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  • My rollercoaster; what now?

    I’m writing this because I need to start coping better than I am. I need to vent my spleen so to speak, and I’ll just tell my story up to this point.
    I remember being in 7th grade (I’m 28 now), and being given a series of lectures on testicular cancer by our health teacher. He told us a story about two kids in gym, where one kid chucked a ball at the other kid’s nuts, which obviously hurt. Three days later, it still hurt, and so the young lad goes off to the hospital. Turns out of course that it hurt because of a tumor, and the testicle was removed. The kid who threw the ball thought he had injured his friend so bad they had to take his testicle, but his friend convinced him, “no, you saved my life.” So we learned about testicular cancer, TSEs, and to check, check, check.

    It was that very night I went home, and noticed something funny with my left one, but I’m naturally anxious and I sometimes see things that aren’t there. Given the amount of concern that was drummed into me by health class, etc., I did have my physician check it. The report always came back, nothing out of the ordinary. I monitored over the years, and nothing ever seemed to change about it.

    Five years ago, I met my fiancée, and I told her about my testicle as well. I’d had numerous physicals by then, and each time, don’t worry. I was worried though, and I told her then I was considering having it re-examined or removed, especially since it had descended late. But again, nothing was changing, and the doctors said no worries.

    It was during this last year that I did finally notice a change. “Gee that’s slightly bigger”, I would think in the shower, and last June, I made an appointment with my college health center where I’m a graduate student. At my college, there’s a famous story of one of the hockey players being diagnosed with testicular cancer, and there is now a huge initiative on campus to increase awareness. Good, I reasoned, now maybe they’ll take me seriously. My “hard spot” was right on top of my testicle, and given that doctors weren’t concerned about it, I thought it was probably a spermatic cyst. The physician’s assistant in June said lefty felt smaller, but other than that, nothing unusual.

    Then in February, I felt the texture change. I finally called bull****, and went back to my health center. I got another physician’s assistant, who again told me no big deal, but if it would make me feel better, he could have it ultrasounded. Yes, that would make me feel better.

    The ultrasound was the beginning of The Great Scare. The ultrasounds technician brought in the radiologist, who informed me that there was “nothing normal” about my testicle, and that I should see a urologist with all deliberate speed. I saw the director of our health center that very day, who promptly diagnosed me with advanced testicular cancer. “You’ll be fine”, he said, “but you’re going to disappear for awhile. Stop working on your dissertation. Let people know.”

    I was devastated. Totally. I couldn’t think, couldn’t speak, couldn’t act rational at all. I got blood work and CT scans done that day as well. The very next day I was at the urologist’s office with my CT scan data. While I was waiting for the doctor to come in, my GP called me sheepishly, “Listen, good news! Your CT scan came back totally clean! But you’re still going to need wild chemotherapy.” That was the first relief I’d felt since the nightmare began, and I broke down crying right there in the office.
    Then the urologist came in, and reiterated that the CT was clean. He reminded me, “you should probably have this testicle removed.” F the testicle!! Cut away!! He told me they would get back in touch with me to schedule the appointment.

    After the weekend, my GP called me again. “Blood results are in, also clean. No elevated tumor markers at all. You know, this might not even be cancer. Sorry… I diagnosed you with advanced cancer.” If I hadn’t been in such a panic, and happy at the news, I would probably kill him with my bare hands.
    The urologist’s office called back, and scheduled me for that Thursday, exactly one week after the ultrasound. The surgeon himself reiterated that my blood and CT were clean, and that “removal is 95% of the cure.” Sleep, cut, puke, and frozen peas, and now I’m so glad it’s out.

    While I was massively sedated, the surgeon told my fiancée that the initial results showed that it was a stage I seminoma. He saw no surgical evidence that it had spread to my lymph nodes, or anywhere else. He said the tumor had eaten 2/3 of my testicle, but otherwise it was “nicely contained.” I have a follow-up in two weeks.

    So in the meantime, I have been reading up, and it continues to scare the **** out of me. I keep reading the cure rate is high, but I still haven’t shifted gears that I have to manage this, it’s not just going to go away. Most importantly, my urologist seems to be leaning towards surveillance, with a small chance of minor radiation, and I’m just not used to thinking I’m going to have to cope with this. My GP scared me so bad, I still feel like I’m going to die tomorrow. I’m having trouble feeling relief.

    My fiancée is eminently practical, and continues to remind me that no matter how bad things are, I have to keep living my life. Sitting around dreading the worst will actually help bring it about, as opposed to focusing on living my life and taking care of my body. I believe her, I do, but I need attitude adjustment. I’ve been reading this site for some time, but I need to take steps to incorporating this experience into the rest of my life, and posting what’s happened so far seems to be the first step.

