Just Diagnosed with Tonsil Cancer - How to Treat?

Posted by johnbonani @johnbonani, Mar 15, 2024

I've just been diagnosed with stage three tonsil cancer on Feb 22nd. 63 year old male. Have seen the surgical oncologist and the radiology oncologist, both present the pro's and con's of each, both treatments sound terrible. Both recommend there own procedure and essentially leave it up to me the patient to decide. I'm wondering if some of you in this discussion have had surgery then radiation or just radiation/chemotherapy with no surgery or combination? Full dose of radiation sounds awful but then so does the surgery and I'm told they'll have to do radiation after but perhps a lower dose. Any feedback would be so very much appreciated.
🙂 - John B

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@cris2

Does your throat still hurt when you eat? My husband is going on two and half months after treatments and still hurts to swallow and eat, he has to drink water after every bite. I think I heard on here it takes a long time to heal.

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Jclassey again
I finally do not have pain when I eat. It took about 4.5 months to get to that point .
Taste is still very strange but slowly returning. Hopefully your husbands pain is manageable with just acetaminophen

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@johnbonani

Thank you so much to all of you who have responded! It really is helpful to hear honest real life experiences of others who have gone throught it.

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Hey John,
I’m coming up on 8 years this fall since my treatments.
I was stage IV with as my oncologist said “way too much cancer for surgery”. So my only option was die or chemo radiation and I chose the treatment option!

Everyone responds differently to treatments and recovery so it’s hard to tell you what to expect.

I can tell you that observation of the many others during treatments surely assured me that the feeding tube and port was the correct decision!

It was nearly a year before I was able to eat solid food and I still struggle today. I need large amounts of water to get my food down and still choke frequently.

My oncology team insisted that I file for disability as we entered into treatment.
This was not easy for me to do as I have worked since a very young age.
I’m so thankful that I did go on disability because my team was right, I’m never going to be the same as I was.

I am a victim of the Camp Lejuene water so I really can’t say that my conditions are from my treatments or from the water as they both can cause similar problems.

I suffer from fatigue, slow reaction, forgetfulness, tinnitus, hearing loss, agitation, insomnia, chronic migraines, loss of balance and a few others.

So whichever way you decide to go I wish you the best and fight the good fight!
May God Bless you.

MOJO

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cris2
No my throat did not hurt after chemo and radiation. I was able to swallow again without any problems once tumor was gone. it swrunk dramatically within the first 3 weeks of treatment.
Don

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@dsh33782

Hi johnbonani
I had 28 days of radiation and chemo and no surgery. The tumor is gone now and I've ganed back 10 or the 20 pounds I lost which is good. The side affects where challenging. I had a feeding tube for several months when I could only swallow sips of water, and I was always tired and caughing. But I'm fine now.
Let me know if I can answer any questions?

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Does your throat still hurt when you eat? My husband is going on two and half months after treatments and still hurts to swallow and eat, he has to drink water after every bite. I think I heard on here it takes a long time to heal.

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@stephenrfleury

@cris2 I lost 8 pounds during treatments and 22 in the first 6 weeks post treatments. For me, the 30 pounds I lost brought just under my ideal weight. Starting in the third month, I began to gain weight. The body takes a real beating during treatment and in my mind (layman view), takes a lot of energy to heal itself. It'll happen in due time. Just keep eating and it good things follow!

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Ok thanks, good to know.

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Hi johnbonani
I had 28 days of radiation and chemo and no surgery. The tumor is gone now and I've ganed back 10 or the 20 pounds I lost which is good. The side affects where challenging. I had a feeding tube for several months when I could only swallow sips of water, and I was always tired and caughing. But I'm fine now.
Let me know if I can answer any questions?

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@cris2 I lost 8 pounds during treatments and 22 in the first 6 weeks post treatments. For me, the 30 pounds I lost brought just under my ideal weight. Starting in the third month, I began to gain weight. The body takes a real beating during treatment and in my mind (layman view), takes a lot of energy to heal itself. It'll happen in due time. Just keep eating and it good things follow!

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@stephenrfleury

I had SCC on the base of my tongue and a couple of lymph nodes in the fall of 2020. I had chemo and proton radiation, since have had multiple cleans scans.

I wrote a blog during my experience (non-revenue generating) if you would like to review it. You can read it at:
https://stevefleurysblog.com/2020/10/29/part-1-the-beginning/
More importantly, my wife wrote a wonderfully insightful post of lists and non-advice advice.
https://stevefleurysblog.com/2021/01/05/lists-and-non-advice-advice/

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After all treatments ended how long before you gained weight? My husband is done with treatments and it’s been 2 months, eating everything plus boost and only gained 3 lbs. over all he lost 30lbs when this started. Getting discouraged he can’t gain yet.

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@russellreed

Thank you for your invite this is helping me with some of the anxiety issues and I'm learning it's one day at a time ,I'm also learning when I need rest I'm going to rest

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As far as the anxiety goes that's a real challenge. I've found that trying to stay busy and being around family does help. My wife is that one person that is constant with me so that's where I go. The weather is changing now and it's good to get out and enjoy that. It's tough to realize that my life will never be what it was before but that does not mean it won't be as good if not better. Being in a society where everything is at our fingertips makes it hard to surrender and just live. In my 45 years one thing I've learned is that humans always find a way to adapt and I'm no different. It just takes time and that's the hard part.

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@hrhwilliam

An early PET scan often shows scar tissue as cancer when it is not. Even after years that can be the case, but if they continue to compare scan to scan they can get a better idea as to what is real and what isn’t. PET scans are useful to help with diagnosis but they are not the final word nor should they be.
You sore muscles are very common after radiation. Many people including myself experienced nerve pain, twitching, and numbness for several years. The fact that you are working a physical job although difficult, is probably a good way to keep in shape and help heal, tough as it can be some days.
I traveled for work. When people I met saw my red neck and face they formed an opinion about me that led to incorrect conclusions. I let them talk stupid for a while and if it would persist, I would then tell them about radiation treatments which would shut them down in a heartbeat.
You will probably worry that every little thing not normal is a return of the cancer. Most likely it is not. It’s normal to feel that way for a long time.
It’s also ok to see life differently after your experience. How can you not? You have earned a second chance. The healing over the next two years might at times get you down but eventually you will get back to something close to where you feel great again. The healing from radiation damage takes a lot longer than a broken bone or a sunburn, a lot longer. Be patient along with the courage you have.

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Thank you for your invite this is helping me with some of the anxiety issues and I'm learning it's one day at a time ,I'm also learning when I need rest I'm going to rest

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