Treatment FAQ

when to the doctor while going through cancer treatment head and neck

by Derrick DuBuque IV Published 2 years ago Updated 2 years ago
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Medication

The common types of treatments used for head and neck cancer are described below. Your care plan may also include treatment for symptoms and side effects, an important part of cancer care. Overall, the main treatment options are surgery, radiation therapy, chemotherapy, targeted therapy, and immunotherapy.

Procedures

Head and neck cancer specialists usually form a multidisciplinary team to care for each patient, and an evaluation should be done by each doctor before any treatment begins. This team often includes these specialists: Medical oncologist: A doctor who treats cancer using medications, such as chemotherapy, immunotherapy, and targeted therapy.

Therapy

Before beginning radiation therapy for any type of head and neck cancer, patients should be examined by a dentist who has expertise in managing the oral problems related to cancer and its treatment. This specialist can coordinate the patient’s dental care with their regular dentist as needed.

Self-care

The American Cancer Society has developed a Free Patient Page for head and neck cancer patients, who are finished with treatments, and need guidance on how to best manage issues that can occur after treatment. The guidelines provide recommendations on how to talk with healthcare providers on follow-up care as well as managing treatment effects.

Nutrition

What are the treatment options for head and neck cancer?

What kind of Doctor treats head and neck cancer?

Can a dentist help with radiation therapy for head and neck cancer?

Is there a free patient page for head and neck cancer?

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When should I call the doctor during chemo?

Contact your cancer care team right away if you have any of the following symptoms during chemo treatment: A fever higher than what your cancer care team has instructed (usually 100.5°F -101°F or greater (taken by mouth) Bleeding or unexplained bruising. A rash.

What happens after head and neck cancer treatment?

Common side effects from head and neck surgery include temporary or permanent loss of normal voice, impaired speech, and hearing loss. People often have difficulty chewing or swallowing after cancer surgery, which may require a tube inserted in the stomach for feeding purposes.

How do you know when cancer is getting worse?

The following are signs and symptoms that suggest a person with cancer may be entering the final weeks of life: Worsening weakness and exhaustion. A need to sleep much of the time, often spending most of the day in bed or resting. Weight loss and muscle thinning or loss.

When should a cancer patient go to the hospital?

For instance, under normal circumstances a fever might be a typical sign of illness and nothing to be alarmed about. However, for cancer patients with compromised immune systems, a fever of 101 degrees Fahrenheit or above signals it's time to call the ambulance or visit the emergency room.

What is the prognosis for head and neck cancer?

For all head and neck cancer subtypes, one-year survival falls between 1 and 5 years after diagnosis, though the gradient of the fall varies between subtypes. For most head and neck cancer subtypes, one-year survival falls between 5 and 10 years after diagnosis.

Can cancer spread while on chemo?

While chemotherapy is one of the oldest and most successful ways of treating cancer, it doesn't always work. So, yes, cancer can spread during chemotherapy. Spreading could mean the tumor keeps growing, or that the original tumor shrinks, but cancer metastasizes, forming tumors in other areas of the body.

How do doctors know how long a cancer patient will live?

Ask your doctor about the stage of your cancer and how much it has spread. Ask about your prognosis, or how long you have to live. No one can know exactly, but your doctor should be able to tell you a range of months or years. And you need to know if more treatment for cancer will help you live longer.

How do I know my cancer is progressing?

How do I know if my cancer has progressed? You may notice some changes, such as a new lump or new symptoms. You should talk to your oncologist (cancer doctor) if this happens. A blood test or imaging (such as an MRI or CT scan) will show your oncologist if your cancer has progressed.

What are the signs of imminent death in a cancer patient?

Possible changes in consciousnessMore sleeping during the day.Hard to wake or rouse from sleep.Confusion about time, place, or people.Restless, might pick or pull at bed linen.May talk about things unrelated to the events or people present.May have more anxiety, restlessness, fear, and loneliness at night.More items...•

When is cancer considered terminal?

Terminal cancer usually means the cancer cannot be controlled and is likely to be the cause of someone's death. Some advanced cancers can be treated to control their growth or spread, while others are terminal.

What is the most common cause of death in cancer patients?

What were the leading causes of cancer death in 2020? Lung cancer was the leading cause of cancer death, accounting for 23% of all cancer deaths. Other common causes of cancer death were cancers of the colon and rectum (9%), pancreas (8%), female breast (7%), prostate (5%), and liver and intrahepatic bile duct (5%).

