41. Index Michael Merrill shares his experiences as he battles the disease. http://www.michaelmerrill.com

The Road to Wellness Calendar Meet Michael's Healthcare Team Introduction to ACC Favorite Links ... (last updated 04/28/03: 1 Yr Later) Site administered by: Joe Rogers joe@michaelmerrill.com Powered by counter.bloke.com Send Michael an E-mail Your Source for News and Updates About Michael During His Treatment and Recovery O n September 6, 2001, Michael was diagnosed with Nonseminoma Testicular Cancer . Six short days later, after an inguinal orchiectomy , he was on the road to recovery. It certainly hasn't been easy. It seems that just when every effort and determination should be aimed at simply getting well, he has been forced to deal with all the issues related to learning about cancer and managing his treatment. These issues include learning about the different types of cancers, finding good doctors, choosing among the different treatment options, understanding and interpreting test results (sometimes better than the doctors), going to doctors' appointments, dealing with insurance companies, going on short-term disability, and thinking about and coping with the reality of infertility. Needless to say it quickly became overwhelming. But it's not just overwhelming for Michael. Cancer also impacts the lives of a cancer patient's friends and family. In her book There's No Place Like Hope: A Guide to Beating Cancer in Mind-sized Bites, cancer survivor Vickie Girard sums up the important role friends and family play in recovery and talks about how they often feel. She writes, "You walk through the darkness with us, not because you are ill and have to, but because you choose to. We were drafted, but you enlisted. We recognize and appreciate the difference more than words can ever say. YOU are our heroes, our support, and our reasons for fighting. To love a cancer patient is, in turn, to feel sad, frightened, concerned, angry, lost, and often helpless and to do all this, for the most part silently."

42. Testicular Cancer | Chronology Most testicular cancer patients have a much easier experience with chemotherapy. Strictly speaking, he should have assumed that it was testicular cancer http://www.kantrowitz.com/cancer/chronology.html

Testicular Cancer Chronology Highlights I had a particularly rough time with chemotherapy, as I encountered some of the rarer side effects. Most testicular cancer patients have a much easier experience with chemotherapy. Nevertheless, this cancer diary will contain a lot of useful information, even for patients who aren't being treated with chemotherapy. 05-01-2003: Testicular mass detected. 05-16-2003: Ultrasound confirms testicular cancer. 05-21-2003: Orchiectomy. 05-26-2003: Pathology identifies the cancer as pure seminoma. 05-30-2003: CT scan identifies three nodal masses, indicating stage III. 06-13-2003: Post-orchiectomy semen analysis normal, with sperm concentration of 45 million per ml, forward progression 67%, activity 2-2++, round cells 0-1 million/ml, and agglutination 0%. 06-17-2003: First day of first cycle of 3BEP chemotherapy. 06-23-2003 through 06-29-2003: Hospitalized for severe nausea and abdominal pain. 06-24-2003: ERCP and x-rays identify pancreatitis and gall stones. 06-25-2003: Gall bladder removed laparascopically. 07-02-2003: PET scan was inconclusive because the bone marrow responded very strongly to the neupogen, leading to the possibility of a false positive.

43. Testicular Cancer - MayoClinic.com of disease including symptoms, causes, risk factors, diagnosis, treatment and coping strategies....... http://www.mayoclinic.com/home?id=5.1.1.20.4

44. Testicular Cancer - MayoClinic.com testicular cancer is the most common cancer in men ages 15 to 40. When detected early, it is highly treatable. http://www.mayoclinic.com/invoke.cfm?id=DS00046

45. Regular Review: Managing Testicular Cancer -- Dearnaley Et Al. 322 (7302): 1583 Review article by DP Dearnaley in the British Medical Journal. http://www.bmj.com/cgi/content/full/322/7302/1583

Home Help Search Archive ... Table of Contents Author Keyword(s) Vol Page [Advanced] This article Extract PDF Respond to this article Read responses to this article ... View citation map Services Email this article to a friend Find similar articles in BMJ Find similar articles in PubMed Alert me to new issues of the journal ... Read articles citing this article PubMed PubMed Citation Articles by Dearnaley, D. Articles by Horwich, A Related content Other Endocrinology Cancer:other BMJ 2001;322:1583-1588 ( 30 June ) Clinical review Regular review Managing testicular cancer DP Dearnaley head of urology RA Huddart senior lecturer A Horwich professor Academic Unit of Clinical Oncology, Royal Marsden NHS Trust, Sutton SM2 5PT Correspondence to: DP Dearnaley Germ cell tumours of the testis are the commonest malignancy in men aged 20-40 years. Considerable therapeutic improvements in management based on the cancer's responsiveness to chemotherapy that contains platinum mean that over 95% of these patients can now expect to be cured.

