Need to choose my path
Hi all i just came back form the hospital and got my patholgy report
i will have to choose my path in about a week and want to share and to ask u.
following is my medical data
Data Pre Left I/o:
Markers - afp-42 hcg-115
Ultrasound - 15 MM diameter tumor with amplify
10/2/07 CT Scan more or less ok
10/8/07 Left I/O
my pathology microscopy description (10/25/07)
Nonseminomstous mixed germ cell tumor
the neoplasm is composed of
embryonal carcinoma(approximatly 60%)
yolk sac tumor (30%)
and few foci of atypical trophoblast proliferation compatible with choriocarcinoma (a minor tumor component).
The neoplasm measures 1.2*1.1*1 cm and reaches up to tunica albuginea
with out invasion through it.
Epididymus,tunical vaginalis and spermatic corde are free of tumor.
No Vascular invasion was found.
Pan Ck,Afp,CD30 and PLAP -focally Positive.
BetaHCG is Positive in the small Part of cells (trophoblast) and show a marked
background stainin(the latter finding was also see in AFP stain).
i am still waiting for blood result post I/O,and oncologist appointment.
my urologist point me two option :
1) LP RLPND
with no surveillance option (casue there is 60% embryonal carcinoma)
i am in across road trying to choose the best path .
any suggustion ideas or member with similar data can be very helpful
is it posible for surveillance in such terms???
tnx boram .
Last edited by boram; 10-25-07 at 04:33 PM.
09/30/07 diagnostic ,afp-42, hcg-115,ldh-normal.
10/02/07 ct Scan (one Lymph node 1.1 cm).
10/08/07 left I/O-(Nonseminoma)-30%yolk sac,60%embryonal carcinoma,
-- / --/ -- 10% few foci of typical trphoblast proliferation compatible with
-- / --/ -- chriocnoma(minor tumor component).
-- / --/ -- tumor size 1.2*1.1*1 cm,No VI,stage pT1.
-- / --/ -- under surveillance.
05/13/08 ct show Lymph node enlarged 3.4 cm(afp rise).
05/25/08 3xbep (activate)