RPLND on Monday

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  • AZWife
    Registered User
    • Oct 2011
    • 67
    #1

    RPLND on Monday

    Hi everyone,
    My husband is having his RPLND done using DaVinci Robot at the Mayo Clinic in Scottsdale, AZ on Monday morning. I know there is a lot of controversy about whether or not robotic is the way to go, but we were extremely impressed with Dr. Castle, who assures us that the procedure will be just as curative as an open would be. He also said he is fully prepared to switch to an open procedure if he feels it necessary to get the job done.

    Please keep my husband Marc in your prayers on Monday! We are both extremely nervous!

    -Samantha
    Samantha
    Husband Marc diagnosed on 10/11/11
    Left orchiectomy 10/12/11
    Embryonal carcinoma
    CT scan - enlarged abdominal lymph node
    Small questionable mass on chest scan
    BEP x 3 maybe 4 started 11/7/11
    Tags: None
  • Fed
    Moderator
    • Dec 2006
    • 5235
    #2
    Advances like the use of a Da Vinci for this surgery are certainly a welcome sight. Best of luck with the surgery. I will be looking forward to hearing updates on this novel and exciting procedure!
    "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
    11.22.06 -Dx the day before Thanksgiving
    12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! I consider myself cured.

    Comment

    • dc67
      Registered User
      • Nov 2011
      • 236
      #3
      Thoughts and prayers for quick healing!!!
      Doug

      "There's no dollar sign, on a piece of mind, this I've come to know" Zac Brown Band

      Comment

      • AustinsMom
        Registered User
        • Dec 2011
        • 542
        #4
        Hi Samantha,

        I've been following your husband's story and admire the positive outlook you both share. It sounds like you are in good hands and hopefully this surgery will take care of the TC for once and for all.

        Wishing Marc a smooth surgery and recovery. He's lucky to have you at his side!!

        Diane
        Cook/Maid/Chauffeur/ATM Machine/Personal Asst. to Austin

        12/07/11 I/O AFP: 291 hCG: 151
        12/08/11 CT Scan, Xrays - clear
        12/15/11 Non Seminoma Stage1-B
        EC, Teratoma, Yolk Sac, Intratubular
        4/21/12 Relapse- Start 3XBEP
        6/25/12 Finished BEP
        7/02/12 Markers and CT Scan normal
        10/3/12 3 month post-chemo check-up - All Clear!
        2/28/13 8 month post-chemo check-up - All Clear!
        6/30/13 ONE YEAR- ALL CLEAR!!
        2/14/14 20 month post-chemo check-up - All Clear!

        Comment

        • DAS's Mom
          Registered User
          • Mar 2010
          • 93
          #5
          Wishing you nothing but the best wishes for tomorrow. God is in charge of miracles, and they do happen. I'll be eager to read your good report when it's done. Lynn
          sigpic Dane after Dr. Einhorn told him his tumor was gone. (4/10/12)
          2/9/10 - left oriectomy. Tumor 3.8 cm; focal lymphovascular invasion.
          EC - 35%; Teratoma with immature neuroectodermal elements - 35%; Seminoma - 20%; Yolk sac - 10%;
          3/16/10 - Left RPLND at IU. All clear. Surveillance for 18 mos.
          12/16/11 - LDH 476; AFP 1.1; HCG 6. CT scan: tumors in lymph node and on renal artery
          2/27/12 - BEP x 3
          4/11/12 - Surgery cancelled at IU. Cancer (seminoma) is gone.

          Comment

          • zbot
            Registered User
            • Nov 2011
            • 85
            #6
            its great to hear that they are creating such innovations. my rplnd was no walk in the park and if i had the option i would have elected for new robotic surgery. best of luck and i hope the best for you two! but your husbands missing out on a pretty badass looking scar.
            Kick testicular cancer in the balls
            9/2010 Pure Embryonal Carcinoma
            10/2010 right orchiectomy
            6/2011 HCG up to 300 6/27/2011 3XBEP
            7/2011 HCG up to 1500
            8/2011 HCG down to 6
            8/25/2011 mass in abdomen
            9/23/2011 RPLND
            11/2011 HCG up to 37 masses in lungs and lymphnodes 11/2011 1X TIP
            12/2011 HCG up to 400
            12/2011-1/2012 2x HDC carbo/etopiside with Dr. Einhorn 3/2012-5/29/2012 50mg oral etopiside
            1/2012-present HCG >0.5

            Comment

            • Geoff
              Registered User
              • Aug 2011
              • 164
              #7
              Good luck. It will be good to hear how everything goes since it isn't commonly done this way.
              7/15/11 Right I/O
              90% EC, 10% Seminoma, LVI, CT scan and Chest x-rays clear
              8/22/11 RPLND, all clean

              Comment

              • AZWife
                Registered User
                • Oct 2011
                • 67
                #8
                Thank you all for the kindness and support! Marc had his physical done at Mayo today, and we meet with the surgeon again on Friday to discuss the procedure and what to expect in detail. Surgery will be Monday the 16th! We are so nervous, but can't wait to get it over with!

                -Samantha
                Samantha
                Husband Marc diagnosed on 10/11/11
                Left orchiectomy 10/12/11
                Embryonal carcinoma
                CT scan - enlarged abdominal lymph node
                Small questionable mass on chest scan
                BEP x 3 maybe 4 started 11/7/11

                Comment

                • CancerSux
                  Moderator
                  • Apr 2011
                  • 1196
                  #9
                  Samantha,

                  So glad you are comfortable with Dr. Castle and the procedure and I can't wait to hear how successful it is!

