Tag Archives: Tongue Cancer

Cancer, Cancer Everywhere.

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First let me say that I have never been a smoker, drug user or sun bather. As a chemist I have always been cautious about chemical exposure. I have numerous cancers now with the two serious ones in remission. The new ones- who knows.

I use a university hospital and have been visited by flocks of med students looking at me in wonder, sometimes looking down my throat. I get a kick out of it. I always try to joke with them. All cancer diagnoses go before a faculty tumor board for collective assessment. That in particular drew me to this hospital.

My experience with numerous radiation, medical, ENT, and head & neck oncologists is that they absolutely do not want to discuss end of life issues. Maybe that is because I’m not near the end yet, though. But more likely they have production quotas and need to stick to the timeline. My head and neck oncologist did say that they were trying to keep me above the grass, though. That was cheerful.

Since July 22 of this year, I’ve had a partial glossectomy to remove a tumor resulting in a nickel-sized piece of the left edge of my tongue being removed, my first colonoscopy, a neck dissection looking for more cancer, and tomorrow is a root canal. Sonofabitch!

The glossectomy resulted in giving me slurred speech and then the neck dissection made it much worse with the added joy of serious swallowing difficulty. Liquids must be thickened with carrageenan gum to mostly avoid inhalation of food and drink. I’ve already been hospitalized with pneumonia resulting from inhaled food.

My 68th birthday was last week and while I received my well wishes, not a single person was moved to suggest a gerontologist, elder care facility or even as little as when the word “elderly” is used. I’m left up in the air …

It never occurred to me earlier in life that a piece of my tongue could be sliced out. What part of your body is more intimate in your daily consciousness than your mouth? I’ve had surgeons say “give me control of your tongue”. A fella doesn’t hear that very often.

The colonoscopy revealed 2 polyps suspected of being cancerous. So, to tally up the score, I have stage 4 prostate cancer, stage 4 throat cancer, tongue cancer, basil cell skin cancer, and possible colon cancer. Jesus H. Christ!! What next?.

The radiation of my throat resulted in the loss of about 1/2 of my salivary glands and taste buds. I’ve had dry mouth since radiation treatment in 2013, resulting in the loss of numerous teeth.

I was given radiation treatment of my prostate in 2014 and again last summer when the PSA score breached the 4.0 level. Since the 2014 treatment the thinking has changed on radiation dosage. Previously I was given about 1.8 Gray per dose. This time it was 5.0 Gray per dose over fewer doses. The thinking is that it is better to try to break the cancer cell DNA in 2 places at once rather than in just one place. In two rounds of x-radiation treatment of my prostate, I have experienced no pain or discomfort. I’ve had two rounds of 18F-Glucose injections for PET/CT scans.

The throat radiation was a different story. It gave me the world’s worst sore throat. I was fed through a stomach tube and was on opioids for an extended period. Let me say that I detest opioids and the constipation they bring. How do opioid addicts deal with this??

The throat cancer was from the HPV virus and that form is quite treatable, fortunately for me. The tongue cancer was also a squamous cell carcinoma but not of HPV origin.

Life on our lonely pale blue dot is strange. I’ll never get a full grasp of it. I’ll be on the top side of the grass for a while yet and until that changes, I’ll still be a student of the sciences and will continue to write about it.

Hoppin’ on Down the Cancer Trail

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As in the past, I will discuss some observations as a chemical scientist with cancer.

In 2013-4, I was treated for stage 4 squamous cell throat and separately, stage 4 prostate cancer and have been in remission since.

I picked up a new cancer as well as another precancer diagnosis a few weeks ago in late July, 2025. My very first colonoscopy (!!) identified several small precancerous polyps which were snipped out. The procedure was a breeze as was the much-derided colon-blow opening festivity. Propofol is amazing stuff.

Eleven days ago, I had my second partial glossectomy. The first in 2022 turned up a precancerous squamous cell lesion on the side of my tongue. The second, last week, removed a squamous cell tumor. A shallow, nickel-sized piece of tongue was removed along the middle-left edge. A skin graft from my arm was not performed, thankfully. Imagine having a hairy skin graft on your tongue!!

Prior to the surgery, I had to sanitize my arms, legs and torso with chlorhexidine (below as the gluconate), a common antiseptic. They even reamed out my nostrils with Povidone-Iodine. Incidentally Betadine is a trade name of Povidone-Iodine. First time for body-wide sanitization.

Graphic from chemical supplier TCI from Google images. This structure is the digluconate salt. Notice that the lower structure is a carboxylic acid and the chlorhexidine structure above is an is called a bibisquanide. Altogether there are 2 acid protons and 10 basic nitrogen atoms. The combination is actually an ammonium/iminium salt for water solubility.

Povidone is the polymer poly(N-vinylpyrrolidone). It is used in many medicaments and is regarded as relatively safe. The chemical structure is shown below.

Image from Wikipedia. Povidone Iodine is a broad spectrum bactericide useful against bacteria, protozoans, fungi and viruses. It is prepared by combining PVP with hydrogen iodide and iodine. It slowly releases iodine in situ.

/*begin anecdote*/

Of interest to me is the use of N-vinylpyrrolidone. In a previous life I had prepared poly-NVP by solution polymerization on many occasions as a base for experimental liquid ink charge carriers in xerographic imaging. Very simple to make. The point was to replace existing liquid inks that used flammable hydrocarbon solvents. The startup who recruited my small startup went under because the solvent they were banking on didn’t dry fast enough for their economic model. The whole thing rode on the use of low viscosity 0.5 centistoke silicon fluids.

The business plan was to provide the photocopiers at low cost and then rack in the profits on consumables- a common strategy in the printing business. The founders were all retired from the giants of the photocopier industry. They knew all about the technology except for this seemingly small ink modification.

Alas, the drying rate was far too low and the image transfer was of persistent low quality. The elderly and retired engineer behind this invention fell over dead in the middle of it. He provided the patents but never actually built a prototype or even physically investigated the suitability of silicone fluids and ink composition. It was a big handwaving exercise that the founders bought hook, line and sinker. In the end, the sinker took them to the bottom still grasping for that golden ring they so desired.  

/*end anecdote*/

The ever-popular opioid fentanyl was part of the basket of anesthetics used in the partial glossectomy procedure. A little mentioned side effect of fentanyl is extreme itchiness, particularly of the face. In post-op I had this in spades and it was very uncomfortable for several hours. My interest in the chemistry of fentanyl had never fully ballooned to include side effects.

The tumor board at the university hospital I go to voted that I should undergo exploratory surgery to examine the many nearby neck lymph nodes for evidence of spread. This would point to further treatment. My throat cancer was discovered when a swollen sentinel lymph node fused to my carotid artery and decorated my neckline.

I’ll admit that a salad of pessimism and resignation with breadsticks of nihilism has arrived at my table at life’s Olive Garden. Much depends on how the upcoming lymph node surgery will come out. We’ll have to wait and see.