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Hi all,
My first post here just hoping for some opinions.
I am 41 yrs. and had been feeling a bit off , so the doc did a heap of labs, only to find low testo. LH and fsh. So we are currently using a compounded testo. cream. On the last visit i mentioned a small lump on the right teste had gotten bigger so he said to get a sonogram.
TESTICULAR SONOGRAM
FINDINGS The right testis contains a hetrogeneous solid mass measuring 2.2x2.0x1.2cm and almost certainly representing a primary testicular cancer.There is some calcification within this , favouring a diognosis of teratoma rather than seminoma , but a significant proportion of tumors are mixed. the surface of the tumor is alitte ill defined compared with the clear encapulation of the remainder of the testis. No free fluid is seen in the scrotal sac.
IMPRESSION. 2.2CM hetrogeneous right testicular tumor, on imaging criterea most kikely to be predominately teratomous.
EXAMINATION. CHEST XRAY. AND CT THORAX, ABDOMEN AND PELVIS.
XRAY CHEST
FINDINGSThe lung fields are normally inflated and clear. The plueral reflections are maintained. No pulmonary nodules can be identified. The heart is not enlarged and the cardiomediastinal contour appears satisfactory.
CT CHEST, ABDOMEN AND PELVIS
TECHNIQUE Following administration of both intravenous and oral contrast, scans were performed through the thorax, abdomen and pelvis using the helical technique.
FINDINGS There is no evidence of any pulmonary metastisis, consolidation or collapse
. No plueral effusion can be seen . There is no sign of any axillary , mediastinal nor hilar lymphadenopathy. The brachiocephalic and pulmonary vessels along with the thoratic aorta are all patent and otherwise intact. Ther is no sign of any cardiac enlargement.
The upper abdominal viscera all appear to be intact and are normally perfused. The abdominal aorta and IVC remain patent. There is no sign of any para- aortic, mesenteric nor iliac lymphadenopathy.
Within the pelvis , the appearences are as yet onopacified urinary bladder and prostate are unremarkable . The oral contrast in traversed most the normal appearing small bowel and entered the colon. No significant bowel abnormality can be identified.
SUMMARY. This is an essentially normal study with no sign of any pulmonary, visceral nor lymphatic involvement by the recentely discovered testicular mass.
The doc did take markers and said they were high , but did not give me the numbers. I am seeing the uroligist tomorrow , but the doc says from the scans he is pleased .
So what do you guys think ? whats next ? etc
Thanks
swan
My first post here just hoping for some opinions.
I am 41 yrs. and had been feeling a bit off , so the doc did a heap of labs, only to find low testo. LH and fsh. So we are currently using a compounded testo. cream. On the last visit i mentioned a small lump on the right teste had gotten bigger so he said to get a sonogram.
TESTICULAR SONOGRAM
FINDINGS The right testis contains a hetrogeneous solid mass measuring 2.2x2.0x1.2cm and almost certainly representing a primary testicular cancer.There is some calcification within this , favouring a diognosis of teratoma rather than seminoma , but a significant proportion of tumors are mixed. the surface of the tumor is alitte ill defined compared with the clear encapulation of the remainder of the testis. No free fluid is seen in the scrotal sac.
IMPRESSION. 2.2CM hetrogeneous right testicular tumor, on imaging criterea most kikely to be predominately teratomous.
EXAMINATION. CHEST XRAY. AND CT THORAX, ABDOMEN AND PELVIS.
XRAY CHEST
FINDINGSThe lung fields are normally inflated and clear. The plueral reflections are maintained. No pulmonary nodules can be identified. The heart is not enlarged and the cardiomediastinal contour appears satisfactory.
CT CHEST, ABDOMEN AND PELVIS
TECHNIQUE Following administration of both intravenous and oral contrast, scans were performed through the thorax, abdomen and pelvis using the helical technique.
FINDINGS There is no evidence of any pulmonary metastisis, consolidation or collapse
. No plueral effusion can be seen . There is no sign of any axillary , mediastinal nor hilar lymphadenopathy. The brachiocephalic and pulmonary vessels along with the thoratic aorta are all patent and otherwise intact. Ther is no sign of any cardiac enlargement.
The upper abdominal viscera all appear to be intact and are normally perfused. The abdominal aorta and IVC remain patent. There is no sign of any para- aortic, mesenteric nor iliac lymphadenopathy.
Within the pelvis , the appearences are as yet onopacified urinary bladder and prostate are unremarkable . The oral contrast in traversed most the normal appearing small bowel and entered the colon. No significant bowel abnormality can be identified.
SUMMARY. This is an essentially normal study with no sign of any pulmonary, visceral nor lymphatic involvement by the recentely discovered testicular mass.
The doc did take markers and said they were high , but did not give me the numbers. I am seeing the uroligist tomorrow , but the doc says from the scans he is pleased .
So what do you guys think ? whats next ? etc
Thanks
swan
testosterone implants May 2008
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