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:
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.
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 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.”

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.
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