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Life after 6 years, microlithiasis in remaining

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  • Life after 6 years, microlithiasis in remaining

    Hello all,

    I had TC six years ago, and done 1xBEP. I went through everything with your help, this place strengthen me and gave me hope. I was alone when it happend, actually broke up with my fiance.
    Before and after chemo, I had very bad spermogram, and I still have it. T level is still normal, but borderline, on the lowest part.

    Today, I am married and, amazingly, I have a healthy and wonderful daughter, natural way - I still keep the frozens...

    On the mentally aspect, I must tell it's very hard for me, and I keep thinking of everything.. relapses, contralateral, etc.. I have changed, that's for sure, I am more afraid.
    On my latest US, my urologist told me, looks good, and continued "but did I told you about these microlithiasis" ? And I was shocked .. because I'm sure he never told me about this. He kept assuring me that this is no danger at all, we just have to keep screening.
    but for my mental health, this is just a sign that the trauma is not over...

    my questions would be.. do you think these microlithiasis just appeared ? Or they may have been there for the whole time? ..
    Is this a real threat ? I keep thinking that I may have something that is evolving .. I know that history of tc + subfertile + microlithiasis is an increased risk ..
    03/28/2017 - felt a tiny lump on my right testicle
    03/29/2017 - urology, ultra sound confirmation of tumour
    04/03/2017 - MRI abdomen/pelivis, 0.8/0.8/0.75 tumour confirmed, on upper pole of testicle, no lymph node enlarged
    04/03/2017 - blood markers normal.
    04/19/2017 - orchiectomy of the right testicle
    05/08/2017 - histopatology: 0.7/0.7/0.6 tumour, embryonal carcinoma, invasion of albugineea, LVI+ near albugineea. Spermatic cord not invaded. Associated lesions with seminoma in-situ. T2N0
    05/19/2017 - CT pelvis/abdomen/toracal , no metastasis, no adenopaties -> stage 1b
    06/11/2017 - MRI pelvis/abdomen for a restage, still no enlarged nodes, blood markers normal.
    06/13/2017 - started adjuvant 1xBEP

  • #2
    Microlithiasis at one point was thought to be associated with testicular cancer but that is no longer the thought process. It may be worth discussing follow up ultrasounds with your doctor just because of your history of testicular cancer. More can be found at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202617/ and https://www.ajronline.org/doi/10.2214/AJR.15.15226 but I would not be overly worried about the microlithaisis in general.

    Mike
    Oct. 2005 felt lump but waited over 7 months.
    06.15.06 "You have Cancer"
    06.26.06 Left I/O
    06.29.06 Personal Cancer Diagnosis Date: Got my own pathology report from medical records.
    06.30.06 It's Official - Stage I Seminoma
    Surveillance...
    Founded the Testicular Cancer Society
    6.29.13 Summited Mt. Kilimanjaro for 7th Cancerversary

    For some reason I do not get notices of private messages on here so please feel free to email me directly at [email protected] if you would like to chat privately so as to avoid any delays.

    Comment


    • #3
      Thanks Mike, as always

      I also emailed Einhorn for this, his answer was: "There is zero concern about the microlithiasis." . So I hope this will also bring peace of mind for others.

      Of course, yearly ultrasound for me sounds something that should be done. As far as i know, previous TC + subfertility put you already into a higher risk category (perhaps).
      03/28/2017 - felt a tiny lump on my right testicle
      03/29/2017 - urology, ultra sound confirmation of tumour
      04/03/2017 - MRI abdomen/pelivis, 0.8/0.8/0.75 tumour confirmed, on upper pole of testicle, no lymph node enlarged
      04/03/2017 - blood markers normal.
      04/19/2017 - orchiectomy of the right testicle
      05/08/2017 - histopatology: 0.7/0.7/0.6 tumour, embryonal carcinoma, invasion of albugineea, LVI+ near albugineea. Spermatic cord not invaded. Associated lesions with seminoma in-situ. T2N0
      05/19/2017 - CT pelvis/abdomen/toracal , no metastasis, no adenopaties -> stage 1b
      06/11/2017 - MRI pelvis/abdomen for a restage, still no enlarged nodes, blood markers normal.
      06/13/2017 - started adjuvant 1xBEP

      Comment

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