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RPLND at Johns Hopkins

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  • RPLND at Johns Hopkins

    So had a right testicle orchiectomy with YK, teratoma, seminoma, and EC. So NSGCT. AFP tumor markers went as followed, 855.5, 19.2, 4.5, 4.7, 5.0, 5.4. So they are creeping back up. CT scan showed an interval enlargement of 2 nodes. My oncologist and urologist want me to have RPLND. Sent my records and images to IU and Dr Einhorn and Dr Cary both weighed in echoing the same thing. Dr Cary said nodes are 1.8cm. Unfortunately, Tricare reserve select does not cover them and seems to be a up hill battle. Reached out to Dr. Pierorazio at Johns Hopkins, he is in Tricares network so he would be covered. My research has shown he is an expert in the field and does high volume RA-RPLNDs. Has anyone had their RPLND with him? IF so can you expand on your experience post RPLND? Thanks Ben