Should I be concerned with my pathology report which

What tissue was examined? (biopsy specimin, removed testicle..)

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Positive feedback and any bonus would be appreciated. Thank you, Christy

removed left testicle

The information in your pathology report is reason to be concerned. Prior to testicle removal, I suspect your Physician discussed the possibility of Testicular Cancer. In plain language: the portion of Pathology report summary you provided describes evidence of "Intratubular germ cell neoplasia, unclassified (IGCNU). Intratubular germ cell neoplasia of unclassified type (IGCNU) is his primary concern. This is a germ cell type of neoplasia and the most common cause of all testicular cancer.

The next step is to meet with your Physician to discuss your full report, staging and treatment options, a second opinion on the Pathology report and recommended treatment options.

Staging is done by considering Primary tumor, lymph node involvement, metastasis, and serum markers.   

The tests will include CT scan, lab work and lymph boipsy (if not done already).
IGCNu is generally limited.
Intratubular germ cell neoplasia (pTis) indicates is generally early stage. With a 30+ survival reported early detection. This is all based on a "snapshot" of only one report. Other may alter some interpretation. Extensive follow up is very important!

I hope this answer was helpful. .





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I hope my information is helpful. If you have more questions, just ask! I will gladly help, otherwise please click "accept".
Positive feedback and any bonus would be appreciated. Thank you, Christy

Thank you Christy so much,

This involves my 18year old son so you can imagine that I am very concerned and want to make sure I have all the bases covered.

The report also lists a comment and it reads: Given the presense of histologic features of intratubular germ cel neoplasm of unclassified type (IGCNU), immunostain for PLAP was performed, which is positive in over 80% of the cases. It is negative in this case. The negative staining for PLAP does not exclude the diagnosis of IGCNU.

So I just want to make sure I should be happy with this report or go get a PEP scan and or second opinion. The urologist has not been very agressive in his way of thinking, BUT am I being overly cautious as a hysterical mother?

I am definately going to pay the $15.00 for my answer I just wanted to have a little more feedback from you.

Thank you again, and I look forward to your reply.

Lisa Rettew

Absolutely-I am more than happy to help. I have an appt right now, but I didn't want to ignore your reply. I'll be back online this eve, hang in there!
Christy

__________________
I hope my information is helpful. If you have more questions, just ask! I will gladly help, otherwise please click "accept".
Positive feedback and any bonus would be appreciated. Thank you, Christy

Christy,

I thought you were going to get back to me with more thoughts as you stated in your earlier email when you said that you had an appointment would get back to me later that evening which was yesterday. I paid you the money, but you said you would still get back to me with more info.

I look forward to your reply email.

Thanks.

Lisa