I'm wondering if anyone has had to go through BEP twice. From what my Dana Farber oncologist has told me, if it is a new cancer (not a recurrence of the first) in the contralateral testicle that happens down the road, the same treatment regimen can be used a second time.
Anyone ever have to do 3xBEP twice?
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I've not read about anyone who has done it, and I always thought you can't have the same protocol twice but it might not be the case.
I guess, hopefully, with the amount of surveillance and awareness of symptoms that previous TC survivors have, that if it happened in the other testicle it would be caught early enough to get away with minimal treatment. Hopefully anyway!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
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Hard to say if that's true or not. I never did any self-checks, and went to the doctor about a week and a half after I started seeing my testicle visibly enlarged. The pathology showed that there was no penetration of the tunica or epididymis, tumor clear of margins, etc, and I was already at stage 2B classical seminoma. My oncologist said the cancer can start spreading before it even grows locally, so who knows if I could have caught it or noticed something early.
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Originally posted by BenG1980 View PostHard to say if that's true or not. I never did any self-checks, and went to the doctor about a week and a half after I started seeing my testicle visibly enlarged. The pathology showed that there was no penetration of the tunica or epididymis, tumor clear of margins, etc, and I was already at stage 2B classical seminoma. My oncologist said the cancer can start spreading before it even grows locally, so who knows if I could have caught it or noticed something early.
I know you're on your BEP now but this is something you shouldn't worry too much about, just check every month and you should be fine and IF anything happened catch it early.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
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That's an interesting question because from what I understand is that there is a lifetime max dosage of Bleomycin and it's not a good idea of going over that max. I think that dosage is 360 units. In 3XBEP you will get 270 units in total...or 30 units in each bag. So 4XBEP will put you right at the 360 unit mark.
I doubt there is such a "max" for cisplatin or etoposide,.
If anyone can provide further details to this question that would be great.
I suppose instead of a
3XBEP one could do 4XEP.
- MattMarch 4th 2014: [AFP = 2.5; bHCG = 6; LDH = 618]
March 13th: Left IO 100% Classic Seminoma
6.3 x 5.1 x 3.8 cm, no invasion of anything
LDH never fully normalized
Stage: IS
Watchful Waiting
May 1st: promoted to Stage IIB with two PET active tumors in the para-aortic lymph nodes 2.5 & 2.4 cm
May 12th: started 3xBEP
Neupogen during Cycle 2 and 3
July 8th: Last Bleo shot of Cycle 3 -- chemo completed !
August 4th: Post Chemo CT/PET scan
September 4th: Port removed
Jan 9th 2019: 4.5 YEARS ALL CLEAR !
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There is also a max cumulative dose for etoposide as well before leukemia is a real possibility.6/5/15: bHCG 27,AFP 8.66, LDH 361, 5.6cm lymph node - Stage IIC
6/16/15: Left I/O 85% EC, 10% chorio, 5% yolk sac opinion 2 (mayo) 90% EC, 10% yolk sac
7/7/15: bHCG 56, AFP 42, LDH 322
7/13/15: begin 4xEP, end 9/18/15
10/1/15: bloodwork normal, ct scan shows 2 lymph nodes 1.0cm
10/26/15: 2nd opinion on CT results - lymph nodes normal. Surveillance!
4/6/16: 1.7cm X 1.5cm lymph node found with markers normal.
4/20/16: RPLND @ IU - teratoma only!
10/22/19: all clears up to this date!
4/8/24: stopped monitoring something like 2 years ago, still all clear!
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Are you seeing Dr. Christopher Sweeney at Dana Farber? If so, he certainly knows testis cancer but you may want to ask about the bleomycin issue. You can always get second opinions as well.
MikeOct. 2005 felt lump but waited over 7 months.
06.15.06 "You have Cancer"
06.26.06 Left I/O
06.29.06 Personal Cancer Diagnosis Date: Got my own pathology report from medical records.
06.30.06 It's Official - Stage I Seminoma
Surveillance...
Founded the Testicular Cancer Society
6.29.13 Summited Mt. Kilimanjaro for 7th Cancerversary
For some reason I do not get notices of private messages on here so please feel free to email me directly at [email protected] if you would like to chat privately so as to avoid any delays.
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TC is a very rare cancer.Getting kit twice is extremely rare. While I'm sure there are a few who have needed chemo twice for two primaries,I can't recall any who have posted here about it.I'm thinking this will be much more common in the years ahead as more of us survive long term after TC1.
DaveJan, 1975: Right I/O, followed by RPLND
Dec, 2009: Left I/O, followed by 3xBEP
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From what I am understanding, and I asked a top testis cancer expert, is that BEP a second time really would not be the best option. If it was me, I would have a conversation with Dr. Pomerantz and see if your case can be presented and/or get a second opinion from Dr. Sweeney if you are at Dana-Farber already.
MIkeOct. 2005 felt lump but waited over 7 months.
06.15.06 "You have Cancer"
06.26.06 Left I/O
06.29.06 Personal Cancer Diagnosis Date: Got my own pathology report from medical records.
06.30.06 It's Official - Stage I Seminoma
Surveillance...
Founded the Testicular Cancer Society
6.29.13 Summited Mt. Kilimanjaro for 7th Cancerversary
For some reason I do not get notices of private messages on here so please feel free to email me directly at [email protected] if you would like to chat privately so as to avoid any delays.
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