Further tests after diagnosis

If tests confirm you have a head and neck cancer, the specialist will arrange for you to have further tests. These are done to find out the size and position of the cancer, and if it has spread. This is called staging. The information helps them to plan the best treatment for you.

Other tests you may need include:

  • face or neck x-rays
  • CT (computerised tomography) scan – this uses x-rays to build up a three-dimensional picture of the inside of your body
  • MRI (magnetic resonance imaging) scan – this uses magnetism to build up a picture of your body
  • PET-CT scan – this uses low-dose radiation to identify areas of cancer.

You may also have some of these tests during or after treatment. They can help your doctors to check how well the treatment is working.

It may take a few days or a couple of weeks to get your results. During that time, it may help to talk to a friend, family member or your specialist nurse.

Further tests

If the biopsy shows that there is a cancer, you will have further tests to find out:

  • its size
  • its position
  • whether it has spread.

This process is called staging. It may take 2 to 3 weeks before you get all the results. The results will help you and your doctor decide on the best treatment for you. Sometimes these tests may be repeated, during and after treatment, to check on your progress.


X-rays

You may have x-rays of your face or neck to:

  • see whether any bones have been affected by the cancer
  • to check the health of your teeth.

You may have a chest x-ray. This is to check your general health and to see whether the cancer has spread to the lungs. It is rare for head and neck cancers to spread beyond the head and neck area. But sometimes they can spread to the lungs or other parts of the body. You may also have a CT scan to look at your lungs.


CT (computerised tomography) scan

A CT scan takes a series of x-rays, which build up a three-dimensional picture of the inside of the body. The scan takes 10 to 30 minutes and is painless. It uses a small amount of radiation. This is very unlikely to harm you and will not harm anyone you come into contact with. You may be asked not to eat or drink for at least four hours before the scan.

CT scan
CT scan

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You may be given an injection of a dye, which allows particular areas to be seen more clearly. This may make you feel hot all over for a few minutes. It is important to let your doctor know if you are allergic to iodine or have asthma. You could have a more serious reaction to the injection.

You will probably be able to go home as soon as the scan is over.

I went back and had further tests and a biopsy. The consultant was great when it came to telling me what we were dealing with – he gave details and diagrams.

Wendy


MRI scan

An MRI scan uses magnetism to build up a detailed picture of areas of your body. The scanner is a powerful magnet so you may be asked to complete and sign a checklist to make sure it is safe for you. The checklist asks about any metal implants you may have, such as a pacemaker, surgical clips or bone pins, etc.

You should also tell your doctor if you have ever worked with metal or in the metal industry as very tiny fragments of metal can sometimes lodge in the body. If you do have any metal in your body, it is likely that you will not be able to have an MRI scan. In this situation, another type of scan can be used. Before the scan, you will be asked to remove any metal belongings including jewellery.

Some people are given an injection of dye into a vein in the arm, which does not usually cause discomfort. This is called a contrast medium and can help the images from the scan to show up more clearly. During the test, you will lie very still on a couch inside a long cylinder (tube) for about 30 minutes. It is painless but can be slightly uncomfortable, and some people feel a bit claustrophobic. It is also noisy, but you will be given earplugs or headphones. You can hear, and speak to, the person operating the scanner.


PET-CT scan

This is a combination of a CT scan, which takes a series of x-rays to build up a three-dimensional picture, and a positron emission tomography (PET) scan. A PET scan uses low-dose radiation to measure the activity of cells in different parts of the body.

PET-CT scans give more detailed information about the part of the body being scanned. You may have to travel to a specialist centre to have one. You cannot eat for six hours before the scan, although you may be able to drink. A mildly radioactive substance is injected into a vein, usually in your arm. The radiation dose used is very small. You will wait for at least an hour before you have the scan. It usually takes 30 to 90 minutes. You should be able to go home after the scan.


Waiting for test results

Waiting for test results can be a difficult time. It may take from a few days to a couple of weeks for the results of your tests to be ready. You may find it helpful to talk with your partner, family or a close friend.

Your specialist nurse can also provide support. You can also talk things over with one of our cancer support specialists on 0808 808 00 00.

Waiting for results is always an anxious time and it can be hard to stay calm. Pretty much everyone feels like that. Try and keep as busy as you can.

Suze

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