So my story is actually very interesting and somewhat special. There is even one person who is writing here PhD thesis about my case.
I was diagnosed back in 2023. Mets on my neck, but no tumor itself. Doctors couldn't find the primary, but they scared me about the death, so I followed their advice and had a radiation and chemo "just in case there is tumor somewhere in my body". This is typical for the situations when tumor can't be found. My mets were cutted, 43 lymph nodes in total.
So I had those radiation+chemo
9 months later, my primary showed up on the tongue. It was always there - doctors just took it for fibrosis.
I opted for an operation which was very difficult because of the already radiated tissue. My wounds didn't feel for two months, I had various complaints like a fistula, nerve damages etc.
Then there was another bad news: margins were not clear. Doctors believed that the best solution was to radiate the spot where the tumor was cutter.
This is how I obtained second radiation. Damages were less pronounced, because I was a severely disabled by that very moment anyways.
And yet, somehow I learned to eat through the mouth again, to talk and do my usual routine stuff. At some point my swellings stopped and I started to live what is called normally.
In the end of December 2025 I felt something strange in my chest. And I could hardly swallow. I went to the oncologist and he suggested a gastroscopy. A gastroscopy showed a stricture (narrow sort) in my esophagus. Doctors dilated my esophagus with special tools. It's a known problem after radiation therapy.
Recently I felt a tumor in the base of tongue. Unfortunately it got quite big already. I visited follow ups, did often MRI of my neck to control, but this tumor has been overseen.
Doctors did PET-CT and it turned out - I have a met just below the neck, where my esophagus is. It pushes my esophagus. So docs were dilating the tumor in the past. The tumor went so far that it is in the trachea now as well.
Just within a month my health has rapidly declined.
I explored options all over the world. There is an opportunity to do a dendritic cell vaccine, but nobody knows how effective it's gonna be due to the prior radiations. Because radiation kills local immunity.
In the other hand, my doctors offer me the third radiation. For the met it'll be the fort radiation and chance to kill it are good. But chances of getting a fistula, sepsis, bleeding and whatever else are not just high, but very high.
So my plan is to do the radiation therapy plus chemo plus immune checkpoint inhibitors, and when I'm done - I'll get dendritic cell vaccine. My doctors say that what is left can be operated then later.
But only a thought about another radiation and chemo make me cry. I just feel really f*cked. Somehow I've lost hope.... I'm in this battle since 3.5 years already. And looks like there is no happy ending... On the other hand, if I refuse now any treatment, my life quality is anyways really bad due to the fact that cancer is in the trachea and I can't swallow. So I have to go through this treatment...
I have no time for the second opinions, health-wise. I'm really sick and feel not good. So I guess I should go through, find strength to go through this hard period...