46. Cancer Research UK: Testicular Cancer testicular cancer primarily affects young men in the 20 to 44 year old age group, testicular cancer responds particularly well to treatment, http://www.cancerresearchuk.org/aboutcancer/specificcancers/testicularcancer

Home About us About cancer News ... 'Being here' campaign You are here: Home About cancer Specific cancers Contact us ... Man Alive 2005 Testicular cancer If you or a friend or relative have been diagnosed with cancer, you will find much more detailed information on our patient information site, CancerHelp UK Summary Testicular cancer primarily affects young men in the 20 to 44 year old age group, where it is the most common cancer. Overall, testicular cancer is not very common. Each year, there are nearly 2,000 new cases in the UK. Testicular cancer responds particularly well to treatment, and over 9 in 10 patients are cured. The cancer develops from the cells within the testes. The testes are the two small oval-shaped organs on either side of the penis that produce and store sperm. They also provide the main source of the hormone testosterone, which is responsible for male sexual characteristics. If the cancer is not treated, cancer cells from the original site may break away and spread to nearby lymph nodes or, rarely, other organs. Risk factors There is no evidence that an injury or a sporting strain increases the risk of developing testicular cancer. Risk factors include:

47. Cancer Linksbased presentation. http://cancer.about.com/cs/testicularcancer/index.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a11' About Cancer Cancer Essentials ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/7.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Cancer newsletter! See Online Courses Search Cancer From Lisa Fayed Your Guide to Cancer FREE Newsletter. Sign Up Now! Bob Denver of Gilligan's Island, Dies of Cancer Treatment Related Causes TV's Gilligan, Bob Denver , has died from causes related to cancer treatment at Wake Forest University Baptist Hospital in North Carolina. He died Friday at age 70. Read more... Wednesday September 07, 2005 September is National Prostate Cancer Awareness Month President Bush has declared September as National Prostate Cancer Awareness Month. Now is the time to talk to men in your life - whether it be a father, friend, husband, partner, son, or brother about prostate cancer if you haven't already. This is especially important for men over the age of 50. Prostate cancer is the second leading cause of death among males diagnosed with cancer. When detected early, prostate cancer is treatable. Read President Bush's declaration Prostate Cancer 101 - What You Need To Know About Prostate Cancer Wednesday September 07, 2005

48. Cancer Research UK: Tackling Testicular Cancer Show your support for Cancer Research UK s Tackling testicular cancer campaign. There are many ways you can help us raise money for research into testicular http://www.cancerresearchuk.org/getinvolved/tackling_testicular_cancer/

Home About us About cancer News ... 'Being here' campaign You are here: Home Get involved Contact us Feedback ... Christmas fundraising Together we can tackle it Testicular cancer The good news is that around 95 per cent of men diagnosed with testicular cancer are now successfully treated. Early detection means simpler, more effective treatment with fewer side-effects. So it's vital for men to be body aware and know what symptoms to look out for. That's why this year Cancer Research UK and Gillette have joined forces to tackle testicular cancer. Find out more about the partnership Get your 'BlueBoy' badge Help us raise awareness of testicular cancer by purchasing our campaign badge from any Cancer Research UK shop . The 'BlueBoy' badge is also available in Jewson stores and Britannia Building Societies. With your badge you'll get a leaflet containing some information about the disease. Gillette is also including leaflets about testicular cancer in their men's blade packs. Support our vital research into cancer by donating online or setting up a Direct Debit with us Your money will continue to help more people survive the disease; people like Mark Bagnall, Robert Hall and James Cook. Read their

49. BBC NEWS | Health | Testicular Cancer Drug Effective A single dose of a drug is as effective at treating testicular cancer as two to three weeks of radiotherapy, research has found. http://news.bbc.co.uk/2/hi/health/4700755.stm

