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TC from Turkey , part II
Hello Friends, ..sorry for my English..
The 4 cycle BEP chemotherapy that started November 14 2006 has finally ended at the end of January. Throughout the therapy, to keep the chemotherapy side effects at the minimum at best, I took a lot of fluids, rested a lot, and paid attention to my diet. I have not experienced any clinical side effects other then minimal peripheral neuropathy. Thanks to zofran throw ups were kept at the minimum. Despite it being so utterly exhausting I managed to get passed the 4. cycle. At the end of all this AFP went back to normal range, LDH rose a little bit after normalizing for a while (oncology MD mentioned it is normal after a chemotherapy for LDH levels to rise). HCG levels remained within normal limits throughout. PET-CT examination showed no residual mass and no pathological FDG. I haven't spoken to my urology MD yet, but I believe it is very unlikely that he would suggest RPLND treatment.
26.10.2006 testis USG : right testicular mass , AFP : 110 LDH : 700 ( N: 250 – 480 ) HCG : <2
30.10.2006 right radical orchiectomy
patological report : embryonic carcinoma + seminoma
CT : thorax : normal, Abdomen : paraaortic multiple lymphadenopathy, the largest is 17 mm in diameter ( stage II a )
14.11.2006 chemotherapy beginning
08 . 01. 2007 AFP : 5.7 ( N 2-5.8) LDH : 350 ( N: 250-480 )
07.02.2007 : AFP : 4.5 ( N: 2-5.8) LDH : 556
( N: 250- 480 )
16.02.2007 : PET – CT : thoraks : minimal atelectasis Abdomen : normal
The 4 cycle BEP chemotherapy that started November 14 2006 has finally ended at the end of January. Throughout the therapy, to keep the chemotherapy side effects at the minimum at best, I took a lot of fluids, rested a lot, and paid attention to my diet. I have not experienced any clinical side effects other then minimal peripheral neuropathy. Thanks to zofran throw ups were kept at the minimum. Despite it being so utterly exhausting I managed to get passed the 4. cycle. At the end of all this AFP went back to normal range, LDH rose a little bit after normalizing for a while (oncology MD mentioned it is normal after a chemotherapy for LDH levels to rise). HCG levels remained within normal limits throughout. PET-CT examination showed no residual mass and no pathological FDG. I haven't spoken to my urology MD yet, but I believe it is very unlikely that he would suggest RPLND treatment.
26.10.2006 testis USG : right testicular mass , AFP : 110 LDH : 700 ( N: 250 – 480 ) HCG : <2
30.10.2006 right radical orchiectomy
patological report : embryonic carcinoma + seminoma
CT : thorax : normal, Abdomen : paraaortic multiple lymphadenopathy, the largest is 17 mm in diameter ( stage II a )
14.11.2006 chemotherapy beginning
08 . 01. 2007 AFP : 5.7 ( N 2-5.8) LDH : 350 ( N: 250-480 )
07.02.2007 : AFP : 4.5 ( N: 2-5.8) LDH : 556
( N: 250- 480 )16.02.2007 : PET – CT : thoraks : minimal atelectasis Abdomen : normal
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