How fast do cancer stages progress?

Scientists have found that for most breast and bowel cancers, the tumours begin to grow around ten years before they're detected. And for prostate cancer, tumours can be many decades old. “They've estimated that one tumour was 40 years old. Sometimes the growth can be really slow,” says Graham.

What is the best treatment for head and neck cancer?

Head and neck surgeon Jennifer Cracchiolo works closely with her patients to provide them with the best functional and cosmetic outcomes possible. There are several ways to treat head and neck cancer, including: radiation to the head and neck, using high-energy rays such as X-rays to destroy cancer cells.

How to treat salivary gland cancer?

The main treatment for mouth cancer and salivary gland cancer is usually surgery. Sometimes radiation or chemotherapy are given after surgery to reduce the chances that the cancer will come back. Surgery, radiation, and chemotherapy are all common approaches for people with throat cancer or sinus or nasal cavity tumors.

Does MSK treat thyroid cancer?

MSK offers specialized treatments for oropharyngeal cancer linked to HPV infection. Surgery is also the most common treatment for thyroid cancer and parathyroid tumors. If you have a small, low-risk papillary thyroid cancer, you may choose to participate in our program of active surveillance .

What is the treatment for head and neck cancer?

The range of treatments offered to people with head and neck cancers includes surgery, radiation therapy, chemotherapy and targeted drug therapy, as well as other treatments, including experimental therapies. At Mayo Clinic, your cancer treatment includes a personalized rehabilitation plan to help promote recovery and improve quality of life.

What is palliative care at Mayo Clinic?

Mayo Clinic doctors also provide palliative care, which focuses on providing relief from pain and other symptoms caused by cancer or cancer treatment. At Mayo Clinic, palliative care specialists work with you, your family and your other doctors to provide an extra layer of support that complements your ongoing care.

Does Mayo Clinic treat head and neck cancer?

Mayo Clinic doctors have extensive experience diagnosing and treating head and neck cancers, including very rare types. Your care team is prepared with the knowledge and resources to provide you with exactly the care you need.

Does Mayo Clinic require a referral?

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care.

How to help someone with head and neck cancer?

Many people who have been treated for head and neck cancer have difficulty eating. Working with a speech-language pathologist and a registered dietitian can help. Listen to a podcast about managing eating challenges after treatment. Talk with your health care team regularly about how you are feeling.

What is it called when you take care of a person with head cancer?

Family members and friends often play an important role in taking care of a person with head or neck cancer. This is called being a caregiver. Caregivers can provide physical, practical, and emotional support to the patient, even if they live far away.

How does cancer affect you emotionally?

This may include dealing with difficult emotions, such as sadness, anxiety, or anger, or managing your stress level. Sometimes, people find it difficult to express how they feel to their loved ones. Some have found that talking to an oncology social ...

Is cancer treatment expensive?

Cancer treatment can be expensive. It is often a big source of stress and anxiety for people with cancer and their families. In addition to treatment costs, many people find they have extra, unplanned expenses related to their care.

Can head and neck cancer cause difficulty eating?

Changes to your physical health depend on several factors, including the cancer’s stage, the length and dose of treatment, and your general health. Many people who have been treated for head and neck cancer have difficulty eating.

Can cancer cause side effects?

Every cancer treatment can cause side effects or changes to your body and how you feel. For many reasons, people do not experience the same side effects even when they are given the same treatment for the same type of cancer. This can make it hard to predict how you will feel during treatment. People who are being treated for head ...

What is the treatment for head and neck cancer?

3. Head and neck cancer treatment comes in several forms. Treatment can include surgery, radiation therapy, chemotherapy, or a combination, says Dr. Moore. “You'd typically ask your doctor which modality would give you the best chance of a cure, have the fewest long-term side effects and least impact on speech and swallowing, ...

What percentage of head and neck cancer is cancer?

11 Things a Head and Neck Cancer Doctor Wants You to Know. Head and neck cancers make up only 4 percent of all cancers in the United States, but they are just as challenging for patients as other cancers that may get more headlines. To get the facts about these cancers, HealthCentral spoke to Michael G.

Why is Dr. Moore so passionate about cancer?

Lastly, Dr. Moore shares why he is passionate about changing the lives of people diagnosed with head and neck cancer: “I have the ability to help people through a very difficult time. Head and neck cancer can affect their ability to eat and drink, and it can affect their appearance,” he says. “I want to treat people and help them to be cancer-free, as well as to maintain their function and their identity and self-esteem. I find it all very rewarding.”