    Hello, and thank you.

  • #2
    Stage I seminoma

    Stage I seminome is the best result you could ever hope to get, outside of benign tumour. In Australia, you wouldn't even get chemo or radio, fast tracking straight on to survelliance, and it might be the same there. There really isnt anything to incorporate though, just look at the CT scans as a little "extra" in the way of a physical, and time should fly by! Great thing you persisted with the Drs to get the ultrasound though, an excellent "save"! Most importantly, enjoy life. I feel that the most tragic thing about any type of cancer is its ability to affect not just your physical wellbeing, but mich more invasively, your emotional wellbeing! Take care, stay strong, and most importantly, be positive!

    Comment


    • #3
      Hey dude,

      First off, welcome to the Forum. This is a great stage to vent out and seek advice from others that have likely gone through what you're going through right now.

      I also want to note how lucky you are to have such a great support system in place with your fiancee by your side. She is right on the money when she talks about keeping your life going despite the circumstances that surround having had cancer. While it's perfectly normal to feel overwhelmed and feel like you are on a rollercoaster ride, you cannot have that be the driving force of your daily routine (otherwise, you will not be able to function).

      Now, as far as the diagnosis is concerned, having stage I seminoma is about the best piece of news you can get. Chances are the orchiectomy itself has cured you, so in that respect, you are in great shape. I also have to commend you for being very vigilant about this. Despite the confusion and the mishaps during the diagnosis process, things were taken care of likely in a timely fashion, and the fact that seminoma is very slow-growing definitely helps your case. Subsequent treatment will be dependent on your pathology report. You had mentioned sole confinement within the testis, which is a great start. What about lymphovascular invasion? If there is no L/V invasion, then surveillance would likely be the appropriate course of action. You do have other options (adjuvant radiation or adjuvant chemo), but if you are staged at pT1, then the adjuvant options may be overkill, as the orchiectomy alone gives you about an 80% cure rate, and you really don't want treatment that you might not need. Of course, with surveillance comes the responsibility of being assiduous with labs and CT scans as indicated by your oncologist. That way, in the event you relapse, you will be able to catch it early enough that you will be able to beat the cancer to the ground. Rest assured that you will be cured.

      You are currently trying to manage a whirlwind of emotions, and, unfortunately, that's part of the baggage that comes with any cancer diagnosis. The important thing is that you are on the driver's seat, and you can control and beat this (hey, you may have already ). Stay strong; we're here for you.
      "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
      11.22.06 -Dx the day before Thanksgiving
      12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! I consider myself cured.

      Comment


      • #4
        Welcome, Abilor. Your life is only going to get better from here.
        Scott
        right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since

        Your donation funds Livestrong services for people facing cancer now. Please sponsor my ride!

        Comment


        • #5
          Abilor:
          I can't say congratulations on have Stage I, all stages stink but you my friend might be cured already. Don't worry about that whirlwind of emotions, jeepers you just found out you had cancer. The emotions will settle down as time passes but I must worn you the nerves will kick in at each follow-up so be ready. As to your girlfroend she is right on the mark keep living and take care of your body. Someday you might even buy a bike, I don't know if it's the Lance thing or being more streamlined but alot of survivors turn into riders.
          Last edited by dadmo; 03-25-07, 04:12 PM.
          Son Jason diagnosed 4/30/04, stage III. Right I/O 4/30/04. Graduated College 5/13/04. 4XEP 6/7/04 - 8/13/04. Full open RPLND 10/13/04. All Clear since.

          Treated by Dr. Rakowski of Midland Park, NJ. Visited Sloan Kettering for protocol advice. RPLND done at Sloan Kettering.

          Comment


          • #6
            I am sorry you have to be here but welcome. This is a great place and full of support. Like everyone else, your stage I is one of the best things you could have heard, after you got the news about TC. You sound very anxious, which anyone would be, I am sorry about the stress you are under. Many people here have had their cancer spread and they were still cured. I know you will also be cured...if you are not already. I am glad you stayed on top of the doctors. They told my husband that a hernia since birth was not a pre-factor in getting TC, but here we are...same testicle as the hernia. I listen to my gut when ever possible and it sounds like you do too. You have a good woman by your side and I am sure you will be okay. Let me know if you need someone to talk with on the phone. My husband would be happy to call.

