Announcement

Collapse
No announcement yet.

2 year -- All Clear

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • 2 year -- All Clear

    FEELING LUCKY TODAY......GOOD LUCK TO EVERYONE ELSE TOO!
    INDIANA9

    ________________________
    Dictated by Stephen Williams, M.D.

    Transcribed 09/21/2007 9:00 A 890 UH IDC


    cc: Richard S. Foster, M.D.
    Stephen Williams, M.D.

    DATE OF VISIT: 09/20/2007

    HISTORY OF PRESENT ILLNESS: It has been 2 years since the patient began
    his chemotherapy for testis cancer. He is feeling very well and having no
    difficulties whatsoever.

    PHYSICAL EXAMINATION:
    GENERAL: He looks great.
    VITAL SIGNS: His blood pressure is 120/80, weight 113.2 kg, temperature
    37.3, pulse 84, respirations 16.

    LYMPH NODE SURVEY: No cervical, supraclavicular, or axillary
    lymphadenopathy.
    LUNGS: Clear to auscultation and percussion.
    HEART: Normal heart sounds without gallops or murmurs.
    ABDOMEN: His liver and spleen are not enlarged and there are no masses.
    EXTREMITIES: No edema.

    Today, he had a chest x-ray, which to my eye is free of active disease. We
    also got an HCG and alpha fetoprotein.

    This completes his 2 years of followup. We will see him again in 6
    months.



    END OF REPORT
    145363/30016/
    STAFF/ATTENDING PHYSICIAN - Stephen Williams, M.D.


    Unreviewed
    Chest PA-Lat XR 20-Sep-07 08:57 AM CASE#: 070920-204505192 IMAGES:
    Staffed by: TEAGUE, SHAWN D
    Ordered by: WILLIAMS,STEPHEN D
    NEW DOCUMENT:
    EXAM: PA and LAT view CHEST 9/20/07 he ours

    Indication: Testicular cancer

    Comparisons: 5/24/2007

    Discussion: Lungs are clear. No pleural effusions or pneumothoraces.
    Heart and mediastinum of normal size and contour.

    Impression: No suspicious pulmonary masses or nodules are identified.
    Chronologic Results - Page: 1 (Underline indicates changed Result)

    Date Description Elapsed Results Status/Priority ORD#/Normals Links
    20-Sep-07 09:30 -4 Days AFP SerPl Qn Tumor Mark Updated: 20-Sep-07 11:29
    07-263-3471_685323
    AFP SerPl Qn Tumor Mark
    2.1
    ng/mL (0-25)

    20-Sep-07 09:30 HCG Beta SerPl Qn Updated: 20-Sep-07 11:29
    07-263-3471_685422
    HCG Beta SerPl Qn
    0.8
    Milliunits/mL (<=3.0)
    Brian, [email protected]
    left inguinal orchiectomy 9/21/2005 > seminoma, stage IIC 12cm x 12cm retroperitoneal mass> 3XBEP completed 11/30/2005 > residual 9cm x 7cm mass removed 3/29/06. All necrotic tissue found > Surveillance

  • #2
    Fantastic news, Brian! Congratulations on reaching this important milestone. Many more will follow!
    Scott, [email protected]
    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


    • #3
      Two years is a big milestone for non-seminoma. Congratulations on being cured.
      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


      • #4
        WHOOO HOOOO Brian!!! Keep the all clears coming, we never get tired of them!
        Retired moderator. Husband, left I/O 16Dec2005, stage I seminoma with elevated b-HCG, no LVI, RTx15 (25Gy). All clear ever since.

        Comment


        • #5
          I love reading medical jargon when it's good news . Thanks for sharing, and congratulations!
          "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


          • #6
            Excellent News!!!!

            Congratulations!!!!
            Fish
            TC1
            Right I/O 4/22/1988
            RPLND 6/20/1988
            TC2
            Left I/O 9/17/2003
            Surveillance

            Tho' much is taken, much abides; and though we are not now that strength which in old days moved earth and heaven; that which we are, we are; one equal temper of heroic hearts, made weak by time and fate, but strong in will; to strive, to seek, to find, and not to yield.

            Comment


            • #7
              Terrifis News!
              Stage III. Embryonal Carcinoma, Mature Teratoma, Choriocarcinoma.
              Diagnosed 4/19/06, Right I/O 4/21/06, RPLND 6/21/06, 4xEP, All Clear 1/29/07, RPLND Incisional Hernia Surgery 11/24/08, Hydrocelectomy and Vasectomy 11/23/09.

              Please see a physician for medical advice!

              My 2013 LiveSTRONG Site
              The 2013 Already Balders

              Comment


              • #8
                Greate News, Congrats!
                If you look for the truth outside yourself, it gets farther and farther away. ~ Tung-Shan
                If you love life, don't waste time, for time is what life is made up of. ~ Bruce Lee
                Please sponsor me for the 2011 LiveSTRONG Challenge Philadelphia.
                My Blog

                Diagonosed 1988. Left I/O - 3 rounds of chemo
                Relasped 1989. RPLND - 3 rounds HDC - Bone Marrow transplant.
                There is Army Strong, There is Live Strong and then there is me. Crazy Strong

                Comment


                • #9
                  Wonderful news!
                  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


                  • #10
                    Great news Brian!!
                    4/26/07 - mass confirmed w/ no elevated markers
                    4/27/07 - left I/O
                    5/2/07 - Dx: 100% seminoma stage 1A
                    Surveillance: CT/blood (6 month cycle)
                    4/27/13 - 6 years cancer free!

