Hello,
My name is Andy and I am a 37 year old married father of two. I have been reading this board for the last couple of months and have finally decided to put my story out there. I have learned a lot from this forum and it has also made the ride a lot easier so far. It is nice to be part of a community of people who are so caring and determined. I look forward to putting this cancer in its place soon. In the meantime, I hope that I can get your thoughts on my situation and that my experience might help others who have to go through this too.
Here is the story so far:
Aug. 2010 – onset of very mild pain in left testicle coming and going over couple of weeks
Aug. 19 – visited GP; suspected epididymitis; ordered urgent ultrasound to verify
Aug. 23 – results of U/S reveal suspected testicular cancer
Aug. 27 – initial consultation with urologist; admitted to hospital;
chest x-ray: clear
pre-op blood work: AFP – 90.5; HCG – 318; LDH – 193
Aug. 28 – I/O left testicle
Aug. 29 – released from hospital (recovery was smooth; little pain; no complications)
Sep. 7 – CT scan of abdomen and pelvis: clear
Sep. 9 – follow-up with urologist
pathology: 100% embryonal carcinoma; 2.6 x 3.5 x 2.4 cm tumor; vascular invasion; otherwise, tumor limited to within the testicle
blood work taken that day: AFP – 24.9; HCG – 2; LDH – 151 (markers following curve to normal range)
Oct. 1 – blood work: AFP – 16.8; HCG – 4; LDH – 151 (AFP should have normalized; HCG up)
Oct. 14 – blood work: AFP – 18; HCG – 11; LDH – 152 (markers heading the wrong way)
I have been working with both a surgical and a medical oncologist since the Sep. 9 follow-up with the urologist who performed my I/O. Based on the initial post-op blood work we were discussing the merits of surveillance versus RPLND. Neither recommended chemo to start and both favoured surveillance in the hopes that the I/O proved curative.
Unfortunately, my blood work has not cooperated and the decision is to start 3xBEP on Monday. The prognosis is good and both oncologists talk of nothing but a cure. In fact, the surgical oncologist starts every meeting with, “...before we discuss anything, remember, you will be cured”.
As far as the 3xBEP, it will be done outpatient. Monday will start with BEP followed by four days of EP. There will be a Bleo push the following two Mondays and then repeat this cycle two more times. I understand that this is as per the guidelines. I am told to expect Monday’s treatment to last about 3.5 hours and the rest of the week will be about 2.5 hours. The Bleo-only Mondays are much shorter. Is this pretty standard? I have read some posts where others have had longer treatment days.
I will be given Zofran to deal with nausea along with Stemetil to use as needed and Emend if the other two can’t tame it. Following each “big” week, I will receive a shot of Neulasta to give the white blood cell count a boost. Add to this some medication to deal with constipation and I am sure other drugs will accompany the chemo drugs as they are administered. I have also opted for a PICC line to avoid being turned into a pin-cushion. I hope this is a good choice – it comes highly recommend by the oncologist and every nurse I have spoken with.
I am feeling a bit anxious about the chemo, but I know I will get through it. My family provides me with all of the motivation that I need and reading this forum certainly helps!
Sorry for the excessively long post. I look forward to hearing what others have to say and any words of encouragement will be much appreciated.
My name is Andy and I am a 37 year old married father of two. I have been reading this board for the last couple of months and have finally decided to put my story out there. I have learned a lot from this forum and it has also made the ride a lot easier so far. It is nice to be part of a community of people who are so caring and determined. I look forward to putting this cancer in its place soon. In the meantime, I hope that I can get your thoughts on my situation and that my experience might help others who have to go through this too.
Here is the story so far:
Aug. 2010 – onset of very mild pain in left testicle coming and going over couple of weeks
Aug. 19 – visited GP; suspected epididymitis; ordered urgent ultrasound to verify
Aug. 23 – results of U/S reveal suspected testicular cancer
Aug. 27 – initial consultation with urologist; admitted to hospital;
chest x-ray: clear
pre-op blood work: AFP – 90.5; HCG – 318; LDH – 193
Aug. 28 – I/O left testicle
Aug. 29 – released from hospital (recovery was smooth; little pain; no complications)
Sep. 7 – CT scan of abdomen and pelvis: clear
Sep. 9 – follow-up with urologist
pathology: 100% embryonal carcinoma; 2.6 x 3.5 x 2.4 cm tumor; vascular invasion; otherwise, tumor limited to within the testicle
blood work taken that day: AFP – 24.9; HCG – 2; LDH – 151 (markers following curve to normal range)
Oct. 1 – blood work: AFP – 16.8; HCG – 4; LDH – 151 (AFP should have normalized; HCG up)
Oct. 14 – blood work: AFP – 18; HCG – 11; LDH – 152 (markers heading the wrong way)
I have been working with both a surgical and a medical oncologist since the Sep. 9 follow-up with the urologist who performed my I/O. Based on the initial post-op blood work we were discussing the merits of surveillance versus RPLND. Neither recommended chemo to start and both favoured surveillance in the hopes that the I/O proved curative.
Unfortunately, my blood work has not cooperated and the decision is to start 3xBEP on Monday. The prognosis is good and both oncologists talk of nothing but a cure. In fact, the surgical oncologist starts every meeting with, “...before we discuss anything, remember, you will be cured”.
As far as the 3xBEP, it will be done outpatient. Monday will start with BEP followed by four days of EP. There will be a Bleo push the following two Mondays and then repeat this cycle two more times. I understand that this is as per the guidelines. I am told to expect Monday’s treatment to last about 3.5 hours and the rest of the week will be about 2.5 hours. The Bleo-only Mondays are much shorter. Is this pretty standard? I have read some posts where others have had longer treatment days.
I will be given Zofran to deal with nausea along with Stemetil to use as needed and Emend if the other two can’t tame it. Following each “big” week, I will receive a shot of Neulasta to give the white blood cell count a boost. Add to this some medication to deal with constipation and I am sure other drugs will accompany the chemo drugs as they are administered. I have also opted for a PICC line to avoid being turned into a pin-cushion. I hope this is a good choice – it comes highly recommend by the oncologist and every nurse I have spoken with.
I am feeling a bit anxious about the chemo, but I know I will get through it. My family provides me with all of the motivation that I need and reading this forum certainly helps!
Sorry for the excessively long post. I look forward to hearing what others have to say and any words of encouragement will be much appreciated.
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