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  • I am happy: All clean.

    Here is the story:
    04/16/2007 Ultrasound: 4cm mass in left testis. Tumor markers: AFP:96.1 bHCG:2880 LDH:228
    04/17/2007 Chest X-ray clear; CT scan: NOTHING abnormal in retroperitoneal area.
    04/18/2007 I/O surgery. All OK post surgery period, 5 days off and back to work.
    05/07/2007 Pathology: 60% Embroynal Carcinoma, 35% Seminoma, 5% Teratoma
    Blood: AFP:4.9; bHCG:6;
    All = Non-Seminoma TC in left testicle
    05/16/2007 Second CT- Scan. Generally NOTHING abnormal in retroperitoneal area.
    Other “FINDINGS”, I was concerned:
    ”There is a tiny dot size hypodensity in the segment VII of the liver probably incidental and there is another one in segment III. I suspect those are not highly significant. They should be compared with the previous study.
    Gallbladder, biliary tree, pancreas, spleen, kidneys and adrenal glands are normal.
    There is no sizeable retroperitoneal adenopathy identified. However we see some mesenteric nodes. Some of them are not size significant. I , however, measured the most important ones: one of 8mm (image#), one of 10mm, one of 7mm and one of 8mm in the ileo-caecal region. Although they are not in the lymphatic drainage of the testicle, in the clinical context, they have to be surveyed I believe.
    GI tract unremarkable.
    No inguinal adenopathy. There are a post-surgical changes in the left inguinal region. There is slightly elongated left iliac node lateral to the external iliac vein to compare and survey on the next appointments.”
    ON RPLND, ALL THESE “FINDINGS” WERE CHECKED. NOTHING WAS FOUND ABNORMAL! DONT GET TOO CRAZY FROM SUCH CT REPORTS
    May 2007: Struggle to get “second opinion ”for next tr.. Impossible. No so many TC doctors here.
    May 2007: Decision: RPLND. (As all my 3 doctors suggested). Chemo not discussed.
    May 2007: Big struggle to get an earlier RPLND date. Earliest: 2-months post I/O. Agreed.
    May 2007: Sperm banking,
    06/07/2007 Blood: AFP:1.8; bHCG<1;
    06/22/2007 Left side, Nerve Sparing RPLND. Dr Steinberg, Montreal, Canada. All GOOD!
    RPLND Pathology: ALL CLEAN!
    Next check-up schedule: Every 4-months (for 2 years). Blood & Chest X-ray only.
    Post RPLND: Very good! About 3 weeks, almost like new.
    July, August 2007: Enjoying the Life.
    --------------------------------------------------------------------------------
    10/23/2007: First 4-month follow up: ALL CLEAN!
    Blood: AFP:0.8; bHCG<1; LDH:160
    Chest X-ray: OK
    --------------------------------------------------------------------------------

    Next follow-up Feb-2008.

    I am so happy! I wish everybody get cured!

    THANKS

    Note: Some of my blood test result's values might differ slightly from previously posted ones, because I posted what I remembered after my appointments. Finaly I received a copy of my file from the hospital.
    Last edited by oscar666; 10-23-07, 06:44 PM.

  • #2
    Originally posted by oscar666
    10/23/2007: First 4-month follow up: ALL CLEAN!
    Congratulations, Oscar, that's excellent news! Keep on enjoying 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


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    • #3
      Terrific news, Oscar!!
      It is good hearing from you!
      I envy your 4 month appointments, I'm still every two...
      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

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      • #4
        Hi Oscar,

        Great news for you, I read with great interest all you've been through. I hope you a clean checkups forever!!!!

        My question for you when you say " Dont get to crazy with the CT results"
        Why did 3 Drs. recommend the RPLND. You did no chemo/radiation, and is the RPLND done always prior to any Chemo/Radiation?

        My son waiting for his first results from surgery yesterday and I'm finding more knowlege on this forum than from anywhere.

        Thanks.

