HPV P16 positive cancer

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

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.

My husband was diagnosed in August 2022, SCC HPV+ to right tonsil and base of tongue. He underwent 35 rounds of radiation over 6 weeks. He finished treatment Dec 19, 2022. His taste is beginning to return, the wounds on his neck have healed and after a scope yesterday, the doctors are pleased with the results. They believe the treatment has been successful. His PET scan will take place the first week of April to confirm NED. We are so grateful.

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!!

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.

Yes my tongue mass and larynx tumor are HPV16 positive. I am waiting to find out what my treatment options are. I will refuse surgery almost definitely. I was told that HPV16 positive is a more treatable form of cancer as opposed to HPV. Has anyone been through this type of cancer? What was your outcome?

Thank you for sharing & good luck. I went through treatment for HPV related tongue cancer last summer & am in recovery now. My only advice is to talk to your doctor about a feeding tube early on. I needed one by the mid way point as I wasn’t able to eat at all and they waited to long to put it in. I ended up staying in the hospital for four days because I had lost so much weight.

They typically would do a surgery on your tongue and then radiation. Unless you can’t have the surgery.

When they can start radiation is a question for your doctor. I wish you well. Radiation is not easy but you will get through it. My husband is 4 weeks post radiation and his recovery is going well. Neck has healed on the outside and is eating better and better each day so the inside is also healing. His taste is starting to return. Use all the tools they suggest. Magic mouthwash, salt rinse, vaporizer and regular schedule of extra strength Tylenol. Boost powder was his favourite to supplement his caloric intake when food was too uncomfortable. Kraft dinner as well. Count calories and proteins to make sure you are getting what you need. Do the exercises the speech language path will give you. It’s all important. We kept a weekly planner sheet on the counter to check off all things daily. It was a valuable tool to keep him on track. I wish you well. Let us know how you are doing. The doctors and nurses are highly skilled and their goal is to see you well.

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.