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Got my post I/O results

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  • Got my post I/O results

    Hello everyone.

    Got my results back. It's a stage 1 seminoma. I'm just waiting on an appointment to see the Oncologist. In addition to that, I need to think about whether I'm going to go on surveillance, or go with some treatment.

    I'm leaning towards surveillance at the moment.

    If anyone's interested, I scanned in the pathology report:
    Originally posted by Pathology Report
    CLINICAL DETAILS
    (L) testicular tumour.

    MACROSCOPIC DESCRIPTION
    LABELLED 'LEFT TESTICLE'. A testis, 60 x 45 x 20mm, 43g. The spermatic cord is 45mm long and
    15mm in diameter. A well demarcated pale tan tumour 20 x 12 x IOmm is noted in the lower portion of the
    testis. No necrosis or haemorrhage is seen. The remaining testicular tissue appears unremarkable. The
    tumour does not appear to involve the tunica, hilum, epididymis or spermatic cord. Block 1A & 1B tumour
    with tunica, 1C tumour with tunica and uninvolved testis, ID hilum, IE uninvolved testis, IF epididymis, 1G
    spermatic cord.

    MICROSCOPIC REPORT
    The sections show a classic seminoma of the testis. The tumour cells show abundant clear cytoplasm, large,
    rounded nuclei and prominent nucleoli. Small areas of necrosis are seen. Mitoses are readily found (about
    4/hpf in some fields). There are scattered lymphocytes in the fibrous septa between nests of tumour cells.
    Intratubular germ cell neoplasia and pagetoid spread into the rete testis are noted.

    No other types of germ cell tumour are found in representative sections.

    SPECIAL INVESTIGATIONS
    Abundant glycogen granules are seen in the tumour cells, including intratubular component, confirmed by a
    PAS stain with diastase predigestion.
    Immunohistochemistry shows no expression of EMA and CD30 antigens in the tumour cells. PLAP and ckit
    are positive in the tumour cells.

    SUMMARY
    Left testis: Classic seminoma.

    29 Jul 2007: Saw Doc + Blood tests
    30/31 Jul 2007: U/S. Results of U/S - 1.5CM growth, Bloods clear
    01 Aug 2007: Saw Urologist + CT. CT clear
    11 Sep 2007: L I/O + Blood tests
    27 Sep 2007: Results: Stage 1 Seminoma (20mmx12mmx10mm)
    2007 - Nov 2009: Surveillance. CTs/X-Rays, bloods
    Nov 2009: Last official all-clear by Oncologist, haven't been since
    Nov 2010: Found out we're expecting another baby, without IVF.

  • #2
    Hi Daniel: Looks like you caught this early which is a good thing. Keeping positive thoughts for you and hoping that your oncologist will be able to see you soon. BTW, Sydney has got to be one of the prettiest places in the world. My husband and I always say that if we could pack up and move somewhere else, it would be Sydney. Best wishes for continued recovery.
    Maria
    *Hubby Andy diagnosed 02/13/07, Left IO 02/16/07 *Stage 1A Non-Seminoma (65% Immature Teratoma / 35% Embryonal Carcinoma) *RPLND 04/27/07 Lymph Nodes-ALL CLEAR
    *Complications from Chylous Ascites so Laparotomy 05/03/07 *No food for 10 weeks, TPN only *07/18/07 Removed drains, tubes, picc line *CT Scan 07/31/07-ALL CLEAR
    *CT Scan 02/12/08-ALL CLEAR *Hydrocele surgery 06/19/08 *CT Scan 9/30/08 and 03/06/09 shows <cm left lung nodule - under surveillance

    Comment


    • #3
      That is an extremely promising report daniel! Once you have your post-op CT scan, X-rays and bloodwork, you will have a much better idea of what to expect for treatment. It looks to me like you may be well on your way to surveillance!

      Bobby
      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


      • #4
        Looks good! As you've undoubtedly read, 80% of men with stage I seminoma are cured by the orchiectomy alone.
        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


        • #5
          Daniel,

          The path report you show here looks very promising. Surveillance is an excellent choice as long as you are good about follow-ups and can handle the pre-lab anxiety. Like Scott said, with the I/O alone, you have an 80-85% chance of already having been cured. Hopefully you'll be able to settle on a path once you see your doc. Cheers,
          "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
            Cheers guys. We'll wait and see what the next couple of weeks hold.

            How long do you normally go on surveillance for?

            29 Jul 2007: Saw Doc + Blood tests
            30/31 Jul 2007: U/S. Results of U/S - 1.5CM growth, Bloods clear
            01 Aug 2007: Saw Urologist + CT. CT clear
            11 Sep 2007: L I/O + Blood tests
            27 Sep 2007: Results: Stage 1 Seminoma (20mmx12mmx10mm)
            2007 - Nov 2009: Surveillance. CTs/X-Rays, bloods
            Nov 2009: Last official all-clear by Oncologist, haven't been since
            Nov 2010: Found out we're expecting another baby, without IVF.

            Comment


            • #7
              Originally posted by daniel.s
              How long do you normally go on surveillance for?
              Surveillance is a lifetime thing, dude. For stage I seminoma treated with surveillance, the usual schedule goes CT scans, markers, and chest X-rays every 4 months during years 1-3, twice a year for years 4-6, and once a year for year 7 and beyond. In the case of seminoma, the relapse window is 5 years due to its slow growth rate, so it is crucial you stick to the schedule.
              "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


              • #8
                Originally posted by Fed
                Surveillance is a lifetime thing, dude.
                ...and that's true even if you choose other treatment now. Checks would be further apart and even less likely to find anything, but they'd still be at least annually for life.
                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


                • #9
                  Fair enough. I understand the long-term part of it. I was just wondering how the first 6 or so months would be. I was under the impression that the checkups would be more regular to start with.

                  29 Jul 2007: Saw Doc + Blood tests
                  30/31 Jul 2007: U/S. Results of U/S - 1.5CM growth, Bloods clear
                  01 Aug 2007: Saw Urologist + CT. CT clear
                  11 Sep 2007: L I/O + Blood tests
                  27 Sep 2007: Results: Stage 1 Seminoma (20mmx12mmx10mm)
                  2007 - Nov 2009: Surveillance. CTs/X-Rays, bloods
                  Nov 2009: Last official all-clear by Oncologist, haven't been since
                  Nov 2010: Found out we're expecting another baby, without IVF.

                  Comment


                  • #10
                    My surveillance is also in that 4 month cycle that Fed mentioned, but for the first year, my Doc wants to see me every month. I think he wants to make sure I stick to the plan. I actually don't mind seeing him, not only because he's good and I like him, but because it gives me peace of mind.......
                    "Faith is being sure of what we hope for and certain of what we do not see". Heb 11:1

                    Comment


                    • #11
                      Daniel: Sent you a PM. Your biopsy results are near identical to mine. Looks like we both caught it early. Best of luck to you!

                      Comment


                      • #12
                        i did and would go with surveilance, seems less of a risk to me. Down side is there will be more reason to worry in the future.

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