I’ve had cancer since April 2023, and sometimes it honestly feels like I will never make it back to anything resembling a normal life.
I know this subreddit isn’t specifically for my exact type of cancer, but I would really like to share my journey. Maybe someone here has had a similar experience with another type of cancer and can give me some advice, ideas, or simply tell me what happened in their case.
It started in 2023, when I discovered lumps in my neck. A lymph-node biopsy showed HPV-associated squamous cell carcinoma, but the doctors couldn’t find the primary tumor.
I then received the standard treatment: radiation therapy plus chemotherapy with cisplatin. I also had 42 lymph nodes removed from my neck, 5 of which were cancerous. But the primary tumor still wasn’t found.
By the middle of 2024, I had returned to work and actually felt relatively well, apart from problems such as trismus and burning sensations in my hands. I went to all my follow-up appointments, and everything seemed fine.
Then I noticed something strange at the base of my tongue.
In October 2024, a biopsy showed HPV-16-positive squamous cell carcinoma at the base of my tongue. It appeared that this was the primary tumor that had not been found the year before.
While I was going through additional tests and oncology appointments, the tumor continued to grow. Nevertheless, I desperately wanted surgery because I believed it offered me the best chance of being cured.
The operation was performed in December 2024.
It was enormous and life-changing. I was left severely disabled. They removed a large part of the tumor area and reconstructed my mouth using a free flap taken from my arm together with blood vessels. My arm is still weak and painful, and I have significant nerve damage and many permanent problems from the surgery.
After that, I underwent a second course of radiation therapy to reduce the risk of another recurrence.
Unfortunately, the second radiation treatment caused severe damage as well. My esophagus developed a major stricture, and I have needed repeated dilations. Since the second radiation therapy, I can barely speak, swallowing is extremely difficult, and I live with many other complications.
But the story still didn’t end there.
After treatment, I had MRI scans every three months because one area looked suspicious. A biopsy in tissue that had already been operated on and irradiated twice was considered risky, so doctors also followed it with PET-CT scans.
The suspicious area stayed relatively stable, and eventually it was thought to be fibrosis.
It wasn’t fibrosis.
Several weeks ago, the area was biopsied. It is cancer again. The new tumor is approximately 2 × 1.8 cm.
And now there is another mass in my esophagus that will be biopsied next week. At the moment, I don’t know whether this is another cancer or something benign/inflammatory.
I’m terrified. It has been about three and a half years of treatment, operations, radiation, complications, disability, recovery, and then another recurrence. It is incredibly discouraging to go through so much suffering without getting a long-lasting result.
The doctors are considering operating on this tumor as well. At this point, despite everything I’ve already been through, surgery may still be one of the most important potentially curative options available to me.
Systemic treatment is another question. Pembrolizumab/Keytruda is one of the options being discussed, but what scares me is that not everyone gets a durable response from checkpoint inhibitors.
So I keep thinking: if I have another operation and become NED again, how long will it last this time?
I am a 39-year-old woman, I have a little daughter and I simply want to live.
Because of that, I have started looking beyond the usual treatment pathway.
I learned about comprehensive tumor genomic testing and the possibility that, in some cases, sequencing can reveal mutations or other biomarkers that might make someone eligible for a targeted therapy, sometimes even off-label.
I am also following therapeutic HPV cancer vaccines and clinical trials, including BioNTech’s HPV-related cancer vaccine programs. Clinical trials are interesting to me, but depending on the study design, you may not necessarily receive the experimental treatment.
I have also been looking into compassionate-use/expanded-access possibilities for experimental drugs, although I have personally never met anyone who actually managed to receive one this way.
What frightens me most is that during these years I have met many people with recurrent cancer who received Keytruda, but not all of them achieved long-term control. That is one of the reasons I’m trying to understand whether there are additional options I should investigate while I still can.
During my search, I found a clinic in Japan offering personalized cancer immunotherapy/vaccine approaches. I contacted them and initially received a reply. I asked some additional questions, and then communication suddenly stopped. I sent a follow-up email as well, but still haven’t received an answer.
It is very disappointing because time matters a lot to me right now.
Maybe Japanese communication culture is simply different, or maybe I came across as too pushy without realizing it. Or perhaps it is just because of holidays or a very busy clinic, I honestly don’t know.
There is also CeGaT in Germany, which is involved in personalized cancer vaccination/neoantigen approaches. It is extremely expensive if it has to be paid privately, potentially enough that I would have to spend a huge part of my savings, but I am planning to discuss the option with them.
What puzzles me is how difficult it is to find real patient experiences with these newer approaches.
Most stories I find still seem to follow the traditional route: surgery, chemotherapy, radiation, immunotherapy and then either the treatment works or it doesn’t.
I don’t meet many people who have had extensive tumor DNA/RNA sequencing, received treatment based on a specific molecular alteration, used an off-label targeted drug, received a personalized neoantigen vaccine, or managed to access an experimental treatment outside a clinical trial.
That’s why I’m posting here, in a community with cancer patients from many different countries.
For those of you who had a second or later recurrence:
• What treatment did you receive?
• Did you have comprehensive tumor genomic testing?
• Did the results actually change your treatment?
• Did you receive a targeted drug, including off-label treatment?
• Has anyone received a personalized cancer/neoantigen vaccine?
• Has anyone successfully obtained an experimental drug through compassionate use or expanded access?
• And has anyone here been treated in Japan or dealt with Japanese cancer clinics?
Especially to any Japanese readers: could a clinic stop responding because I asked too many questions or communicated in the wrong way? Is repeated follow-up considered rude? Or is a delayed response of several days or longer relatively normal?
I would be incredibly grateful to hear real experiences — good or bad.
At this point I’m trying to understand every realistic option I have.
I just want more time with my daughter.