Tongue cancer: How long is the process from treatment to recovery?

Posted by earlenhaven @earlenhaven, Aug 14 7:31am

I have been diagnosed with tongue cancer. Lesions about 1 1/2' long and 1/2' deep under the left side of my tongue. I still teach for a living. How long is the shortest recovery that anyone has had?

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Profile picture for earlenhaven @earlenhaven

I have 2 questions:

Would like to hear from more people.

For those of you in a similar situation as mine, how long was it from the
day you were diagnosed to full recovery or was there not ever full
recovery? I have a horse farm and I teach riding and I am trying to
plan what I need to do. And were you ever done with multiple
doctor's appointments?

Also, was the pain any better after they removed the cancer than before? Or
were other problems that developed still causing pain? My biopsy has been
very painful and had very limited speech. Does that change after
treatments? ...and the time frame.

Any other "facts of life with my type of cancer" would be helpful.

Thanking you in advance for responding.

Earlen Haven

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@earlenhaven, do you have your treatment plan now? What's next for you?

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Profile picture for kris ohlson @krisohlson

It depends on the treatment. Did you get radiation treatment after surgery? How much?

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@krisohlson Yes. 30 rounds of radiation after surgery. Like I said they inserted that stupid nose feeding tube during surgery which irritated my soft palate from the chafing. I am wondering if that damaged my soft palate and why it's hanging lower than it should even though they removed the tip of it during surgery.

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Profile picture for kris ohlson @krisohlson

@gareee314
10 years after receiving 35 radiation treatments (2020) my ability to swallow started to degrade. Now 16 years after receiving radiation I cannot swallow, and I am living on a PEG for the last 3 years. I was never warned that I would lose my ability to swallow due to radiation and went through some night fevers due to aspiration. I had lymph nodes removed from the right side of my neck in 2020 when I went through surgery for my 2nd cancer treatment. It is hard to say which cause your swallowing problems. I think you can attribute it to both procedures.

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@krisohlson Thanks for replying back . So I guess once you get radiation you radiate for life..In other words it keeps working on you. My last throat radiation was in 2022 and I noticed my inside upper gums near my teeth or the roof of my mouth gets blistered now and then. This only started less than a year ago. I have had this mucous problem since after radiation which is coming from "above" the roof of my mouth 24/7. I am constantly snorting to get it out. I also use that nasal saline spray that helps getting it to slowly ooze out..Mucous won't come out by blowing my nose because it's thick. It feels like a marble above my soft palate which is obstructing my swallowing even after I get rid of it. I can swallow little gulps of water if I turn my neck to the left. I am seeing a speech therapist for the swallow exercises.

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Profile picture for gareee314 @gareee314

@roblem After my throat surgery they inserted a nose feeder in me too..Being that the tube was smaller it liked to get clogged more often and it was constantly rubbing my soft palate before it went down my gut which caused a blood clot which I hocked up one night..The tip of my soft palate was removed during surgery and that tube rubbing didn't help it to heal..Also the tube going into my nose was sewed up inside my nose so it wouldn't fall out..I finally got them to insert a stomach PEG tube through the stomach wall instead. It's been 4 1/2 years with it due to mucous building up above my palate 24/7 in which it makes it hard to swallow normally. Could that be from the radiation or the 33 lymph nodes removed on the left side of my neck?

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@gareee314
10 years after receiving 35 radiation treatments (2020) my ability to swallow started to degrade. Now 16 years after receiving radiation I cannot swallow, and I am living on a PEG for the last 3 years. I was never warned that I would lose my ability to swallow due to radiation and went through some night fevers due to aspiration. I had lymph nodes removed from the right side of my neck in 2020 when I went through surgery for my 2nd cancer treatment. It is hard to say which cause your swallowing problems. I think you can attribute it to both procedures.

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It depends on the treatment. Did you get radiation treatment after surgery? How much?

