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Unsure what to make of pathology report

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  • Unsure what to make of pathology report

    I'm supposed to be seeing my urologist on march 6, but until then I don't know what to make of my pathology report. I just went to a walk-in clinic to get it printed. The GP there didn't know what to make of it either.

    Diagnosis:
    -pure seminoma
    -tumor size: greatest dimension 4.2 cm
    -vascular invasion: not identified
    -Invasion beyond tunica albuginea: identified, hilar paratesticular tissue
    -Rete testis invasion: identified
    -epididymis invasion: identified
    -spermatic cord invasion: not identified
    -surgical margins: free of tumor
    -germ cell neoplasia in situ: identified
    -necrosis: not identified
    -non-neoplastic testis shows: atrophy/fibrosis
    -pTNM stage: pT2 pNX

    Edit:
    Should also mention the CT scan, X ray and bloodwork all came back normal
    Last edited by bcchung; 03-02-18, 12:35 AM.

  • #2
    Not a physican, but looks like stage 1 Seminoma. No spread.
    Son Grant
    dx 12/21/16 at age 17

    BEP x3
    Post Chemo CT Scan on 3/28/17 still showed a few nodes over 2 cm
    2nd Post Chemo CT Scan on 4/27/17 showed all nodes still over 2cm
    Post Chemo RPLND 5/8/17: Periaortic Teratoma, Intraaorticaval Teratoma, and Paracaval Teratoma found.

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    • #3
      The tumor didn't travel through the spermattic cord, and your lymph nodes are normal. Im sure they will just reccomend surveillance, so CT scans, chest x-rays and blood work. That's about the best scenario u could have hoped for.

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