Need to choose my path

[boram]

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:

9/30/07 diagnostic
Markers - afp-42 hcg-115
Ultrasound - 15 MM diameter tumor with amplify
blood flow
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.

Stage Pt1.

Immunohistchmical stauns:
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
2) 2XBEp
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 .