My story:
I was lucky to have discovered my tumor at an early stage. I had no pain but tasted pepper in the back of my throat only when I ate potato chips. This happened during summer when we grill outdoors often and have chips a lot. I even asked my wife if she was seasoning the chips. I thought, �Their are no taste buds in the back of your throat, are there???
At one point I went into the washroom and tilted my head back and took a good look at that area of my throat, Soft Palet next to Uvula, I did not see anything. About two weeks later it happened again and I went back and got an LED light I had on a key chain and took another look. With the aid of the brighter light I noticed a red discoloration about the size of a US Quarter. I had no pain and there was no swelling just the red spot.
I had two risk factors working against me at the time. I was a smoker and I work in tropical forestry and had just returned from the Amazon Rainforest.
Of course I spent two days on the Internet looking up every conceivable picture or description of oral cancer, viral infection, tropical disease and you name it. Nothing seemed to quite fit the description of this red spot, and almost everything had some degree of redness and inflammation associated with it. It was time for a visit to the doctor.
I decided to see my General Practitioner (GP) who at 65 had seen almost every conceivable disease walk through his doors. He took a look and then swabbed the area and personally took that swab back for a look under a microscope. After that he told me it did not look like it was a biological infection, he had seen a number of oral cancers and he ruled that out, so the most likely culprit for him was a viral infection.
I was tremendously relived that it was not cancer but still concerned about what it truly was. We discussed next steps and we almost decided to start a course of ant-virals and anti-biotics and then give it a couple of weeks for another look-see. I could tell he was a bit pensive about this course so I just told him �Doc I�d really like to know what this is. Who else can I see?� I think he was relieved to pass this thing along as he was obviously not sure what it was. He said he could send me to an Oral Surgeon or an ENT. He decided to send me to one of the best and most experienced Oral Surgeons on my side of the state, a man who had a great deal of experience and who had dealt with all manner infections and oral cancers (Damn, there was that cancer word again, maybe I had not dodged a bullet). In the parking lot I called my wife, putting the best face on it I started out �Honey, it�s not cancer��
A week later I was in the Oral Surgeons Chair. He had taken the obligatory full face x-ray (up on the little light screen on the wall) and had pulled my mouth open with some plastic tongs while he took some high definition pictures of the now very interesting red spot, which was blown up very much larger than life on a computer screen in front of me, and he was stumped. He had seen and operated on many cancers and this was not cancer (thank god again). He agreed with my GP that it was not biological, so it must be some sort of virus, most likely picked up on my last visit to South America, but again the pensive look. He decided to send the pictures by email to another doctor, an infectious disease specialist, and asked if I minded waiting while they discussed this on the phone. I said of course not. So there I sat for 45 min. in his lonely examining room looking at a blown up picture of the red spot on a computer screen and waited for the verdict (cue Jeopardy music).
He returned but did not enter the room. He was in the hall just his side of the examining room door and said they had decided that this was probably a viral infection, but his chin was in his hand, he was looking at the floor and he was not very convincing. He said he was going to put me on some anti-virals, turned took one step and stopped and started shaking his head from side to side. I said �Doc I�d really like to know what this is, who else can I see?� He said there was an ENT about an hours drive from my house, one of the best in the state, very hard to get an appointment with, would I wait while he tried to get me in to see him? I said sure (restart Jeopardy music). He returned about 20 min. later and said he had secured an appointment 10 days hence. I was still worried about the infection, and what it could mean, but at least it was not cancer. In the parking lot I called my wife � Honey, this doctor agrees, it�s not cancer��
Ten days later I�m 11 stories up in a swanky office building attached to one of the best medical facilities in the state. I�m in another examining room and the very professional ENT is finishing up his examination of my red spot. I�m in the big chair and he�s on one of those rolling stools. He rolls back away from me but not far. Our faces are less then two feet apart and his face is an open book. I say, �you�ve seen this before� he knows I know, he says �its cancer�. Apparently I�ve caught him in an unguarded moment. He back-peddles both verbally and physically. As he rolls away he lets me know that he wants to take a biopsy, that a biopsy is the only way to know for sure that its cancer but I know he knows. He continues the conversation with a number of �if the biopsy confirms its cancer (72 hours later it does)�� but we both know that we are now talking about my cancer.
I ask him why he thinks the other two doctors missed this and he says he has only seen a case like mine, at this stage, in someone my age, once in his career. It is an early stage cancer in a fairly unique location, it is very hard to diagnose if you have not seen it at this stage before. He tells me he is glad I stayed on this. He is intrigued by the potato chip story and tells me most people dismiss these little signs until much later stages of cancer when the physical signs are all to apparent. He is very confident that this is curable, but we have much to do, everything is contingent on the biopsy of course but we�ll need CT scans and this and that�. I start to go mentally numb. Somewhere in my head I record the rest of what he says, I�ll process it later
In the parking lot it�s a hot sticky August day but my blood is running cold. I�m an hours drive from home and she�s waiting by the phone�I have a call to make��
Post Script: The time interval between when I discovered the funny pepper taste in my throat and the biopsy proving I had cancer, was about two and half months.
I was diagnosed with stage 1 minimally invasive SCC of the soft palet. I received 7 weeks of radiation treatment with no surgery or chemotherapy. My doctors are fairly confident that we caught this early enough to give me a high degree of comfort that I will lead a long and productive life