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Profile picture for gareee314 @gareee314

@roblem After my throat surgery they inserted a nose feeder in me too..Being that the tube was smaller it liked to get clogged more often and it was constantly rubbing my soft palate before it went down my gut which caused a blood clot which I hocked up one night..The tip of my soft palate was removed during surgery and that tube rubbing didn't help it to heal..Also the tube going into my nose was sewed up inside my nose so it wouldn't fall out..I finally got them to insert a stomach PEG tube through the stomach wall instead. It's been 4 1/2 years with it due to mucous building up above my palate 24/7 in which it makes it hard to swallow normally. Could that be from the radiation or the 33 lymph nodes removed on the left side of my neck?

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Hi @gareee314

I am not sure. I would ask your medical team.

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Profile picture for roblem @roblem

Hi @earlenhaven

I was diagnosed with Tongue cancer on my left side of my mouth on March 1, 2024, and had a left partial glossectomy with a radical forearm free flap surgery on April 3, 2024. It also included a modified radical neck dissection. This one was not caused by HPV and was most likely from too much radiation from my first cancer (tonsil- 2008) as it is literally adjacent to it. That being said, I too had a lot of excess salvia/mucus but with Swallowing/ Speech Therapy and specialized Head & Neck PT, it definitely helped some and now that I am over 2 yrs. out and it is way better, however, still get some occasional if talking a lot and I don't keep my head level or up.

In addition, I chose the nose feeding tube which is temporary 10-14 days and get a swallowing/speech therapist now. You will also have to be very aware of the higher chances of getting aspiration pneumonia and lymphedema after the surgery. I ended up in the ICU for 7 days 2-3 months later for having Aspiration Pneumonia- took 7 liters of infection out of my lung cavity.

I honestly don't remember much pain as at most I took only Advil or Tylenol and that was enough. I went out on disability at work for 32 weeks as I have to talk for the majority of my occupation.

You will get better.
Best,
Rob

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@roblem After my throat surgery they inserted a nose feeder in me too..Being that the tube was smaller it liked to get clogged more often and it was constantly rubbing my soft palate before it went down my gut which caused a blood clot which I hocked up one night..The tip of my soft palate was removed during surgery and that tube rubbing didn't help it to heal..Also the tube going into my nose was sewed up inside my nose so it wouldn't fall out..I finally got them to insert a stomach PEG tube through the stomach wall instead. It's been 4 1/2 years with it due to mucous building up above my palate 24/7 in which it makes it hard to swallow normally. Could that be from the radiation or the 33 lymph nodes removed on the left side of my neck?

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I have 2 more questions. I have squamous cell carcioma under my tonge and the on the floor of the left side of my mouth.
1. Has anyone had pencil beam scanning? If so could you tell me pros and cons of it?
2. I hear that the cancer is what causes the pain. Is the pain a lot less after the cancer is gone or is there other pain?
Thanks.

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Profile picture for scottmcf1431 @scottmcf1431

Hi,
The only thing that is guaranteed with this disease is that your experience will be unique to you. On this site, there are a plethora of stories of people sharing the good, the bad and the ugly of their “journey” (which is a word I hate because it makes this sound like something enjoyable). Some of us started out with tongue cancer like your self, went through chemo radiation and all the associated effects from it, and are now dealing with metastatic disease in other parts of our bodies. Unfortunately, not everyone gets better. It’s just a fact. I wish you and everyone else the best and I hope your “journey” is the “easiest” it can be.

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@scottmcf1431
Tks for the info.
Earlen

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Hi,
The only thing that is guaranteed with this disease is that your experience will be unique to you. On this site, there are a plethora of stories of people sharing the good, the bad and the ugly of their “journey” (which is a word I hate because it makes this sound like something enjoyable). Some of us started out with tongue cancer like your self, went through chemo radiation and all the associated effects from it, and are now dealing with metastatic disease in other parts of our bodies. Unfortunately, not everyone gets better. It’s just a fact. I wish you and everyone else the best and I hope your “journey” is the “easiest” it can be.

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