            Margaret
            Co-survivor with husband Boyce, Diagnosed 7-11-06, orchiectomy right testicle on 7-12-06- Stage 3A: Mixed germ cell tumor with inguinal seminomatous and kartotypic carcinoma. One tumor over 10 cm, second tumor 4 cm, Chemo 4xBEP: Bi-lateral RPLND Dec 2006, nerve sparing but left sterile.
            Current DVT
            Current testosterone replacement therapy, Testim.

            "You must abandon the life you planned, to live the life that was meant for you" ~wisdom I have learned from my family on this forum

            Comment


            • #7
              I'm sorry you're here abilor, but welcome,

              I assume from your timeline that you do not have the path results yet, so you cannot know if you have LV invasion. However, you will continue to read about this disease, and you'll learn what you have to do to beat it, and chances are in your favor that you will.

              You're in the worst part of it right now, waiting for the results, and thinking about your mortality. It sounds like you have a great girl next to you, so that's going to help.

              By the time I got my pathology, and the doc said "Stage I seminoma", I lived in a bizarro planet where I was hugging and high fiving my cousin, who is like a sister, while my bewildered Mom looked on. I was not happy so much because it was seminoma, but because surveillance was such a viable option.

              My advice, while you're recovering from your I/O, think about your life, past prestent and future, have one really good cry and let it all out, then muster all your courage and take the rest of your life by the horns. Don't worry, it will be a long one!

              Regards,

              djm
              Detected mass 10-6-06, Radical left I/O 10-10-06, Stage I seminoma, 1.5 cm primary, No LV invasion, No Rete Testis Invasion... Currently on Surveillance.

              Comment


              • #8
                Thank you all for your comments; they've helped me more than you know. Bit by bit my attitude is improving, and with some better sleep, I'm feeling more rational. My mother-in-law sent me a nice card today, one that made me really laugh (ow!), and I need them. I'm slowly returning to work, responsiblities, etc. that aren't just going to go away because of this. I'm feeling less sorry for myself, and starting to channel my inner klingon warrior; let's beat this thing! Kapla!

                It really, really helps to know that my worst case scenario is that I'll have to be cured with radiation, maybe chemo, but that CURED is the important word. I'd rather not go through something I don't need to, nor do I want a recurrence, but the feedback from this site is that even then, I can get through this.

                And if nothing else, my life seems sweeter. I thought I had problems before; now I'm so glad to have them! I'm glad to have to pay bills, file my taxes, teach my students, write my dissertation. I'll be here to take of them, and eventually, my family, my wife, hopefully my kids.

                Thank you everyone for welcoming me. I want to be a survivor, thank you so much for helping me get there.

                Comment


                • #9
                  Originally posted by Abilor
                  I want to be a survivor, thank you so much for helping me get there.
                  My friend, you already are.

                  I'm glad to hear that you are doing better. Your attitude towards this will carry you through. Best,
                  "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
                  11.22.06 -Dx the day before Thanksgiving
                  12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! I consider myself cured.

                  Comment


                  • #10
                    Fun at the urologist today. Pathology confirms I had a PURE classic seminoma, a whopper at 4.5 cm. Damn my GP's hide for turning me away last June!!! Nevertheless, urologist doc (oozing competency compared to my GP) says there was a small spread to epidydimis, but otherwise contained. No lymphovascular invasion!! So I'm confirmed stage 1 seminoma. Now I'm being referred to the local oncologist "with the good equipment" for a "conversation." Uro-Doc is not saying one way or another about radiation, only that I should have had this out "years ago." No crap - tell my stupid university health center.

                    I'm now facing a diet of carrots, cauliflower, spinach, and other raw foods, in addition to jogging and losing 60 lbs to flush my system and purify, but also whether or not I want to go "Bruce Banner." UroDoc says I face only four days of Big Green Cure should I choose that route ("it's not like you have prostate cancer, after all" - thanks), but we'll see what DocOnc has to say on the 17th.

                    Thanks again, one and all, for adding some human element to the cold logic of staging and cures. And good luck to everyone here and their families.

                    Abilor

                    Comment


                    • #11
                      Originally posted by Abilor
                      Fun at the urologist today. Pathology confirms I had a PURE classic seminoma, a whopper at 4.5 cm. Damn my GP's hide for turning me away last June!!! Nevertheless, urologist doc (oozing competency compared to my GP) says there was a small spread to epidydimis, but otherwise contained. No lymphovascular invasion!! So I'm confirmed stage 1 seminoma. Now I'm being referred to the local oncologist "with the good equipment" for a "conversation." Uro-Doc is not saying one way or another about radiation, only that I should have had this out "years ago." No crap - tell my stupid university health center.

