AboutDoug Bank Expertise I know a great deal about all aspect of testicular cancer. I am a testicular cancer survivor, and have run a testicular cancer website since 1996. If I do not know the answer to a question, I have access to a number of my own world-class experts to get the correct answer.
Please note that I am not an expert when it comes to other cancers. If your question involves something other than testicular cancer or a cancer of that general region, please ask another expert.
my problem is that my left testicular found in it a tumor and this is the result of Pathology lab after week form operation.
- mixed germ cell tumor , composed of yolk sac tumor (60%) teratoma (39%) and choricarcinnoma (1%)
- stage T1 NX MX
- all reaction margins are free of tumor
- tumout is extending to rete testis
- no lymphovascular invasion is seen
- the result show sprematogenesis with no intratubular neoplasia
- tumor were positive for cyrokeretain and alap ane were negative for CD4 immunohistochemical stain . ALPHA fetroprotein stain was equivocal
- T1 stand for tumor limited to testis and epidimyis without lymphovascular invasion
- nx and mx cannot be assessed d
IN addition .. the CT SCAN SHOW NO spread to chest , abdominal and pelvic
what is the next treatment and do i have chemotherapy ?!!
Answer Your pathology report suggests that you have a stage I nonseminoma. This means that the cancer does not appear to have spread outside of the testicle. The CT scan also shows no obvious spreading of the cancer. Based on the composition of your tumor, I think that the odds that it has spread are pretty low.
I'm not sure where you are or how easy it would be for you to follow a surveillance regimen, but if you can get CT scans, xrays and blood tests according to the surveillance protocol, then you can avoid unnecessary chemotherapy or surgery. I've included a suggested surveillance protocol here:
Clinical Stage I Nonseminoma Surveillance Protocol
Year 1: Tumor Markers and Chest X-ray done every month
Abdominal CT scan done every 2 months
Year 2: Tumor Markers and Chest X-ray done every 2 months
Abdominal CT scan done every 4 months
Years 3-5: Tumor Markers and Chest X-ray done every 6 months
Abdominal CT scan done every 6 months
After Year 5: Tumor Markers and Chest X-ray done once a year
If you cannot follow such a protocol or don't feel comfortable just watching to see if the cancer comes back, then you would need surgery or chemo. I had a tumor VERY similar to yours. I chose surveillance and I have been cancer free for 15 years.
