Post I/O Appt

[41FromMI]

Just got back from appt. I/O healing well. Appt. with Radiological Oncologist on 29th to discuss options. I have not decided on surveillance or RT yet. Got copies of all my reports.

Path diagnosis:
Classic Seminoma 3.3 cm.
Epididymis, free of lesion.
Cord resection margin, free of lesion.
Summary of Malignant Neoplasm: Testicle
Extent of invasion - T1: Tumor limited to the tistis and epididymis without vascular/lymphatic invasion.
Stage Grouping :Stage 1:T1, NX,MX,SX

Ultrasound:
Right testis measures 4.2 x 2.2 x 1.8
Left testis measures 4.0 x 1.7 x 2.3
Left testis displays multiple echogenic foci thoughout its parenchyma consistant with microlithiasis. (<---what is that?)
Note is made of a large mass associated with the region of the right testis involving the majority of the testis most prominently in the mid and upper aspects. This would measure 3 x 1.9 x 2.9 cm in size. Testicular neoplasm would be a concern. No hydrocele is seen.

Lab results for markers:
LDH - 140
HCG - 0.834
AFP - 5.0

Pelvic, Abdominal, and Chest CT results:
No evidence of renal calculi, no evidence of enlarged mediastinal, hilar or axillary lymph nodes in chest. Examination of lungs does reveal mild linear densities overlying the left and right lung base. No evidence of pulmonary nodules is seen. No evidence of mass to the liver, spleen, pancreas, adrenal glands or either kidney. No enlarged retroperitoneal or abdominal lymph nodes are seen. No evidence of pelvic mass, adenopathy or fluid collection.

Not quite sure what all of that means, except it is stage 1. Any comments on test results are welcome.

[Scott]

Test results all look good and would support either adjuvant radiation therapy or surveillance as a treatment option.

Left testis displays multiple echogenic foci thoughout its parenchyma consistant with microlithiasis. (<---what is that?)

The microlithiasis, bits of calcium forming in the testicle, should require an ultrasound at least annually.