Path Report - Shock is over..treatment options?

[keithlucero]

Thanks in advance for your thoughts, ideas and suggestions.



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I am the same guy who posted "The clock is ticking" below.

Regards,
Keith

[Karen]

Keith,
I recall the CT was clear but don't recall if you posted markers. With seminoma there will not be any AFP but MAY be bHCG. My not-a-doctor opinion is that with the size of the tumor and the presence of lymphvascular invastion your nephew is best with RT. Again, cisplatin (1-2X) is a newer therepy and can be considered, although it's not been around long enough for early stage TC to have a lot of data of efficacy, and the long term effects will take a while to elucidate. Surveillance is really not an option, IMHO.

Either way, seminoma is highly responsive to chemo and RT and your nephew is on his way to a cure.