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Thread: Cancer Relapse Question

  1. #1
    Join Date
    Feb 2012
    Location
    Birmingham, UK
    Posts
    12

    Question Cancer Relapse Question

    Hey guys,

    Quick question; for us who have had testicular cancer before, and if we was to relapse, would it be in our remaining testicle or could it come back elsewhere?

    I'm religiously checking my remaining testicle since the whole ordeal, but I've been told it can come back, near your kidneys, near the lungs, etc. Is this true?

    Regards,
    Dan.

  2. #2
    Join Date
    Jul 2003
    Location
    Stratham, New Hampshire
    Age
    49
    Posts
    7,808
    Dan, cancer in the other testicle wouldn't be a recurrence. Rather, it would be a new primary. A recurrence of your first cancer would be most likely to appear in the retroperitoneal lymph nodes first, lungs second. That's why CT scans and chest x-rays are part of surveillance.
    Scott, scott@tc-cancer.com
    right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since


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  3. #3
    Join Date
    Feb 2012
    Location
    Birmingham, UK
    Posts
    12
    Thanks for clearing that up; I've just been really concerned as I've been having a dull ache for several days in my remaining testicle, which coinsidentally is the same ache I experienced with my right testicle when I had cancer in it.

    So it has left me a little worried. It's not phantom, but I haven't had any change in appearance with the testicle, for example, it hasn't got bigger, I can't feel any lumps, it's just a dull ache.

    Thanks,
    Dan

  4. #4
    Join Date
    Jan 2012
    Location
    New York City, NY
    Age
    28
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    Hey Dan --

    I know the feeling! I had a dull ache in my surviving testicle too after my orchiectomy and it reminded me a lot of the ache I had before I got diagnosed. I freaked out and went back to the doctor and had another ultrasound and of course, I was fine. I posted about it on this forum and the pros here gave me good advice (as always) which is that TC is pretty rare in the first place, and getting it again in your other testicle is even rarer than that -- especially so close to having it the first time. I'm not sure why the ache happens, maybe your testicle has to work harder to make up for the one you lost?

    Anyway, if you're on surveillance, maybe you can mention it to you dr. the next time you're in, but I think if there's no change in the way it feels or the size then you're probably just fine :-)
    Patrick
    28 years old
    New York City, NY

    Ultrasound on 1/23/12, I/O on 2/1/12

    Stage IB
    Classical seminoma, 4.5cm, RT invasion, LVI, no spermatic cord margin invasion.
    CT scans clear
    pre op bHCG: 57, post op: 2.4
    On surveillance:
    Clear: 5/17/12, 8/23/12
    11/29/12 -- CT scan shows 1 enlarged retroperitoneal lymph node 20mmx15mm, stage changed to IIA
    12/17/12 - 3/17/13 -- EPx4 @ MSKCC
    Clear: 3/7/13, 3/28/13, 5/2/13, more to come...

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