Beta HCG values after the surgery?

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Hello.

a year ago I went to urologist to check on my testicles as I didn't felt comfortable with the right one. I've been postponing that for too long, but I wasn't even aware how long. I'm sure it was more than 6 months because it was October 2021 when I've decided that I'd need a check.

Anyway, after about 6 weeks during which I've done MRI, blood tests, sperm deposition and exams with several doctors, I went to surgery and my right ball went to ball heaven. Apparently it was seminoma and I just need to check on LD, AFP, Beta HCG and do US, CT, RTG regularly.

My question is.. All markers values were below critical, I mean in the regular ranges.

Before the surgery (April 2022):

AFP 1.4 Ug/L (<7)

Beta HCG 1.3 IU/L (0-2.6)

LD 191 U/L (<241)

After the surgery (May 2022):

AFP 1.4 Ug/L (<7)

Beta HCG <0.1 IU/L (0-2.6)

LD 168 U/L (<241)

So only value that had significant drop was Beta HCG.

The results were similar in November as they were in May.

Now, end of March 2023, my Beta HCG value is 0.2 which, although still well inside the reference interval is an increase. And now I'm kind of freaking out inside. Is it coming back? is it something else?

Are there other factors that could affect it? I am under lot of work and life stress lately and I lack sleep.

I have sort of continued my life as usual after the recovery and I haven't had and depressive thoughts or anything as I thought it's done. Ugh...

Anyone here care to share your marker values after the surgery for comparison? Please..

latchbrook over 1 year ago

Hi Pustimeljutsam and a very warm welcome to the online community which I hope you'll find is both an informative and supportive place to be.

I can't help with your question but I noticed that your post hadn't had any replies yet. Responding to you will 'bump' it back to the top of the discussion list where it'll be more easily spotted.

"Never regret a day in your life, good days give you happiness, bad days give you experience"

Pustimeljutsam over 1 year ago in reply to latchbrook

Thank you for the support.

Pustimeljutsam 3 days ago

More than two years after the operation, as I thought the problem is behind me, I've got some crotch ache and some issues while urinating (more often and less in volume than usual). At first we thought it was a bladder cold or infection, but CT scan shows increased pelvical lymph node. Biopsy was performed couple of months later and there weren't traces of tumor but some chronic inflammation. Then, I was directed to other department where they tested against various infections all resulting negative leaving only unlikely possibility of tuberculosis which required another tissue sample. Since I've experienced quite some pain caused by it during several occasions, I've arranged a lymphodectomy surgery with my urology specialist. The surgery was performed in January.

The surgery is apparently RPLND as described on this site and pathology results came saying that 5 nodes had traces of metastases from original seminoma, while 3 hadn't.

Now waiting for the multidisciplinary team to give me directions for the treatment.

Heads up for anyone with similar experiences...

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Beta HCG values after the surgery?