I'm from Minneapolis.
08/21/2015: HCG 5, AFP 3.9, LDH 387
9/10/2015:
Orchiectomy, left
2/23/2016: HCG 416, AFP 41.5, LDH 445
2/29/2016: PET FDG/CT: Single enlarged, markedly FDG avid left para-aortic retroperitoneal lymph
node is highly suspicious for metastatic testicular cancer. ABDOMEN/PELVIS: A 2.1 x 1.5 cm left para-aortic lymph node has enlarged from 1.1 x 0.8 cm .
Planned for BEP, but after first day of Bleomycin, I had some breathing issue, so continued with 4xEP
Chemotherapy completed on 5/28/2016
06/13/2016: PET scan showed that there has been a complete response to the therapy and there is no evidence of active malignancy or metastases on the exam. A hypermetabolic left
para-aortic retroperitoneal lymph node depicted previously has normalized
in size measuring 0.6 x 0.9 cm (previously 1.5 x 2.1 cm).
06/13/2016: HCG < 3, AFP 4.7, LDH 444
RPLND on 7/1/2016
DIAGNOSIS: A. Spermatic cord, left, excision: Benign spermatic cord. B. Lymph nodes, left common iliac, dissection: Multiple (7) lymph nodes are negative for tumor. C. Lymph nodes, para-aortic, dissection: Multiple (4) lymph nodes are negative for tumor. D. Lymph nodes, right external iliac, dissection: A single (1) lymph node is negative for tumor. E. Lymph nodes, interaortocaval, dissection: Multiple (15) lymph nodes are negative for tumor. F. Lymph nodes, paracaval, dissection: Multiple (10) lymph nodes are negative for tumor.
7/25/2016: HCG < 1, AFP 3.0, LDH 443
3/24/2017: HCG < 1, AFP 4.1
6/5/2017: HCG 24, AFP 4.5, LDH 147. CT scan normal. But High HCG is a concern and possible recurrence of cancer.
6/6/2017: Testosterone 230 ng/dl, LH 9 mIU/ml. Ultrasound for right testicle normal.
6/7/2017: PET FDG/CT: No evidence of disease
6/19/2017: LDH 147. Waiting for other results.
Does this look like a case of recurrence? Waiting for other tumor market results. If this is recurrence, what will be next steps? What are chances for cure? After HCG elevated, PET scan was normal, ultrasound normal, then why it was elevated? is cancer hidden somewhere or will show up later?
08/21/2015: HCG 5, AFP 3.9, LDH 387
9/10/2015:
Orchiectomy, left
- Embryonal carcinoma
- Macroscopic Extent of Tumor: Tumor Limited to testis Microscopic Tumor Extension: No involvement of rete testis, hilar fat, epididymis, tunica vaginalis or spermatic cord (rete testis, hilar fat, epididymis, tunica vaginalis, or spermatic cord)
2/23/2016: HCG 416, AFP 41.5, LDH 445
2/29/2016: PET FDG/CT: Single enlarged, markedly FDG avid left para-aortic retroperitoneal lymph
node is highly suspicious for metastatic testicular cancer. ABDOMEN/PELVIS: A 2.1 x 1.5 cm left para-aortic lymph node has enlarged from 1.1 x 0.8 cm .
Planned for BEP, but after first day of Bleomycin, I had some breathing issue, so continued with 4xEP
Chemotherapy completed on 5/28/2016
06/13/2016: PET scan showed that there has been a complete response to the therapy and there is no evidence of active malignancy or metastases on the exam. A hypermetabolic left
para-aortic retroperitoneal lymph node depicted previously has normalized
in size measuring 0.6 x 0.9 cm (previously 1.5 x 2.1 cm).
06/13/2016: HCG < 3, AFP 4.7, LDH 444
RPLND on 7/1/2016
DIAGNOSIS: A. Spermatic cord, left, excision: Benign spermatic cord. B. Lymph nodes, left common iliac, dissection: Multiple (7) lymph nodes are negative for tumor. C. Lymph nodes, para-aortic, dissection: Multiple (4) lymph nodes are negative for tumor. D. Lymph nodes, right external iliac, dissection: A single (1) lymph node is negative for tumor. E. Lymph nodes, interaortocaval, dissection: Multiple (15) lymph nodes are negative for tumor. F. Lymph nodes, paracaval, dissection: Multiple (10) lymph nodes are negative for tumor.
7/25/2016: HCG < 1, AFP 3.0, LDH 443
3/24/2017: HCG < 1, AFP 4.1
6/5/2017: HCG 24, AFP 4.5, LDH 147. CT scan normal. But High HCG is a concern and possible recurrence of cancer.
6/6/2017: Testosterone 230 ng/dl, LH 9 mIU/ml. Ultrasound for right testicle normal.
6/7/2017: PET FDG/CT: No evidence of disease
6/19/2017: LDH 147. Waiting for other results.
Does this look like a case of recurrence? Waiting for other tumor market results. If this is recurrence, what will be next steps? What are chances for cure? After HCG elevated, PET scan was normal, ultrasound normal, then why it was elevated? is cancer hidden somewhere or will show up later?
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