard treatment of 7 weeks of chemotherapy (cisplatin) and radiation (35 sessions) due to the size of my lymph node tumor on my neck. I won’t sugar coat the fact that the side effects during the later stage of treatment were not pleasant. Throat pain, excess mucus, dry mouth and throat, and loss of taste and appetite were the main ones. In my case, I ended up with a feeding tube, which actually was a blessing, as I had lost over 40 pounds. It’s tough, but you can get through with the knowledge that it is going to save or prolong your life. My side effects now are minimal had hopefully will go away or improve over time. That are some loss of taste (it’s about 50% of what it once was) and dry mouth. I can live with these. I don’t know if you will get any or all of these side effects, but I would recommend you follow your doctor’s advice and take the medication that’s offered to help alleviate them. I hope this helps. Reach out anytime you have a question. Take care.

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Thank you for explaining your experiences with this horrible disease. I don't know if I mentioned that I am an elderly women of 79 and still on the fence about treatment options. Do I want quality or quantity.

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@anybody10

I am getting a PET scan on Monday with a follow up appointment with a radiologist. The plan is radiation and chemo. Please can you tell what residual side effects you are still experiencing? How long did your radiation and chemo last? Weeks, months or all year? I really would appreciate straight talk. So glad that your December scan showed no cancer. I am an elderly woman and have been through a lot of tough things in my life. This diagnosis just seems like one more thing I must endure when I know death is just around the corner

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In my case, I had 6 weeks of induction chemotherapy (carboplatin) prior to the standard treatment of 7 weeks of chemotherapy (cisplatin) and radiation (35 sessions) due to the size of my lymph node tumor on my neck. I won’t sugar coat the fact that the side effects during the later stage of treatment were not pleasant. Throat pain, excess mucus, dry mouth and throat, and loss of taste and appetite were the main ones. In my case, I ended up with a feeding tube, which actually was a blessing, as I had lost over 40 pounds. It’s tough, but you can get through with the knowledge that it is going to save or prolong your life. My side effects now are minimal had hopefully will go away or improve over time. That are some loss of taste (it’s about 50% of what it once was) and dry mouth. I can live with these. I don’t know if you will get any or all of these side effects, but I would recommend you follow your doctor’s advice and take the medication that’s offered to help alleviate them. I hope this helps. Reach out anytime you have a question. Take care.

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@anybody10

I am getting a PET scan on Monday with a follow up appointment with a radiologist. The plan is radiation and chemo. Please can you tell what residual side effects you are still experiencing? How long did your radiation and chemo last? Weeks, months or all year? I really would appreciate straight talk. So glad that your December scan showed no cancer. I am an elderly woman and have been through a lot of tough things in my life. This diagnosis just seems like one more thing I must endure when I know death is just around the corner

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My husband was diagnosed on 1/6/23 with base of the tongue cancer with 2 lymph nodes involved. He had the pet scan yesterday and we have not received any results yet. We did meet with a complete cancer team on Thursday. They told him his treatment will be 7 weeks of radiation 5 days a week and chemo once every 3 weeks. He will start in 2 weeks. They told him the radiation will take care of the lymph nodes.

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@hrhwilliam

If the surgery is the primary treatment and you say you "will refuse surgery almost definitely", then how do you expect a good outcome? While the thought of surgery can be rather scary, it may be the best option.
HPV16 caused cancer is easier to eliminate but the notion that it is more "treatable" rather depends on your definition of that word. A successful outcome with five year success rate is vastly better in HPV16 cancer as opposed to standard squamous cell carcinoma but I believe you will find the treatments are much the same.
It will not be an easy road nor will life's plans go on as usual. This is going to take over your life for a bit. Your choice in the matter comes down to live or die. My dear wife who battles the damage of MS every day is fond of saying "Life is what happens when you are making other plans." At this point life has directed you to deal with this issue, regardless of any other plans you may have made. But I think I can speak for most of us who have put this in our past, this will be a battle you can win and a life changing event that can be considered in an odd sort of way, for the better. Good luck.

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Yes I did say no surgery. I am an elderly women with no expectation of living for many more years. I don't have time to learn to speak again with a tongue flap. The doctors have chosen radiation and chemo as the treatment plan. I will give this a go and hope for the best. If the going gets to rough I will choose palliative care.

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@calenbd

I was diagnosed with HPV16 positive in the base of my tongue and a neck lymph node in February 2022. In my case, chemotherapy and radiation was recommended as my best treatment options. My final outcome was good as my PET scan in December showed no cancer. I won’t lie that the side effects during treatment were rough and I’m still presently dealing with a couple of minor residual effects, but I’m alive. That being said, I would get a few medical opinions for the the best options and predicated outcomes before you rule anything out. I pray that you find the right treatment and eliminate this cancer. God bless!!

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I am getting a PET scan on Monday with a follow up appointment with a radiologist. The plan is radiation and chemo. Please can you tell what residual side effects you are still experiencing? How long did your radiation and chemo last? Weeks, months or all year? I really would appreciate straight talk. So glad that your December scan showed no cancer. I am an elderly woman and have been through a lot of tough things in my life. This diagnosis just seems like one more thing I must endure when I know death is just around the corner

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@michael3319

Hi, I was diagnosed with HPVp16 on 3 Jan 2017. My team offered the surgery and the 35 treatments of radiation BUT said it was my decision. I chose both and I am still alive today.
I just had my 6 year full checkup and results were excellent. The journey was very bumpy as well as smooth from start to now. I say this with one thought in mind, if I wouldn't have had
the node surgery I would be dead today. My belief was if you don't remove ALL suspicious
cells/nodes/etc., the cells have a chance of returning. I have no indication of any cancer as of today BUT I have never thought I am ever cured it is a day to day process. Removal is your decision as well are the consequences if you don't. I did and with the grace of God I am still alive today. Good Luck on your journey and my God Bless you.

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It's a crooked road for all of us. I had the neck dissection March 2020 after 35 doses proton radiation and 6 chemos in August 2019. The dissection did not get all the cancer there was a tumor wrapped around my carotid artery. The chance for stroke if removed was very high so it remains. Luckily it has been containedi I was on Keytruda for 12 months (it stopped working) and am now on Opdivo more than a year. My situation is chronic. My quality of life is good so i was glad i did not have the second surgery. All of our journeys are different and each attempt to prolong our lives is not guaranteed. Keep hacking away, know that there always seem to be alternatives and your doctors are doing their best to fight this highly unpredictable diease.

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@newtonguecancer

I had all of my nodes removed 1 through 4 on the left side and they also sacrificed the internal jugular does anyone know why they do this ? One week later I just had a PET scan and CAT scan with contrast and there is no sign of cancer. The next step for me is to prepare for the radiation treatments. I am going to get that done through Sloan Kettering in westchester I was told that larger cancer centers had a better long term outcome than smaller facilities had anyone else heard this? I have some residual nerve issues one week out. The nerve that runs from the base of my head along my ear hurts quite a bit. Also I am having a hard time talking because my voice box on the left side isn’t working right. And I also have a small chyle leak. Has anyone dealt with these issues ? That being said after all I have been through I was excited to learn that I am currently cancer free does anyone know what this means for my treatment and long term recovery ? Thanks

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Any ideas ?

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