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Periodic pain in remaining testicle, with no issues on ultrasound?

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  • #16
    Thanks everyone. I have been trying a few things but still no clear idea. Some random thoughts here
    - Seems to be worse in the morning when I side-sleep. If I force myself to sleep on my back, feels better (not 100% though)
    - I did gain some weight from bad food lately. I m off to Japan for a week. Let's see what seaweed and fish does to that!
    - I carry my toddler a lot on my shoulders. (back from school). I wonder if the 36lbs could do something to my muscles.
    - I have not switched yet to more supporting underwears (boxer guy). Probably would help avoiding movements..
    - Cannot tell you about fertility. We have a 3 y/o that keeps us busy and not planning for more, so not much data.
    - As for the pain is not TC I agree but in my case, it all started with a pain localized in my left testis and the US found the TC completely inside of it. So I wonder if when it reached a certain size it started pushing on a nerve .. Hard not to remember this was my first symptom...

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    • #17
      One more question: does to a clear US rule out infections? (UTI, Epidimytis etc)

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      • #18
        Epidimytis
        Jan, 1975: Right I/O, followed by RPLND
        Dec, 2009: Left I/O, followed by 3xBEP

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        • #19
          I don't think it rule out a UTI, I think epidimytis might show up.
          Jan, 1975: Right I/O, followed by RPLND
          Dec, 2009: Left I/O, followed by 3xBEP

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          • #20
            Figured I should update this: the testicle ended up having a second seminoma. Caught early on incidental ultrasound due to more pain.

            Dunno if linked, but I had a few risk factors (near infertility, micro calcifications, etc) so wasn’t a huge surprise. Two followups scans clear so far, stage 1, so doing alright

            Pain probably actually a helpful coincidence that made me get scans and find it early

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            • #21
              Originally posted by canadian View Post
              Figured I should update this: the testicle ended up having a second seminoma. Caught early on incidental ultrasound due to more pain.

              Dunno if linked, but I had a few risk factors (near infertility, micro calcifications, etc) so wasn’t a huge surprise. Two followups scans clear so far, stage 1, so doing alright

              Pain probably actually a helpful coincidence that made me get scans and find it early
              Do you remember, did you had micro calcifications from the beginning in both testicles ?
              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

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              • #22
                Damn that's good you caught it early! European radiological guidelines call for annual testicle ultrasound for testicular cancer survivors if certain risk factors are present, besides prior diagnosis: calcification, and testicular volume <12cc.

                I had quite some contact with a researcher on calcification. It is not a pre-stage of testicular cancer in situ (which is the prestage of actual cancer). Calcification doesn't turn into cancer. Since research community doesn't know what it is except that there is an increased risk of developing cancer with calcification, better be safe than sorry with a periodic ultrasound, which is cheap and noninvasive.

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