News Sport Weather World Service ... Newswatch Last Updated: Friday, 22 July, 2005, 09:02 GMT 10:02 UK E-mail this to a friend Printable version Testicular cancer drug effective A single dose of a drug is as effective at treating testicular cancer as two to three weeks of radiotherapy, research has found. Scientists say carboplatin could become the preferred treatment for the most common type of testicular cancer. It might also eventually allow surgeons to remove just the affected part of a testicle - rather than the whole organ. The study, funded by the Medical Research Council, is published in The Lancet medical journal. One dose of carboplatin in the short term is as safe as radiation and it's less toxic Professor Tim Oliver Nearly 2,000 men in the UK are diagnosed with testicular cancer each year and the incidence has doubled in the last 30 years. Most men are diagnosed when the cancer is confined to the testis, known as stage I disease. Side effects The most common type of stage I testicular cancer is seminoma, for which the standard treatment is surgery followed by a course of radiotherapy. Radiotherapy is extremely effective in preventing recurrence of the cancer, but there are potential side effects.

50. The Testicular Cancer Resource Center Dictionary A practical resource. http://www.acor.org/diseases/TC/dictionary.html

The TCRC Glossary For Testicular Cancer and Related Conditions A B C D ... Z Adenomatoid Tumor - A very rare, benign tumor of the epididymis . On ultrasound it appears as a well defined, hyperechoic mass separate from the testicle. Adjuvant therapy - A treatment given in addition to the main treatment (for example, chemotherapy as well as surgery) to try to prevent a cancer from coming back, even though there is no indication that the cancer is still there. AFP - see Alpha-fetoprotein Alopecia - The loss of hair. It is a side-effect of most forms of chemotherapy or radiotherapy used to treat cancer. In the treatment of testicular cancer, the chemotherapy usually causes hairloss about 2 weeks after the start of chemotherapy. During radiation treatments, the patient may lose hair in the area being radiated. It is usually temporary. Alpha-fetoprotein - AFP is a protein found in the bloodstream of some men with nonseminomatous testicular cancer (It is NEVER present in seminoma patients). The level rises when the cancer is growing and falls when the cancer is shrinking or has been surgically removed, so a blood test can possibly measure the progress of the disease and success of treatment. Because of this behavior, it is referred to as a tumor marker . Elevated levels of AFP occur in 75 per cent of patients with teratocarcinoma embryonal cell carcinoma , and yolk sac carcinoma . (However, increased levels of AFP are also found in patients with liver diseases, such as cirrhosis, acute and chronic hepatitis and hepatic necrosis. ) The serum

51. BBC NEWS | Health | Testicular Cancer Fertility Boost The vast majority of testicular cancer patients are able to go on to have children, research shows. http://news.bbc.co.uk/2/hi/health/4693379.stm

News Sport Weather World Service ... Newswatch Last Updated: Tuesday, 19 July, 2005, 22:56 GMT 23:56 UK E-mail this to a friend Printable version Testicular cancer fertility boost Testicular cancer can be cured The vast majority of testicular cancer patients are able to go on to have children, research shows. Researchers quizzed just over 200 men who tried for a family after treatment for the disease between 1982 and 1992. Of these, 77% fathered a child naturally, and another 10 became fathers after fertility treatment. The study, by the Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, is published in the British Journal of Cancer. SUCCESSFUL CONCEPTION Surgery alone: 85% Surgery and radiotherapy: 82% Surgery and chemotherapy: 71% Surgery, chemotherapy and radiotherapy: 67% It found patients treated with chemotherapy after surgery had an increased risk of infertility compared to those who had no follow-up treatment or had radiotherapy only. But it was less than had been expected. The study also found that 83% of men who took part in the study said they had a satisfying sexual relationship with their partner.

