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Path report

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  • Path report

    Hi my name is Dennis 44 years old and live near Chicago Illinois

    I had a radical orchiectomy on my left testicle on March 30, 2006

    Path report is:
    Seminola, Classic Type 7.5x4.6x3.6 cm w/ focal invasion of the Tunica Albuginea

    No invasion was present in the
    Tunical vaginalis, epididymis, rete testis or spermatic cord like wise
    no angiolymphatic invasion is identified.

    Ct scan normal
    Blood tumor marker test normal

    My doctor told me this was Stage 1

    and I started my radiation treatment this last Monday, May 1, 2006

    My mom is a cancer surviver from a brain tumor (10 years now) so I look up to her as inspiration.

    I just have 3 question if some one knows or can point me in the right direction

    What is angiolymphatic ?

    What is focal invasion of the Tunica Albuginea ?

    There are different classification on some sites regarding stage 1, with my path report and such what classification of stage 1 would I be in ?

    This site has been very helpfull.
    Thank You and God Bless

  • #2
    Hi Dennis, welcome to the forum.

    angiolymphatic refers to blood vessels (angio) and lymphatic vessels. Lymphatic vessels sort of parallel the blood vessels and collect excess tissue fluid and eventaully return it to the blood stream.

    No angiolymphatic invasion is generally considered a good sign.

    The testicle is covered by two tough layers of connective type tissue. The outermost layer is called the tunica vaginalis. Just below this layer is the tunica albuginea. Focal invasion, most likely means that the tumor has penetrated this layer at a very discrete spot.

    This site has staging iformation
    It looks like it would put you at pT2.

    With a normal CT scan and having started radiation, I'd bet that you're essentially cured.

    There are a lot of folks here who have had experience with radiation, so if you have any questions or concerns, just ask -- someone will help you out.

    Best wishes, and keep us updated.

    Right I/O 4/22/1988
    RPLND 6/20/1988
    Left I/O 9/17/2003

    Tho' much is taken, much abides; and though we are not now that strength which in old days moved earth and heaven; that which we are, we are; one equal temper of heroic hearts, made weak by time and fate, but strong in will; to strive, to seek, to find, and not to yield.


    • #3
      Dennis, assuming your tumor markers were normal, it sounds as though you were stage IA. The percentage odds that you will be cured are in the high 90s It's still very important to stick with the follow-up routine though.
      right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since

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