Hello CaptainAustralia, A while back, I noticed a lump on the left side of my throat. I went to the doctor and after doing a cat scan and biopsy by aspiration, I was diagnosed with a branchial cyst and it was negative for cancer. So we scheduled the surgery to remove the cyst. While the surgeon was inside, he noticed two lymph nodes unusually attached to my carotid artery so he removed them and sent them to pathology. Unfortunately the pathology came out positive for cancer. They diagnosed me with Metastatic Neck Cancer with Occult Primary. They ran a marker test that came out positive for HPV. They also ran a MRI with contrast and could not locate a primary tumor. I am not a smoker nor a drinker so we are assuming that HPV is the primary cause. We waited a month and did a PET scan which was inconclusive. the pet showed inflammation in the lymph nodes on the left side and activity in the left tonsil which was also classified as inflammation. My surgeon wanted to perform a radical neck dissection and remove my tonsils followed by radiation. We went to visit an oncology group. After reviewing the PET, pathology, and previous MRI with contrast, they recommended a combo of chemo and radiation therapy. They explained that they have been seeing an increase in this type of situation and have been very successful with this treatment option. They did say that the neck dissection was more successful but not by much. My wife and I weighed both options heavily. Neck dissection seemed to radical of a procedure for something the doctors can't find and has many possible quality of life ramifications so we decided on the radiation and chemo option. I am currently on week 2 of radiation and did my fist chemo on week one. So far so good. The chemo made me tired and the only bad side effect was the constipation which was solved with medication. I completed week 2 of radiation and so far am only suffering the side effects of dry mouth. A tiny bit of irritation swallowing but not enough to prevent me from eating solids still. The only major issue is that my left side has blown up like a ballon. I noticed the swelling start the first week and the doctor said my lymph nodes were swollen but not to a concern. At the end of week two its as if my lymph node is a knot still growing and doesn't move around any more. It is also sensitive to the touch. Not painful but sensitive. The doctor said that they were going to keep monitoring it and that it may just be inflammation from the radiation. I am getting concerned because it's growing instead of getting smaller. Maybe I'm just being paranoid. anybody else experience this? Any insight of help would be greatly appreciated! I am scheduled for my next chemo on week 4.
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