52. Testicular Cancer What To Look For Familydoctor.org Information about testicular cancer from the American Academy of Family Physicians. http://familydoctor.org/387.xml

Advanced Search familydoctor.org Home Conditions A to Z Cancer Testicular Cancer What is cancer? Who gets testicular cancer? What are some signs of testicular cancer? How do I do a testicular self-exam? Testicular Cancer: What to Look For Printer-friendly version Email this article What is cancer? The body is made up of many types of cells. Normally, cells grow, divide and die. Sometimes, cells mutate (change) and begin to grow and divide more quickly than normal cells. Rather than dying, these abnormal cells clump together to form tumors. If these tumors are cancerous (also called "malignant"), they can invade and kill your body's healthy tissues. From these tumors, cancer cells can metastasize (spread) and form new tumors in other parts of the body. By contrast, noncancerous tumors (also called "benign") do not spread to other parts of the body. Return to top Who gets testicular cancer? Male reproductive system Cancer of the testicles is the most common cancer in young men (15 to 34 years old). A man is more likely to get testicular cancer if any of the following are true about him: Is white.

53. National Cancer Institute - What You Need To Know About Cancer - An Overview Online brochure from the U.S. National Cancer Institute on symptoms, diagnosis, treatment and support. http://www.cancer.gov/cancerinfo/wyntk/overview

var bSearchBoxBool=false; Posted: Introduction Understanding Cancer Risk Factors Screening Symptoms ... National Cancer Institute Publications Page Options Print This Page Print This Document View Entire Document E-Mail This Document ... Order Free Copy Quick Links Director's Corner Dictionary of Cancer Terms NCI Drug Dictionary Funding Opportunities ... NIH Calendar of Events NCI Highlights NCI Offers Support for Those in Need After Katrina NCI Announces Plan to Fight Lung Cancer National Prostate Cancer Awareness Month National Ovarian Cancer Awareness ... Past Highlights Introduction Millions of Americans are living with a diagnosis of cancer . This National Cancer Institute (NCI) booklet (NIH Publication No. ) has information about this disease. You will read about possible causes, screening tests, symptoms, diagnosis, and treatment. You will also find suggestions for coping with cancer. Researchers are learning more about what causes cancer, and how it grows and progresses. And they are looking for new and better ways to prevent, detect, and treat it. Researchers also are looking for ways to improve the quality of life for people with cancer during and after their treatment. The NCI provides information about cancer, including the publications mentioned in this booklet. You can order these materials by telephone or on the Internet. You can also read them on the Internet and print your own copy.

54. Cancer Information, Research, And Treatment For All Types Of Cancer | OncoLink Related Topics for testicular cancer. OncoLink Cancer Resource testicular cancer The Basics. Carolyn Coyle, MSN, RN, AOCN OncoLink http://www.oncolink.com/types/section.cfm?c=19&s=64

55. Testicular Cancer--What To Look For - May 1, 1999 - American Academy Of Family P testicular cancer has a very good cure rate if it s found early and treated. A selfexam is another way to find testicular cancer (see below for http://www.aafp.org/afp/990501ap/990501c.html

Advanced Search AAFP Home Page Journals Vol. 59/No. 9 (May 1, 1999) Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org , the AAFP patient education Web site. An article on this topic is available in this issue of AFP Testicular CancerWhat to Look For Cancer of the testicles is the most common cancer in young men (15 to 34 years old). Testicular cancer has a very good cure rate if it's found early and treated. Your doctor can check your testicles during an exam. A self-exam is another way to find testicular cancer (see below for self-exam directions). If you find anything wrong during a self-exam (like a lump or a swelling), see your doctor right away. A drawing of genital anatomy is shown in Picture 1. Who gets testicular cancer? Men who are more likely to get testicular cancer: Are white Have a father or brother who had testicular cancer Have a testicle that did not come down into the scrotum (the skin "sack" that holds the testicles), even if surgery was done to remove the testicle or bring it down

56. Virtual Hospital: Cancer: Testicular Cancer testicular cancer is 4.5 times more common among white males than blacks. Overall, about three American men in 1000 develop testicular cancer at some time http://www.vh.org/adult/patient/cancercenter/testicularcancer/

What Men Should Know About Testicular Cancer Peer Review Status: Internally Reviewed by Cancer Center Staff First Published: 1988 Last Revised: January 2005 Rates and Statistics It is estimated there are 8,980 new cases of testicular cancer each year. The incidence of testicular cancer among white males has nearly doubled in the last forty years. Testicular cancer is 4.5 times more common among white males than blacks. Overall, about three American men in 1,000 develop testicular cancer at some time in their lives. It can occur in men at any age and is the most common cancer in men between 15 and 35 years old. The stage of the disease at the time of detection and treatment is an important predictor of prognosis. If testicular cancer is treated before it has spread to the lymph nodes, the cure rate is greater than 98%. This high degree of successful treatment demonstrates the importance of early detection practices such as testicular self-examination (TSE). Risk Factors The causes of testicular cancer are not well understood. Congenital abnormalities, hormonal drugs, certain diseases such as mumps or a viral infection, and heredity have been suggested as factors that could increase a man's risk of developing testicular cancer. Men who have an undescended or partially descended testicle are known to be at higher risk.

