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Ultrasound on second, remaining testicle

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  • #31
    Good to hear that you heard from Dr. Einhorn. The pT2 is the pathological stage of the tumor only. It is pT2 because of the lymphovascular invasion. IGCN is intratubular germ cell neoplasia, that was mentioned in the path report and is basically a precursor of germ cell cancers.

    Mike
    Oct. 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 mike@tc-cancer.com if you would like to chat privately so as to avoid any delays.

    Comment


    • #32
      Ah, thanks for explaining. Dr. McGuire cleared it up at the appointment this past Monday. He explained that the "lymphovascular invasion" did not mean the cancer metastasized beyond what was removed in the left orchiectomy. When I read "lymphovascular invasion," it made me think of the lymph node removal surgery (RPLND) I had done in February and I thought the cancer had returned to that area. It sounds like this tumor did not spread as quickly because there were no lymph nodes in my abdomen to attract it.

      Does that sound right?

      I have a new round of surveillance scans scheduled with my oncologist in the first week in August. Dr. McGuire suggested this after conferring with his oncology doctor. I also heard from Dr. Einhorn that this is an appropriate plan of action for surveillance.
      11/28/2019 - Notice swelling in right testicle
      01/06/2020 - Diagnosed with cancer; Stage 2 nonseminoa 100% embryonal carcinoma
      01/08/2020 - Right Radical Orchiectomy
      02/11/2020 - RPLND surgery at IU; begin surveillance
      03/01/2020 - Notice slight soreness/discomfort coming from left testicle
      03/05/2020 - Ultrasound show subtle lesion; surveillance bloodwork/scans clear
      05/12/2020 - surveillance bloodwork/scans - all clear; ultrasound shows slight growth in lesion on left testicle
      06/09/2020 - Left Radical Orchiectomy; Stage 1 nonseminoa 100% embryonal carcinoma
      8/21/2020: Surveillance scans - all clear
      10/16/2020: Bloodwork - normal range/clear
      12/18/2020: Surveillance scans - all clear

      Comment


      • #33
        I've been on TRT gel for seven days now. How quickly does it begin to impact the body? I am curious what other guys' experiences have been. My hot flashes and night sweats are not as common as before starting the TRT. I have noticed a soreness in middle-lower back that is helped by stretching. Does low, or no, testosterone, impact muscles in the body? It has me freaking out a bit about metastasis or recurrence of the cancer.
        11/28/2019 - Notice swelling in right testicle
        01/06/2020 - Diagnosed with cancer; Stage 2 nonseminoa 100% embryonal carcinoma
        01/08/2020 - Right Radical Orchiectomy
        02/11/2020 - RPLND surgery at IU; begin surveillance
        03/01/2020 - Notice slight soreness/discomfort coming from left testicle
        03/05/2020 - Ultrasound show subtle lesion; surveillance bloodwork/scans clear
        05/12/2020 - surveillance bloodwork/scans - all clear; ultrasound shows slight growth in lesion on left testicle
        06/09/2020 - Left Radical Orchiectomy; Stage 1 nonseminoa 100% embryonal carcinoma
        8/21/2020: Surveillance scans - all clear
        10/16/2020: Bloodwork - normal range/clear
        12/18/2020: Surveillance scans - all clear

        Comment


        • #34
          Hey everyone! It's been awhile, but just wanted to update this thread. I had my last full round of surveillance in August and was all clear. Then, I had a blood tumor markers check in October and the results were normal range/clear of cancer. I was pretty happy about it to the say the least.

          I have my next full round of surveillance in three weeks.

          I also am working with my urologist to get my testosterone levels set right. I saw them a couple weeks ago and my level was at 221 (Nov, 2020). They just increased my dosage from one packet per day to two packets per day. I am going to go in for another test a couple weeks (coincidentally the week before my cancer scans). I am feeling pretty good with minimal hot flashes. I just don't want the testosterone levels to continue dropping without frequent monitoring.