        Ad Mans Mom

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        • #5
          Ad Mans Mom: You'll also find a ton of great information at the Testicular Cancer Resource Center.

          Note that radiation therapy is only applicable for pure seminoma (any other cancer cell types, and it's automatically treated as non-seminoma). RPLND surgery is only done with non-seminoma. The NCCN guidelines provide a great guide to help understand what treatment options are right in what circumstances.
          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!

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          • #6
            wonderful news Oscar!
            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

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            • #7
              Oscar this is fantastic! Time to open up the celebratory wine!
              "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.

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              • #8
                Thanks

                Thank you!

                Ad Mans Mom asked:
                My question for you when you say " Dont get to crazy with the CT results"
                Why did 3 Drs. recommend the RPLND. You did no chemo/radiation, and is the RPLND done always prior to any Chemo/Radiation?

                CT: The main purpose of CT-scans in case of TC is to try to “see” abnormal lymph nodes. How it works – something like this: If they are able to “see” enlarged lymph nodes AND there is some other matching signs, say blood tumor marker(s) are not returning normally after the last treatment, they may contain cancer.
                I was told that the important for TC are the “retroperitoneal” nodes. My CT scan showed no “retroperitoneal” anomaly. However, on my question about the “other” enlarged lymph nodes, found on my CT scan, the doctors just answered, “Could be anything”. I expected "This is not from TC"

                RPLND: Why?
                - Guidelines.
                - My doctors suggested RPLND. All were surgeons
                - I wanted to do something. Not to worry every month’s CT findings and every day’s uncertainty.
                - One CT scan is like 100’s X-rays.

                Just one last thing, Ad Mans Mom.
                Be careful when you read the forum threads. They are wonderful source of information but every case is specific!
                Prepare your questions and ask doctors.
                Only TC specialists could make conclusions.

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                • #9
                  Glad to hear the great news Oscar!!!!!
                  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.

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                  • #10
                    Excellent news Oscar.. Im glad to hear that you are doing well

                    Son Anthony DX 12/11/06
                    L/O 12/20/06 Stage IIIA, 95% EC, 5% Yolk Sac
                    4XEP 1/29-4/6/ 07
                    AFP started increasing3 wks later
                    Residual abdominal mass found on CT
                    RPLND 6/8/07
                    Cancer in pathology-
                    80% mature teratoma, 20% Yolk Sac. --
                    No adjuvent chemo and
                    AFP normalised

                    July 22, 2010 ---- 3 years all clear!

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                    • #11
                      GREAT NEWS ! I'm so happy for you.
                      Krista
                      Brother Diag. 10/05 Non-Sem.
                      Right I/O 11/05
                      Surv
                      4XBEP 8/06
                      RPLND 12/06
                      2X VIP 1/22/07
                      Only completed 1 Rd.

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                      • #12
                        keep up the good work oscar!!!!
                        Fiance Brian, dx:stage IIIC non-sem 4/18/07
                        mets to lungs,liver,abdomin,large tumor near kidney
                        hcg was 176,000!
                        completed 1 rnd of TIP(had bad reaction to taxol)
                        BEPx3 until 7/13/07
                        7/26/07 post chemo ct-scan shwd shrinkage & fewer lung tumors
                        10/17/07 @ MSKCC Liver FREE of cancer! necrotic & small focus of teratoma.
                        AFP & HCG normal
                        12/7/07 RPLND,right orchiectomy @ MSKCC
                        12/18/07, rcvd pathology,all clear! no cancer!
                        2/11/08 -Lung surgery dne @ MSKCC
                        ALL CLEAR

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                        • #13
                          Oscar -

                          So glad to hear the happy news! Great numbers!!
                          Rob and Stacy
                          DX: 3/10/05, AFP: 15,047, L I/O: 3/28/05, Yolk sac tumor & teratoma, Stage IIIC, 3xBEP & 1xEP: 4/4/07 - 6/25/07, AFP: 14, RPLND 8/10/07, w. left kidney removed. 10/19/07, AFP: 1.9

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