Treatment After the Orchiectomy: Radiation, Chemotherapy, RPLND, Surveillance | Forum profile

RyanSeattle's assessment is spot-on. You are stage I-A, and that typically confers about a 70% chance of having been cured by the I/O alone. 2xBEP will boost those odds at the expense of all the side effects of chemo (both in the short and long runs). Either way, your prognosis is indeed good.

Ditto what Ryan said. You should get copies of your pathology report and all blood and imaging test results.

Hey Spinks, Sorry to read that the 4xEP was so hard on you. It tends to hit folks differently and I guess the 20ish something guys seem to tolerate it a bit better. That being said, the Bleo didn't take because of the smoking. You probably should have gone 4xEP from the beginning. BTW sub 1cm anomolies are not generally considered worrisome but have to be watched. As for the lymphs, I am assuming that they are shrinking regularly on your...

We're all hoping and praying like crazy that Vincent has swollen nodes due to the flu or something else. Glad he is seeing an oncologist tomorrow. I'd be worried about that teratoma as well. Let us know how it goes.

Very interesting. Thanks for the explaination. I just sent slides off to Vaughn at Penn. Do I assume he uses a GU? Would they need to see the whole block to get a complete picture?

Quote: Originally Posted by NYC Russ I actually thought my uro gave me a giant implant even though I said I didn't want one. I'm not sure who was more relieved when he told me it was a hematoma - me, for knowing I'd fit in my underwear again one day, or my doc, for knowing that now I wasn't going to sue him lol....my doc told me nothing of what to expect....luckily I read up on it here and knew it was normal....Even so...

So after the further clarifications, your prognosis is pretty good! Get through the chemo, and keep your fingers crossed for few side effects. Best wishes to you throughout.

Quote: Originally Posted by RyanSeattle Here is my take on your situation. Assuming that your CT scan was clear then your choices are surveillance, 2xBEP or 1xBEP(someplaces), or RPLND. I was in your situation in April. It was a tough decision. My oncologist told me they all have the same cure rate 95% plus. First I was for 1xBEP but none of my oncologist felt comfortable. As I researched and emailed oncologists I began to lean towards...

The problem is that my bone marrow is so beaten down by two years of chemotherapy that my counts just do not recover in a normal amount of time anymore. They either need a lot of time or I need transfusions. I won't hesitate to go find another doctor, if it will do any good. I'd rather just have Dr. Einhorn step in here and tell them to quit treating me like they do people with other types of cancer where delaying is okay.

This is a painful recovery. Went to the ER Friday night to rule our possible torsion, no evidence on US, thank goodness. The pain was so bad I would have gladly agreed to a second I/O. 4 hours back at Penn Urology yesterday, (KVA is a ghost, Diane), and the resident feels that over time the testicle will drop back into normal position. The incision has healed enough to soak in warm baths, and that helps too. The pain has diminished, I'm...