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?.

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

@pau84

Hello, I would like to know how you are now?

Jump to this post

Hi Paul,
Thanks for asking. I can’t really complain, all things considered. In 2009, I’m diagnosed with stage IV Oral cancer at age 54, I was not sure I would see my next birthday. It’s not something anyone wants to hear, but I consider myself blessed, and not lucky to still be here. I can tell you now after 12 years my bottom teeth started to erode. My top teeth are fine. I’m guessing it’s due to the targeted radiation of my lower jaw bone. Anyway, there was enough tooth to crown them all, I just hope they don’t continue eroding underneath the crowns. If so, I will just have to go to plan B. For those suffering with dry mouth, I find Xylimelts and Therabreath
lozenges the work best for me. Just one Therabreath lozenger will keep me from having to sip a drink for an hour or more. I like that the Therabreath lozenges are individually wrapped. I use the Xylimelts for when I go to bed. I still have some trouble swallowing food due to the lack of saliva. So long as I have mashed potatoes I can eat anything, including a tenderloin. I hope this information will help someone out there. I wish this group was available to me when I went through my ordeal. If it was nobody told me about it. I think we can all learn from someone that may have walked that road before. Best wishes to all in the New Year.

REPLY
@michael3319

Hi, after the initial surgery plus 2 weeks of intense direct radiation I had slight discomfort. I was still able to eat burger and fries :)! However, starting week 3 the increased pain journey began. I went on a feeding tube, that same week, because I could no longer eat. That was a good thing because there was no way I was to get anything of protein value down my throat. I live alone so at 65, weak from no nutrition and 60 plus lbs of weight loss I needed help, so I was put in hospital for 5 weeks. I had the tube put in Feb 2017 and removed Oct 2017. I said it was time to
move on and my nutritionist agreed. I stated in a previous email that my swallowing must be thought through before I swallow anything. Also, I can't eat everything only stuff that is soft/mushy. My saliva glans are fried so additional liquid is necessary. You get used to it and move on. I am still alive and very thankful one day at a time. God Bless and Good Luck!

Jump to this post

Thank you for answering, I feel desperate, more than 1 year ago the discomfort began in my right tonsil and on my tongue. I have had several consultations but I feel that the doctors do not give me importance, I have various discomforts and I can see my abnormal right tonsil and it has some growths on it. I highly suspect the diagnosis but I don't have health insurance and I can't apply for any. On January 25th I have another medical appointment with a different doctor and I hope that she is different and gives me the correct medical tests, I am very distressed because it has been a long time and I have a small son. Excuse me for telling you this, I have no one to tell it to.

REPLY
@pau84

Hello, I would like to know how you are now?

Jump to this post

Hi, after the initial surgery plus 2 weeks of intense direct radiation I had slight discomfort. I was still able to eat burger and fries :)! However, starting week 3 the increased pain journey began. I went on a feeding tube, that same week, because I could no longer eat. That was a good thing because there was no way I was to get anything of protein value down my throat. I live alone so at 65, weak from no nutrition and 60 plus lbs of weight loss I needed help, so I was put in hospital for 5 weeks. I had the tube put in Feb 2017 and removed Oct 2017. I said it was time to
move on and my nutritionist agreed. I stated in a previous email that my swallowing must be thought through before I swallow anything. Also, I can't eat everything only stuff that is soft/mushy. My saliva glans are fried so additional liquid is necessary. You get used to it and move on. I am still alive and very thankful one day at a time. God Bless and Good Luck!

REPLY
@ptlhrms

After, that they put me on prednisone to see if the lump would go away, no such luck, needle biopsy next, that was a no finding. I had a good ENT that said the lump was there too long and suggested removing the lump, I agreed, that’s when I was diagnosed with stage 4 squamous cell oral cancer. It was a battle but thank God I’m still here today. I will post more later, it’s getting late. I hope this helps someone out there.

Jump to this post

Hello, I would like to know how you are now?

REPLY
@michael3319

Hi, I never had any pain, discomfort etc. I asked for options and they gave me the removal
plan and I said do it. 10 days later I knew the answer.
Unless the nodes are actually examined by a radiologist you will never know for sure.
Even the fine needle biopsy had questionable results BUT the removal was the only way
to know for sure. The beauty of that process was that if the radiologist found cancer cells,
the removal of those nodes and the other 39 was done at the same time. Thus, knowing the whole story so they could plan the very best treatment plan (ie no chemo because cells stayed in the 2 nodes) only direct high radiation.

Jump to this post

Hi after the procedure how was your pain and what was the immediate recovery like ?