                    Comment


                    • #11
                      Awesome!!!!!
                      R/O 8/30/07; stage I NS (60% EC, 30% yolk, 10% teratoma) with VI; clean ab CTs and chest x-ray; all makers normal as of 10/2 second opinion with Einhorn; started 1x BEP on 10/8/07 as adjuvant therapy;went neutropenic but finished on 10/23 and WBCs are on their way back up; officially on surveillance. Get a second opinion.

                      Comment


                      • #12
                        Congratulations!!!
                        Lori and Jon
                        Diagnosed 5/22/2006
                        I/O 5/26/2006, Stage 3, Good
                        Teratoma (Majority), Seminoma (10%), Yolk Sac
                        3xEP then determined not working
                        HDC w/stem cell transplant 8/16/06 to 9/25/06
                        Chest and Neck surgery 10/9/06 - immature teratoma
                        RPLND 11/16/06 - immature Teratoma
                        2/29/2008 - markers continue to be normal!
                        9/16/2008 - released from Dr. Einhorn's care

                        Comment


                        • #13
                          Finally made the 2years all clear milestone!!!

                          Full CT scan, markers and USG are all clear. It is so relaxing. Anxiety is much more less of an issue.
                          07 Aug 2014 - USG showed 5mm mass, bHCG: 6,45 AFP: 4,58
                          08 Aug 2014 - left I/O surgery - NSGCT (70% Mature Teratoma, 30% Embryonal Carcinoma), pT1N0M0, no LVI invasion
                          22 Aug 2014 - Markers after I/O: bHCG: 0,05 AFP: 3,40 - CT scan negative
                          --- on surveillance ---

                          20 Oct 2014 - bHCG: 30 AFP: 8
                          04 Nov 2014 -bHCG: 270 (!) AFP: 26, CT shown 2,5 x 1,5 cm para-aortic lymph node
                          --- recurrence confirmed ---
                          12 Nov 2014 - MRI of brain - clear, re-staged to IIB,
                          3x BEP started, changed to 4x BEP
                          08 Jan 2015 3x BEP finished (bHCG: <0,1 AFP: 4,88), 4th cycle cancelled
                          21 Jan 2015 CT scan clear - para-aortic lymph node shrunk to 0,6 x 0,4 cm

                          --- on surveillance ---
                          [2015 - all clear]
                          [July 2016 bHCG:<0,1 AFP:3,24, MRI scan clear]

                          Comment


                          • #14
                            Finally made the 2years all clear milestone!!!

                            Full CT scan, markers and USG are all clear. It is so relaxing. Anxiety is much more less of an issue.
                            07 Aug 2014 - USG showed 5mm mass, bHCG: 6,45 AFP: 4,58
                            08 Aug 2014 - left I/O surgery - NSGCT (70% Mature Teratoma, 30% Embryonal Carcinoma), pT1N0M0, no LVI invasion
                            22 Aug 2014 - Markers after I/O: bHCG: 0,05 AFP: 3,40 - CT scan negative
                            --- on surveillance ---

                            20 Oct 2014 - bHCG: 30 AFP: 8
                            04 Nov 2014 -bHCG: 270 (!) AFP: 26, CT shown 2,5 x 1,5 cm para-aortic lymph node
                            --- recurrence confirmed ---
                            12 Nov 2014 - MRI of brain - clear, re-staged to IIB,
                            3x BEP started, changed to 4x BEP
                            08 Jan 2015 3x BEP finished (bHCG: <0,1 AFP: 4,88), 4th cycle cancelled
                            21 Jan 2015 CT scan clear - para-aortic lymph node shrunk to 0,6 x 0,4 cm

                            --- on surveillance ---
                            [2015 - all clear]
                            [July 2016 bHCG:<0,1 AFP:3,24, MRI scan clear]

                            Comment


                            • #15
                              Congrats!

                              I noticed you went from 3xBEP to 4xBEP back to 3. How comes you got moved to 4 if you don't mind me asking?
                              24 year old diagnosed 6/11/16
                              Pre/o markers 9/11/16 - HCG 15, AFP 210, LDH 539
                              Pre/o CT Clear
                              Non-seminoma (80% embryonal carcinoma, 10% yolk sac tumour, 5% chorea carcinoma, 5% seminoma)
                              Post-op markers - 14/12/16 - HCG 35, AFP 1050, LDH 430
                              Post-op CT with one enlarged lymph node - 1.5x1cm
                              Borderline stage 2B/3B
                              BEPx3 started 15/12/16 (Borderline BEPx4 - Advise of Dr. E to only do 3 rounds)
                              CT and markers clear - in remission - 28/2/16

                              Comment

                              Working...
                              X