          Hope all has been well since I've last participated.
          11/28/2019 - Notice swelling in right testicle
          01/06/2020 - Diagnosed with cancer; Stage 2 nonseminoa 100% embryonal carcinoma
          01/08/2020 - Right Radical Orchiectomy
          02/11/2020 - RPLND surgery at IU; begin surveillance
          03/01/2020 - Notice slight soreness/discomfort coming from left testicle
          03/05/2020 - Ultrasound show subtle lesion; surveillance bloodwork/scans clear
          05/12/2020 - surveillance bloodwork/scans - all clear; ultrasound shows slight growth in lesion on left testicle
          06/09/2020 - Left Radical Orchiectomy; Stage 1 nonseminoa 100% embryonal carcinoma
          8/21/2020: Surveillance scans - all clear
          10/16/2020: Bloodwork - normal range/clear
          12/18/2020: Surveillance scans - all clear

          Comment


          • #35
            Your t levels seem pretty low, but how are you feeling? That is the most important thing.
            Jan, 1975: Right I/O, followed by RPLND
            Dec, 2009: Left I/O, followed by 3xBEP

            Comment


            • #36
              Sorry for the delay in responding. I had another T level check on Dec 7 again and it's back up to 328 ng/dL. It's headed in the right direction. I feel about the same overall. I still get periodic hot flashes in the evening, but they are not significant or frequent. I have noticed increased morning erections.
              11/28/2019 - Notice swelling in right testicle
              01/06/2020 - Diagnosed with cancer; Stage 2 nonseminoa 100% embryonal carcinoma
              01/08/2020 - Right Radical Orchiectomy
              02/11/2020 - RPLND surgery at IU; begin surveillance
              03/01/2020 - Notice slight soreness/discomfort coming from left testicle
              03/05/2020 - Ultrasound show subtle lesion; surveillance bloodwork/scans clear
              05/12/2020 - surveillance bloodwork/scans - all clear; ultrasound shows slight growth in lesion on left testicle
              06/09/2020 - Left Radical Orchiectomy; Stage 1 nonseminoa 100% embryonal carcinoma
              8/21/2020: Surveillance scans - all clear
              10/16/2020: Bloodwork - normal range/clear
              12/18/2020: Surveillance scans - all clear

              Comment


              • #37
                Oh, and I had my four-month scans/blood work done this month and they came back all clear!
                11/28/2019 - Notice swelling in right testicle
                01/06/2020 - Diagnosed with cancer; Stage 2 nonseminoa 100% embryonal carcinoma
                01/08/2020 - Right Radical Orchiectomy
                02/11/2020 - RPLND surgery at IU; begin surveillance
                03/01/2020 - Notice slight soreness/discomfort coming from left testicle
                03/05/2020 - Ultrasound show subtle lesion; surveillance bloodwork/scans clear
                05/12/2020 - surveillance bloodwork/scans - all clear; ultrasound shows slight growth in lesion on left testicle
                06/09/2020 - Left Radical Orchiectomy; Stage 1 nonseminoa 100% embryonal carcinoma
                8/21/2020: Surveillance scans - all clear
                10/16/2020: Bloodwork - normal range/clear
                12/18/2020: Surveillance scans - all clear

                Comment


                • #38
                  Fantastic news!!!!

                  Comment


                  • #39
                    Thanks so much for the kind words. I appreciate it and all the support this forum has provided over this past year.
                    11/28/2019 - Notice swelling in right testicle
                    01/06/2020 - Diagnosed with cancer; Stage 2 nonseminoa 100% embryonal carcinoma
                    01/08/2020 - Right Radical Orchiectomy
                    02/11/2020 - RPLND surgery at IU; begin surveillance
                    03/01/2020 - Notice slight soreness/discomfort coming from left testicle
                    03/05/2020 - Ultrasound show subtle lesion; surveillance bloodwork/scans clear
                    05/12/2020 - surveillance bloodwork/scans - all clear; ultrasound shows slight growth in lesion on left testicle
                    06/09/2020 - Left Radical Orchiectomy; Stage 1 nonseminoa 100% embryonal carcinoma
                    8/21/2020: Surveillance scans - all clear
                    10/16/2020: Bloodwork - normal range/clear
                    12/18/2020: Surveillance scans - all clear

                    Comment


                    • #40
                      Great to hear the all clear!

                      If you are still getting hot flashes, something isn't right. You might want to try a different brand of gel or even switch to injections. Some guys find one works better for them than the other.
                      Jan, 1975: Right I/O, followed by RPLND
                      Dec, 2009: Left I/O, followed by 3xBEP

                      Comment

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