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Just found this board. Struggling with whether or not I should move ahead with RPLND scheduled for this Tuesday because yesterday we met with DR. Steven Williams, head of the Cancer Instit.at Indiana Univ, and he "slightly leaned toward sureveillance.". Our original Doctor, who also trained at Indiana but is in Dallas now, leaned toward RPLND.
Orchiectomy 9/14/06 showed 95% embryonal, 5% seminoma with no VI. Cat scans were all neg. and tumor markers were always normal. Dr. Williams told us that either surveillance or RPLND had close to a 99% cure rate and that given all the facts he " leaned toward surveillance" rather than RPLND because occassionaly the cancer skips the nodes and goes to the lungs. Right now my RPLND is scheduled for this Tuesday so obviosuly we are at our last chance of making a decision.
I guess the confusing thing is that there are two vastly different options for me, and both seem to ulitimatly produce the same cure rate. Dr. W put it this way, without the surgery I have a 35% chance of later needing chemo and with the surgery, a 15 % chance of later needing chemo. Any opinions or thoughts would be appreciated.
Orchiectomy 9/14/06 showed 95% embryonal, 5% seminoma with no VI. Cat scans were all neg. and tumor markers were always normal. Dr. Williams told us that either surveillance or RPLND had close to a 99% cure rate and that given all the facts he " leaned toward surveillance" rather than RPLND because occassionaly the cancer skips the nodes and goes to the lungs. Right now my RPLND is scheduled for this Tuesday so obviosuly we are at our last chance of making a decision.
I guess the confusing thing is that there are two vastly different options for me, and both seem to ulitimatly produce the same cure rate. Dr. W put it this way, without the surgery I have a 35% chance of later needing chemo and with the surgery, a 15 % chance of later needing chemo. Any opinions or thoughts would be appreciated.
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