REPLY
@newtonguecancer

Hi right now I am waiting for them to decide to remove the nodes that are swollen and they don’t appear to be in any rush. How long before you had a problem before they removed the nodes ? Where were the positive nodes located were they in the sumandibular region ? Thanks

Jump to this post

Hi, I never had any pain, discomfort etc. I asked for options and they gave me the removal
plan and I said do it. 10 days later I knew the answer.
Unless the nodes are actually examined by a radiologist you will never know for sure.
Even the fine needle biopsy had questionable results BUT the removal was the only way
to know for sure. The beauty of that process was that if the radiologist found cancer cells,
the removal of those nodes and the other 39 was done at the same time. Thus, knowing the whole story so they could plan the very best treatment plan (ie no chemo because cells stayed in the 2 nodes) only direct high radiation.

REPLY
@newtonguecancer

They took 39 nodes from one side or both sides. Seems like a lot hoe did they decide that ? Is that considered a radical node dissection? How was the pain and recovery after the surgery ? Any lingering effects ?

Jump to this post

Hi,
I believe they were removed from each side of my body because I had a cancerous node on each side. Specifically, in the pockets of each clavicle. One was slightly larger that the other.
I found them on my monthly self examination process and immediately decided to have them
checked. My surgeon decided to take more just to be sure that no other nodes had been affected. Even though, the radiologist had determined that the cancer had remained in just the first 2 nodes that were removed. Post surgery, radiation, day to day living was challenging but
I either did that or die. I chose the living path. Lingering effects after 6 years post treatment are:
throat always has a lump of mucus which must be cleared often, loss all but 2 of my lower set of teeth/ my dentist calls it radiation spray, all foods must be chewed to a very smooth/liquid consistency or I will choke ( or some will go into my lungs) you get used to it. Further, nothing tastes the same so I eat less, get full quickly and loss about 55-60 lbs since the start.
I hope that this helps you during your most difficult times. I personally from pray and God to be
my strong medicine. Either way, hang in there. Believe it or not things do get better!

REPLY

Hi!
I told them to do the fine needle biopsy on the largest of the 2 enlarged nodes.
Results came back as questionable. Then I had an MRI & PET exam that indicated
red/hot spots BUT still couldn't confirm that it was cancer.
The ONLY way to be sure was to have the 2 nodes removed and examined by a
radiologist. I said do the removal and they were cancerous but still remained in the node..did not
spread. My surgeon went further and took 39 more nodes, tested each one and found no indication
of cancer cells. He did that just to be sure it hadn't spread to other nodes and the results negative.

REPLY
@michael3319

Hi Frank, I was diagnosised with HPVp16 cancer in an unknown site on 5 Jan 2017. They BELIEVED it was the soft
tissue under the back of the tongue but not sure. Nonetheless, the treatment plan was agreed upon by both my
UW-Madison,WI medical team and me. I consisted of: fine needle biopsy of 2 lymph nodes in neck, removed of
those 2 nodes as well 39 more that were in that path and 7 weeks/5 days a week of radiation. Found cells in 2 nodes but not the other 39. PLUS, the cancer cells remained in those 2 nodes and had not spread. 5 plus years of exams every 6 months by both oncologist and ENT and all clear as of today. another exam in 2 weeks and hoping I get the all clear response.

I firmly believe that if I hadn't had the nodes removed and tested, I would have tested positive by now because
the radiation focused to an unknown site under my tongue and not the 2 nodes in my lower neck/clavicle area where the nodes were located. Not sure if this helps but hang in there. Journey may be tough but you can do it.
God Bless You & I pray that your 2023 is filled with happiness and a positive recovery!

Jump to this post

How were you diagnosed ? How did they know to test or I should say what tests/labs did they take ? I'm having all sorts of issues (past breast, thyroid and CLL leukemia) but my next nodes are the worst. And docs says"oh labs look good. See you in six months " they all just take regular cbcs etc. nothing that might find something else.

REPLY
@ptlhrms

Glad to hear your husbands tratment is going well. Initially the MDs did not know the primary source of my cancer, but that all changed when they found the primary source behind my right tonsil. As I mentioned in my last reply, I had been scoped many times but the ENT’s never looked behind my tonsils. They found my primary source when they put me under to have the feeding tube inserted. Luckily, I had a great surgeon that took the time to further explore in my mouth for the primary source. As you may know, by knowing where the primary source was they could now begin a course of targeted radiation for the specific area. As far as losing my taste after treatment, my MDs said it could take up to a year. For me it took close to two years to get my taste back to about 99% but everybody is different. Taste does return, but it has a short memory when it starts to return, the first bite is always the most flavor then it starts to diminish until you take a bite of something else. Any other questions feel free to ask. Always willing to share my experience if it can help others. Keep the faith and stay strong!

Jump to this post

What were your symptoms ? Does anyone here also have or been diagnosed with thyroid cancer or leukemia? HPV is human papilloma virus, no?

REPLY
Please sign in or register to post a reply.