57. Peter Croft Music Man Memorial for Peter Croft who died of testicular cancer in February, 2000. http://petercroft.8k.com/

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58. Testicular Cancer - Mens Health: Health And Medical Information About Mens Healt Mens Health medical information on impotence, heart disease, prostate and colon cancers and hair loss. http://www.medicinenet.com/testicular_cancer/article.htm

document.writeln(''); MedicineNet Home Men's Health Home Page > Testicular Cancer Search Tips Printer-Friendly Format FREE Newsletters Email to a Friend ... Next Testicular Cancer (Cancer of the Testicle) What are the testicles? What is cancer? What is testicular cancer? How common is testicular cancer? ... Testicular Cancer At A Glance What are the testicles? The testicles (also called the testes or gonads) are the male sex glands. They are located behind the penis in a pouch of skin called the scrotum. The testicles produce and store sperm, and they are also the body's main source of male hormones. These hormones control the development of the reproductive organs and other male characteristics, such as body and facial hair, low voice, and wide shoulders. What is cancer? Cancer is not one disease. It is a group of well over 100 distinct diseases. Although each kind of cancer differs from the others in many ways, every type of cancer is a disease of some of the body's cells. Healthy cells that make up the body's tissues grow, divide, and replace themselves in an orderly way. This process helps keep the body in good repair. Sometimes, however, certain cells may lose the ability to limit and direct their growth. They grow too rapidly and without any order. Too much tissue is produced, and tumors are formed. Tumors can be either benign or malignant. The distinction is crucial.

59. EMedicine Health - Testicular Self-Exam Introduction Provides information about causes and symptoms of testicular cancer as well as outlining a procedure for early detection. http://www.emedicinehealth.com/articles/11400-1.asp

Search September 9, 2005 Registration Healthcare Professionals You are in: Men's Health Testicular Self-Exam Testicular Self-Exam Introduction A testicular self-examination (TSE) is useful in the detection of cancer of the testicles. Testicular cancer is the most common solid tumor found in males age 20-34 years. If detected early and treated, testicular cancer is almost 100% curable. If untreated, it may spread to the lymph nodes and lungs. Tumors usually are found on 1 side, but 2-3% are found in both testicles. Last updated: Aug 10, 2005 Testicular Self-Exam, Risk Factors Sections Testicular Self-Exam Introduction Risk Factors Signs and Symptoms How to Do a Testicular Self-Examination When to Call the Doctor ... Authors and Editors Dementia is not something that happens only to older people. Learn about causes and treatment options. Stress, fear, or worries can lead to severe anxiety, which can have a serious impact on your life. Do you need to seek help? Anxiety Asthma Cholesterol Depression ... Healthcare Professionals We subscribe to the HONcode principles. Verify here Medicine is a constantly changing science, and clearly established therapies are not always available for every condition. New research findings necessitate continual changes in drug and treatment therapies. The authors, editors, and publisher of this journal have used reasonable efforts to provide up-to-date, accurate information that is within generally accepted medical standards at the time of publication. However, as medical science is ever evolving, and human error is always possible, the authors, editors, and publisher (or any other involved party) do not guarantee total accuracy or comprehensiveness of the information in this article, nor are they responsible for omissions, errors, or the results of using this information. The reader should confirm the accuracy of the information in this article from other sources. In particular, all drug doses, indications, and contraindications should be confirmed in package inserts.

60. Chemo Vs. Radiation For Testicular Cancer - Cancer Information On MedicineNet.co Information on many different cancers includes symptoms, cancer detection and prevention, and treatment options. http://www.medicinenet.com/script/main/art.asp?articlekey=52650

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