Your experiences with radiation therapy to tongue

Posted by healthydeb @healthydeb, 6 days ago

I have had 3 surgeries on my tongue for PVL (Proliferative Verrucous Leukoplakia) which is an aggressive lesion with a high transformation to. I will see my ENT surgeon in 2 weeks to discuss next steps because a segment of cancer remains at the back of the lesion and one therapy brought up is radiation if further surgery is impracticable.
Question: what has been your experience with radiation therapy? I have read a lot of information about immediate and long term side effects.

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

@healthydeb
Welcome!
I had 33 rounds of agressive radiation for tongue tumour. I'm 3 years out NED! I can say post tx was such a raw deal. For 19m I felt I was on my death bed. Every story is so unique but we can all come together and share a common bond. Thinking of you as your journey begins.

REPLY

I'm 20 years out after 42 rounds of radiation, chemo, and surgery. Radiation is the gift that keeps on giving. Everyone seems to have a different experience, but no one enjoys the present. It can get better, so I would ask what my chances of surviving are should I forego treatment. In my case, I wouldn't be here if I hadn't. We are all dealing with a deadly disease, so I hope your choice is clear. Take care.

REPLY
Profile picture for zenren14 @zenren14

@healthydeb
Welcome!
I had 33 rounds of agressive radiation for tongue tumour. I'm 3 years out NED! I can say post tx was such a raw deal. For 19m I felt I was on my death bed. Every story is so unique but we can all come together and share a common bond. Thinking of you as your journey begins.

Jump to this post

@zenren14
My goodness that is life altering for sure. I will have a follow up appointment in 2 weeks with my surgeon. He will have met with the Tumor Board so all the experts will weigh in. I appreciate you taking the time to reply. I hope you feel better every day!

REPLY

I had 35 rounds for radiation ten forchemo for tongue and lymph nodes. Six surgery’s to remove dead bone from my jaw. I have osteoradionecrosis. I also have dry mouth and some fibrosis in my neck. It’s been over three years. Cancer had spread into my lungs. Had the nodules removed on both sides. On July 3rd will be two years no evidence of disease. I rang the radiation bell on April 25 2023. I’m glad to be alive and thankful to All my doctors and nurses who helped along the way. Mayo saved my life.
I finally am at a time where I have no exposed bone in my mouth so I can eat normally now. Several surgery’s later and with some meds it’s all healed gums.
I control dry mouth with xylimelts at night and sip water all day long. Constantly keep water in the car and take it with me everywhere I go. Coffee in the morning. I ate a tough steak last night so I’m coping with my eating difficulty.
I stretch my neck in the morning and that does the trick for now. I know that can get worse. I’m happy and so lucky to be alive!!! I have had a tough go of it but am at a good place now!!

REPLY
Profile picture for oliverpuppy @oliverpuppy

I had 35 rounds for radiation ten forchemo for tongue and lymph nodes. Six surgery’s to remove dead bone from my jaw. I have osteoradionecrosis. I also have dry mouth and some fibrosis in my neck. It’s been over three years. Cancer had spread into my lungs. Had the nodules removed on both sides. On July 3rd will be two years no evidence of disease. I rang the radiation bell on April 25 2023. I’m glad to be alive and thankful to All my doctors and nurses who helped along the way. Mayo saved my life.
I finally am at a time where I have no exposed bone in my mouth so I can eat normally now. Several surgery’s later and with some meds it’s all healed gums.
I control dry mouth with xylimelts at night and sip water all day long. Constantly keep water in the car and take it with me everywhere I go. Coffee in the morning. I ate a tough steak last night so I’m coping with my eating difficulty.
I stretch my neck in the morning and that does the trick for now. I know that can get worse. I’m happy and so lucky to be alive!!! I have had a tough go of it but am at a good place now!!

Jump to this post

@oliverpuppy for years I carried a water bottle with me, never wanting to be more than a moment away from the relief of water. Today, I can go for an hour or more. Things change, sometimes for the better. You have a great attitude for coping with your challenges. I wish you well.

REPLY
Profile picture for oliverpuppy @oliverpuppy

I had 35 rounds for radiation ten forchemo for tongue and lymph nodes. Six surgery’s to remove dead bone from my jaw. I have osteoradionecrosis. I also have dry mouth and some fibrosis in my neck. It’s been over three years. Cancer had spread into my lungs. Had the nodules removed on both sides. On July 3rd will be two years no evidence of disease. I rang the radiation bell on April 25 2023. I’m glad to be alive and thankful to All my doctors and nurses who helped along the way. Mayo saved my life.
I finally am at a time where I have no exposed bone in my mouth so I can eat normally now. Several surgery’s later and with some meds it’s all healed gums.
I control dry mouth with xylimelts at night and sip water all day long. Constantly keep water in the car and take it with me everywhere I go. Coffee in the morning. I ate a tough steak last night so I’m coping with my eating difficulty.
I stretch my neck in the morning and that does the trick for now. I know that can get worse. I’m happy and so lucky to be alive!!! I have had a tough go of it but am at a good place now!!

Jump to this post

@oliverpuppy You are a survivor! All the interventions are worth it and keeping a hopeful and positive outlook is a key to reaching a healthier outcome. Good luck to you and thank you for sharing your story.

REPLY

Thank you. I’m just glad to be alive!!

REPLY
Profile picture for oliverpuppy @oliverpuppy

Thank you. I’m just glad to be alive!!

Jump to this post

@oliverpuppy I think people sometimes forget they just stared death in the face and survived it. Gratitude goes a long way in helping with recovery. I think you have the right attitude. Since my treatment, I have gotten to enjoy 4-grandkids and a world of beauty. Not everyone is so lucky. Be well.

REPLY

Every day is a gift and there are no “bad” days in retirement😀

REPLY

Hi there. IMHO I would look for other alternatives. Radiation is destructive. I finished 6 weeks in August 2025 foe aggressive SCC of the tongue. I now suffer with severe tongue. lymphdema and with rehab and PT it is not getting better. If I knew then what I know now I would avoid Radiation at all costs. There's gotta besolutions. Better remedies and solutions. Best of luck.

REPLY
Please sign in or register to post a reply.