                      I'm now facing a diet of carrots, cauliflower, spinach, and other raw foods, in addition to jogging and losing 60 lbs to flush my system and purify, but also whether or not I want to go "Bruce Banner." UroDoc says I face only four days of Big Green Cure should I choose that route ("it's not like you have prostate cancer, after all" - thanks), but we'll see what DocOnc has to say on the 17th.

                      Thanks again, one and all, for adding some human element to the cold logic of staging and cures. And good luck to everyone here and their families.

                      Abilor

                      Hi Abilor,

                      It's good to know, isn't it? Are you a candidate for surveillance? Only the size gives me caution (epididymis invasion is insignificant), but if you can take the heat of surveillance, I'd recommend it, even though I am sitting here feeling every single bump and lump in my body wondering if the damn thing spread.

                      At this point, you have until the 17th, so you might want to bank some of your swimmers before somebody decides to nuke or poison you. Best!

                      djm
                      Detected mass 10-6-06, Radical left I/O 10-10-06, Stage I seminoma, 1.5 cm primary, No LV invasion, No Rete Testis Invasion... Currently on Surveillance.

                      Comment


                      • #12
                        Just a thought. Maybe it's time for a new GP? If I read this right, he diagnosed you with advanced cancer before you had a CT scan and
                        blood work?

                        Great news about the Stage 1, but what a story!!!

                        Diane

                        Comment


                        • #13
                          DianeE,

                          Yes, he did diagnose me without CT or bloodwork. If I were his lawyer, I would say he reasoned that given the fact the tumor had been there so long, something was definitely amiss. Also, my diet was not so great, and I was having some IBS like symptoms (which have gone away as I lose weight - 20 lbs so far - and get a lot more fiber). Once I told him my gut felt funny for the past year or two is when he wigged. I think this was the same doctor who treated the other TC case on campus, which I'm guessing was a stage II or III non-seminoma based on his description of chemo and lymph node dissection. So he was preparing me for the worst and likely outcome in his view. That said, my fiancee will scratch out his eyes if she ever crosses him. I'd probably take pictures. Ironically though, it's not the GP I'm furious with, it's the physician's assistant who ignored my tumor way back when, and the ones before him. "I have a hard lump in my late-descended testicle, that kind of aches now and again", I say. "Well that's nothing to worry about", he says. INCOMPETENT!!! What the hell is the point of TC awareness initiatives if doctors are not taking someone seriously who actually shows up with symptoms!

                          These are all reasons why I'd rather go on surveillance, since my faith in Docs is shaky. BUT, I've also met some really good ones, and my follow-up surveillance is with UroDoc, thank god.

                          Anyway, I've reached the point now where the more things change, the more they stay the same. I've had this treated, and so now, let's go outside and play.

                          See y'all later.

                          Abilor

                          Comment


                          • #14
                            You can't change the past but being informed will certainly improved your chances of having a great future. Bruce Bannered or not.
                            Son Jason diagnosed 4/30/04, stage III. Right I/O 4/30/04. Graduated College 5/13/04. 4XEP 6/7/04 - 8/13/04. Full open RPLND 10/13/04. All Clear since.

                            Treated by Dr. Rakowski of Midland Park, NJ. Visited Sloan Kettering for protocol advice. RPLND done at Sloan Kettering.

                            Comment


                            • #15
                              Great to hear that the path came back promising. Although the size might be a concern, the lack of LV invasion will likely make surveillance a possibility (but do discuss it with your med onc). You might also want to heed djmac's advice and bank sperm in the meantime just in case any further treatment is warranted.
                              Originally posted by Ablior
                              "I have a hard lump in my late-descended testicle, that kind of aches now and again"
                              I don't remember you mentioning this in your original post. A cryptorchid (late-descending) testicle carries an increased likelihood of developing TC, so that should have been a red flag from the onset.
                              Originally posted by Abilor
                              These are all reasons why I'd rather go on surveillance, since my faith in Docs is shaky. BUT, I've also met some really good ones, and my follow-up surveillance is with UroDoc, thank god.
                              If you can hack it, surveillance would work to your advantage. Nonetheless, make sure you keep your oncologist in the loop. Many here have been following surveillance successfully with a urologist, but a medical oncologist will likely have the cancer expertise to go along with this. The most important thing is that you assemble a medical team you feel comfortable with.

                              I am glad to hear that you are on the mend. Take care during your recovery,
                              "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
                              11.22.06 -Dx the day before Thanksgiving
                              12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! I consider myself cured.

                              Comment

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