Is surgery the first step in removing cancer?

Depending on where your cancer is located, surgery may or may not be the first-line approach. For example, Dr. Moore says, “For tumors, such as HPV-related in the back of the throat or in the larynx, surgery isn't always the first step. It can be used, but radiation or chemotherapy are also heavily considered. Again, it depends on location and how easy it will be to remove. All of this depends on the individual and the specifics of their case.”

Can you use immunotherapy for head and neck cancer?

Beyond the current standard treatments, promising new therapies are being developed. “Immunotherapy that helps your own immune system fight the cancer can be used with certain types of head and neck cancer — and that's being done primarily in clinical trials,” Dr. Moore says.

Is alcohol a risk factor for head and neck cancer?

If you have risk factors for head and neck cancer, it’s important to be aware of them. “Alcohol and all tobacco use are major risk factors. Others include having had the Epstein-Barr virus infection or poor oral health,” Dr. Moore says.

Is head and neck cancer more responsive to treatment?

Some head and neck cancers are more responsive to treatment than others. One of the first steps in treating this type of cancer is to find out whether it is related to the HPV virus, Dr. Moore says. This is done with a biopsy. " [HPV-related] tumors do tend to be more responsive to treatment," he says.

What is the treatment for head and neck cancer?

Treatment for head and neck cancer can include surgery, radiation therapy, chemotherapy, targeted therapy, or a combination of treatments.

How long does it take for head and neck cancer to go away?

The patient may look different after surgery, and the face and neck may be swollen. The swelling usually goes away within a few weeks.

How long does swelling last after lymph node removal?

The swelling usually goes away within a few weeks. However, if lymph nodes are removed, the flow of lymph in the area where they were removed may be slower and lymph could collect in the tissues, causing additional swelling; this swelling may last for a long time.

What happens if you get radiation on your head?

Patients who receive radiation to the head and neck may experience redness, irritation, and sores in the mouth; a dry mouth or thickened saliva; difficulty in swallowing; changes in taste; or nausea. Other problems that may occur during treatment are loss of taste, which may decrease appetite and affect nutrition, ...

Why does my neck feel numb after a laryngectomy?

After a laryngectomy (surgery to remove the larynx) or other surgery in the neck, parts of the neck and throat may feel numb because nerves have been cut. If lymph nodes in the neck were removed, the shoulder and neck may become weak and stiff.

Can you open your mouth wide after a chin surgery?

The jaw may feel stiff, and patients may not be able to open their mouth as wide as before treatment.

How does head and neck cancer affect your body?

Self-Esteem and Body Image. Head and neck cancer treatments might affect the way you feel about yourself. Surgery, as well as complications like lymphedema and weight loss, can change the way you look. It might be hard to handle having trouble with the way you eat, hear, and talk because of treatment complications.

What are the complications of head and neck cancer?

Head and neck cancers start in or near your lips, tongue, tonsils, mouth, nose, sinuses, throat, salivary glands, or voice box. Surgery, radiation, and other treatments can fight the cancer in these areas and protect the important jobs they do. But some therapies can also cause long-term health ...

How to keep your mouth clean after cancer treatment?

Ask your dentist what you can do to keep your mouth clean and healthy during and after treatment. Regular brushing and flossing can help. You may also get a fluoride rinse or gel to put on your teeth. After cancer treatment, it’s important to see your dentist regularly so they can treat any problems that come up ASAP.

How does a doctor help you with cancer?

Your doctor can work with you to plan treatment that saves as much of your healthy tissues as possible while getting rid of the cancer. As you make your treatment decisions, be sure to talk with your doctor about how each treatment can affect your body.

Can radiation in the neck cause weight gain?

If you get radiation in your neck, it could damage your thyroid gland, affecting how well it can make thyroid hormones. Low levels of these can lead to weight gain and can make you feel tired. If you need radiation in this area, your doctor will keep an eye on your thyroid hormone levels after treatment.

Can lymphedema cause neck pain?

It also can change the way you look. Swelling inside your head and neck can also affect how well you hear, breathe, talk, and eat. Ask your doctor what you can do to prevent lymphedema.

Can head and neck cancer cause mouth problems?

But cancer treatments also can cause mouth issues and trouble swallowing. For example, surgery to remove a tumor may also damage nerves, muscles, and other tissues that help you chew and swallow.

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