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Seminoma usually follows a predictable route when it spreads, I was wondering what this is and if it can spread to the opposite illinguinal nodes?
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Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT. -
OK, so I'm curious what makes you wonder that?
As I understand it, 1) seminoma typically spreads to the para-aortic lymph nodes first, and 2) left-to-right crossover hasn't been seen.
According to this Wikipedia entry, "Lymphatic drainage of the testes follows the testicular arteries back to the paraaortic lymph nodes, while lymph from the scrotum drains to the inguinal lymph nodes."Scott
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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Cause I have 2 nodes in the "inguinal region", one on the left and one on the right, visable on the CT scan, but both are under 1cm.
I asumed it was from surgery but I re-read your post and you said its normal for nodes to be enlarged 2 weeks after surgery, but its been 8 weeks for me.
Seeing as though the spread from left to right hasnt been seen, I am going to haveto asume they are visable due to jock itch.Last edited by Michael112; 11-18-06, 01:06 PM.Aged 23 ;; 09/06 left I/O ;; Markers normal ;; 100% Seminoma Stage 1. ;; 10x8x16mm & 7x7x8mm ;; rete testis invasion. ;; no vascular invasion. ;; surveillance. ;; HRT.Comment
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Your previous post doesn't even say they are enlarged. It says that "two small glands are visualised, one in the right inguinal region and one in the left inguinal region, both of them measuring less then 1 cm." That doesn't sound like cause for concern. Sure, you have lymph nodes there.Scott
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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Everything less than 1.5 cm is normal.
I also read that CT scan tends to make these types of mistakes. Pay attention to next CT scan if these nodes are consistent and no enlargement.Comment
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