When faced with a cancer diagnosis, navigating the maze of emotions and decisions can be overwhelming. In this inspiring and deeply personal memoir, Michael Handford – a professor of intercultural communication – shares his experience of a stage-4 throat cancer diagnosis at the age of 42 while living and working in Japan and the UK. Weaving together his professional insights and personal experiences, and through vivid storytelling, Handford examines how communication – whether with doctors, loved ones, or oneself – can shape the cancer experience. He shows that creating meaning and agency in the face of illness can provide a sense of control amidst the chaos. This book is not just about surviving cancer but about reframing it as part of a quest for connection, resilience, and understanding. Poignant, and at times brutally funny, Lump in My Throat offers guidance, hope, and tools to navigate the toughest of times with dignity and strength.