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Which Tests after 18 years Clear?

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  • Which Tests after 18 years Clear?

    Hello all,

    After a few years delay (factoring the CoVID limits) I want to go in for an annual post-TC check-up (seminoma, stage 1, radiation). I'm 50 yo so want a full work-up on the remaining testicle, prostate, and testosterone.

    What blood, physical, imagining tests should consider? Specifically, for blood work, I want to get a comprehensive view.

    I welcome your experiences and thoughts.

    Thanks!

  • #2
    Well, If I was in your shoes, I am not as I am 7 years out from my last treatment, I would start with the following for TC:

    Blood work:
    1: CBC,
    2: Metabolics/Chemistries
    3: Tumor markers: LDH, AFP, bHCG

    Imaging:
    1: Possibly ask for an Ultrasound of the remaining testis
    2: Possibly ask for a Chest X-Ray

    Talk to an Endocrinologist (sp?) about Testosterone specific tests.
    I imagine a prostate exam and blood tests for prostate specific markers could be be done.

    You could easily discuss those items with with your GP and they could either order those tests or get you referals.

    That's where I would start. I am sure other memebers here could add on and fill in more details, especially around the Testosterone subject, etc.

    Hope that helps.

    - Matt

    March 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
    July 2021: 7 YEARS ALL CLEAR !

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    • #3
      At this point, outside of being symptomatic for low testosterone, there probably isn't a reason to even check it. Same for the ultrasound of the remaining testicle. As long as you are noticing any changes then I think it is unlikely a US at a random time point in life would catch anything. Really the same for tumor markers and a chest X-ray.

      If it were me, I would focus more on what should be done outside of testicular cancer, like a lipid panel and screening for cardiovascular disease, a colonoscopy, prostate exam as noted.

      While we worry about a second primary as survivors, the pharmacist in me also thinks about the things we should be more worried about and at this point it would be cardiovascular disease, prostate cancer and possibly a secondary cancer from the radiation, which would add additional reasons to discuss a colonoscopy.

      This is all of course assuming you are not having symptoms.

      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.

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