Oncology meeting
We met Dan's Oncologist today, Dr. Wood. It was a somewhat anti-climactic meeting because we didn't get any definite plan.
Dr. Wood reviewed what we know so far - Seminoma, Stage II. The TNM Classification is T2N1M0 based on curr
ent data (T2 N1 M0 means the tumor is about 1 to 2 inches in diameter, involving one or more lymph nodes, with no known metastasis). The surgery pathology showed cancer in the right testicle and right lymph node. We did get some more detailed information about the abdominal CT Scan. It showed several enlarged lymph nodes (~1.6cm in size) along the groin and the lymph nodes near the aorta and lymph nodes between the abdomen and back called retroperitoneal lymph nodes. The Chest X-ray didnt show anything. However before the oncologist precedes he wants to get a CT-Scan on the chest to make sure we didnt miss anything from the x-ray. This Scan (done 11-Jan at 2:30) will be the determining factor in the course of treatment.
ent data (T2 N1 M0 means the tumor is about 1 to 2 inches in diameter, involving one or more lymph nodes, with no known metastasis). The surgery pathology showed cancer in the right testicle and right lymph node. We did get some more detailed information about the abdominal CT Scan. It showed several enlarged lymph nodes (~1.6cm in size) along the groin and the lymph nodes near the aorta and lymph nodes between the abdomen and back called retroperitoneal lymph nodes. The Chest X-ray didnt show anything. However before the oncologist precedes he wants to get a CT-Scan on the chest to make sure we didnt miss anything from the x-ray. This Scan (done 11-Jan at 2:30) will be the determining factor in the course of treatment.Should the CT Scan of the chest show any enlarged lymph nodes we will go with IV Chemotherapy. Treatment would be 5 consecutive days of IV Chemo every 3 weeks for 12 weeks (4 total treatment sessions). If the CT Scan is negative treatment would be daily radiation for 6-8 weeks.
Dan is getting the CT-Scan this afternoon. His doctor said he would call him back this afternoon with information. If there is nothing on that scan Dan will meet with the radiation-oncologist next week to get a more detailed plan of action. Either way it goes, radiation or chemo, the treatment will probably not start for a week to allow Dan some time to do Sperm Banking.
While looking for information google just happened to point me to Shands. So I will point it at you guys as well:
Wish I was back in Gainesville
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