                  Thinking of you,
                  T
                  Tracy
                  Cancer pharmacologist, caregiver blog here
                  Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
                  Left I/O 12/31/10.
                  4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
                  1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
                  Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
                  Remission! AFP steady since 9/2011; 2+ years ALL CLEAR

                  Comment

                  • AZWife
                    Registered User
                    • Oct 2011
                    • 67
                    #10
                    Marc's surgery was Monday and went very well. We got the pathology report today and everything they took was clear!! We are sitting in the hospital now awaiting discharge orders.

                    The surgery lasted six hours. Dr. Castle was able to remove the large mass that was fused along the entire aorta and renal artery, and also cleared all the lymph nodes on that side. His intent was to do the other side as well, but he had to stop the procedure because Marc's kidney function took a dive in surgery. He said if anything tested positive he would go back in and complete the job in a month, but with an all clear on what was removed, they are opting for surveillance.

                    Marc is sore, but I know it is nothing compared to how he would feel if it were an open procedure.

                    I can't wait to get him home!

                    Samantha
                    Samantha
                    Husband Marc diagnosed on 10/11/11
                    Left orchiectomy 10/12/11
                    Embryonal carcinoma
                    CT scan - enlarged abdominal lymph node
                    Small questionable mass on chest scan
                    BEP x 3 maybe 4 started 11/7/11

                    Comment

                    • CancerSux
                      Moderator
                      • Apr 2011
                      • 1196
                      #11
                      Fantastic news Samantha! I've been hoping for a good update this week. And already discharged at 2 days? Wow, the difference between the procedures.

                      Heal well, Marc, and congrats on the all clear!

                      T
                      Tracy
                      Cancer pharmacologist, caregiver blog here
                      Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
                      Left I/O 12/31/10.
                      4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
                      1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
                      Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
                      Remission! AFP steady since 9/2011; 2+ years ALL CLEAR

                      Comment

                      • DAS's Mom
                        Registered User
                        • Mar 2010
                        • 93
                        #12
                        Great news! I know that you must be elated with such good results. Now you can get back to living and enjoying life. Lynn
                        sigpic Dane after Dr. Einhorn told him his tumor was gone. (4/10/12)
                        2/9/10 - left oriectomy. Tumor 3.8 cm; focal lymphovascular invasion.
                        EC - 35%; Teratoma with immature neuroectodermal elements - 35%; Seminoma - 20%; Yolk sac - 10%;
                        3/16/10 - Left RPLND at IU. All clear. Surveillance for 18 mos.
                        12/16/11 - LDH 476; AFP 1.1; HCG 6. CT scan: tumors in lymph node and on renal artery
                        2/27/12 - BEP x 3
                        4/11/12 - Surgery cancelled at IU. Cancer (seminoma) is gone.

                        Comment

                        • AustinsMom
                          Registered User
                          • Dec 2011
                          • 542
                          #13
                          What a relief to have it over! Wonderful news to hear! Hope you can take Marc home and just relax for a few days....or weeks!!

                          Happy Healing!
                          Diane
                          Cook/Maid/Chauffeur/ATM Machine/Personal Asst. to Austin

                          12/07/11 I/O AFP: 291 hCG: 151
                          12/08/11 CT Scan, Xrays - clear
                          12/15/11 Non Seminoma Stage1-B
                          EC, Teratoma, Yolk Sac, Intratubular
                          4/21/12 Relapse- Start 3XBEP
                          6/25/12 Finished BEP
                          7/02/12 Markers and CT Scan normal
                          10/3/12 3 month post-chemo check-up - All Clear!
                          2/28/13 8 month post-chemo check-up - All Clear!
                          6/30/13 ONE YEAR- ALL CLEAR!!
                          2/14/14 20 month post-chemo check-up - All Clear!

                          Comment

                          • AZWife
                            Registered User
                            • Oct 2011
                            • 67
                            #14
                            Thank you all! Yes...I am amazed at the speed of is recovery! Six days after surgery and he is driving himself to see an arena football game tonight! Marc is still a little sore, but well enough to get around and even return to work tomorrow!

                            I am delighted about the all clear results! Of course I will be on pins and needles at his next scans. The fact that they didn't clean out the lymph nodes on the other side worries me some. I am so hopeful that we never see any signs of cancer again, but I know you all know how that feels!

                            Samantha
                            Samantha
                            Husband Marc diagnosed on 10/11/11
                            Left orchiectomy 10/12/11
                            Embryonal carcinoma
                            CT scan - enlarged abdominal lymph node
                            Small questionable mass on chest scan
                            BEP x 3 maybe 4 started 11/7/11

                            Comment

                            • CancerSux
                              Moderator
                              • Apr 2011
                              • 1196
                              #15
                              So glad to hear Marc is doing well! And driving himself? To a game? Wowsa!

                              Originally posted by AZWife View Post
                              The fact that they didn't clean out the lymph nodes on the other side worries me some
                              Bilateral procedures are not common because bilateral spread like that is uncommon without showing up in other places ... i.e. if it is going to jump to the opposite side, it will 'stop along the way' and set up shop and a bilateral RPLND will not be any more effective. Kel's was a left side template only, and that is with viable cancers in there, so don't worry too much about the 'one side' part.

                              T
                              Tracy
                              Cancer pharmacologist, caregiver blog here
                              Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
                              Left I/O 12/31/10.
                              4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
                              1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
                              Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
                              Remission! AFP steady since 9/2011; 2+ years ALL CLEAR

                              Comment

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