Head and Neck Cancers
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Head and Neck Cancers
Life after treatment
For most people, the cancer experience doesn’t end on the last day of treatment. Life after cancer treatment can present its own challenges. You may have mixed feelings when treatment ends, and worry that every ache and pain means the cancer is coming back.
Some people say that they feel pressure to return to “normal life”. It is important to allow yourself time to adjust to the physical and emotional changes, and establish a new daily routine at your own pace. Your family and friends may also need time to adjust.
Cancer Council 13 11 20 can help you connect with other people who have had cancer, and provide you with information about the emotional and practical aspects of living well after cancer.
After treatment ends, you will have regular appointments with your specialist to monitor your health, manage any long-term side effects and check that the cancer hasn’t come back or spread. You may have blood tests and imaging scans, as well as physical and visual examinations of your head and neck. You will also be able to discuss how you’re feeling and any other concerns. You will receive continued support from a speech pathologist, dietitian and physiotherapist if you need it. You may also be asked to see your dentist regularly.
When a follow-up appointment or test is approaching, many people find that they think more about the cancer and may feel anxious. Talk to your treatment team or call Cancer Council 13 11 20 if you are finding it hard to manage this anxiety. Check-ups will become less frequent if you have no further problems. Between follow-up appointments, let your doctor know immediately of any symptoms or health problems.
For some people, head and neck cancer does come back after treatment, which is known as a recurrence. This is why it’s important to have regular check-ups.
If the cancer is only in the head and neck, you may have surgery to remove the cancer, or you may be able to have radiation therapy, depending on your previous treatment. If you are offered radiation therapy, it may be given with chemotherapy, or you may just be given chemotherapy by itself to try to control the cancer for as long as possible. Your doctor will discuss the types of treatment available to you.
If you have continued feelings of sadness, have trouble getting up in the morning or have lost motivation to do things that previously gave you pleasure, you may be experiencing depression. This is quite common among people who have had cancer.
Talk to your GP, as counselling or medication – even for a short time – may help. Some people can get a Medicare rebate for sessions with a psychologist. Ask your doctor if you are eligible.
The organisation beyondblue has information about coping with depression and anxiety. Go to beyondblue or call 1300 224 636 to order a fact sheet. For 24-hour crisis support, call
Lifeline 13 11 14 or visit lifeline.org.au.
This information is reviewed by
This information was last updated September 2019 by the following expert content reviewers: A/Prof David Wiesenfeld, Oral and Maxillofacial Surgeon, Director, Head and Neck Tumour Stream, The Victorian Comprehensive Cancer Centre at Melbourne Health, VIC; Alan Bradbury, Consumer; Dr Ben Britton, Senior Clinical and Health Psychologist, John Hunter Hospital, NSW; Dr Madhavi Chilkuri, Radiation Oncologist, Townsville Cancer Centre, The Townsville Hospital, QLD; Jedda Clune, Senior Dietitian (Head and Neck Cancer), Sir Charles Gairdner Hospital, WA; Dr Fiona Day, Staff Specialist, Medical Oncology, Calvary Mater Newcastle, and Conjoint Senior Lecturer, The University of Newcastle, NSW; Dr Ben Dixon, ENT, Head and Neck Surgeon, Peter MacCallum Cancer Centre and St Vincent’s Hospital Melbourne, VIC; Emma Hair, Senior Social Worker, St George Hospital, NSW; Rosemerry Hodgkin, 13 11 20 Consultant, Cancer Council WA; Kara Hutchinson, Head and Neck Cancer Nurse Coordinator, St Vincent’s Hospital Melbourne, VIC; A/Prof Julia Maclean, Speech Pathologist, St George Hospital, NSW; Prof Jane Ussher, Chair, Women’s Health Psychology, Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, NSW; Andrea Wong, Physiotherapist, St Vincent’s Hospital Melbourne, VIC..