Marcus Döring's diseases: testicular cancer and sarcoidosis

This page is the basis for information regarding Marcus Döring's diseases of testicular cancer and sarcoidosis. The intention of the following pages is to inform you about Marcus' development and provide some real-life figures and pictures related to such a patient.

Please nota bene my preface about how I see disease in general.

The following table is a short summary of the main events in chronological order.

The leading two columns' color code indicates to which disease the event relates: atypical sarcoidosis and testicular cancer - in a way as it is retrospectively suspected, since the final diagnosis was not always known at the time of the event. The latter mainly relating to the diagnosis of the atypical sarcoidosis.

		1979
		October	1. fever attack (more than 40 degrees Celsius) of unknown origin, more than 30 such fever attacks since then until today
		1989
		September	Ulcus in right lower leg, suspected to be vasculitis or sarcoidosis granulomatosa
		1996
		February	Discovery of cirrhosis of right kidney, unknown if result of pyelitis or by birth
		1999
		November	Discovery of small holes in retinae of both eyes
		December	Photocoagulation of retina of left eye.
		2001
		February 5	discovery of a malign testicular cancer tumor, operation: orchiectomy of right testicle
		February 7	CT scan 1: thorax and abdomen, discovery of abdominal and suspicious lung metastases
		February 27	day 0 of chemo-cycle 1, BEP scheme
		March 20	day 0 of chemo-cycle 2, BEP scheme
		April 19	CT scan 2: thorax and abdomen, confirmation of abdominal and suspicious lung metastases, though smaller in size
		May 17	day 0 of chemo-cycle 3, BEP scheme
		June 13	CT scan 3: thorax and abdomen, confirmation of abdominal metastases, though again smaller in size, lung suspicion no longer favoured
		July 26	operation: retroperitoneal lymph node dissection, discovery of a remaining vital tumor mass in abdominal node
		August 7	CT scan 4: thorax and abdomen, no additional suspicious nodes found
		September 24	CT scan 5: thorax and abdomen, no additional suspicious nodes found
		October 22	day 0 of chemo-cycle 4, BEP scheme
		November 9	autologous stem cell harvest
		November 22	day 0 of chemo-cycle 5, BEP scheme
		December 14	CT scan 6: thorax and abdomen, no additional suspicious nodes found
		2002
		January 29	CT scan 7: thorax and abdomen, no additional suspicious nodes found
		May 2	CT scan 8: thorax and abdomen, no additional suspicious nodes found
		July 30	CT scan 9: thorax and abdomen, no additional suspicious nodes found
		October 29	CT scan 10: abdomen, no additional suspicious nodes found
		2003
		January 14	CT scan 11: thorax and abdomen, suspicious lung locations found, wait and see recommended
		April 24	CT scan 12: thorax and abdomen, suspicious lung locations no longer existing, no additional suspicious nodes found
		July 22	CT scan 13: thorax and abdomen, no additional suspicious nodes found
		October 28	CT scan 14: thorax and abdomen, no additional suspicious nodes found, change of surveillance interval to 6 months
		2004
		April 30	CT scan 15: thorax and abdomen, suspicious lung location found: metastasis? another double-check foreseen for May 18
		May 18	CT scan 16: thorax, suspicious lung location increased in size, additional one found: metastases? discussion with doctors foreseen for the next days to evaluate options: thoracotomy, chemotherapy
		May 24	Lung operation (thoracotomy), five lung locations identified, though definitely no metastases of the primary testicular tumor, but benign tumors in the lung
		July 8	Sero-hemato-pneumothorax of right lung, occured during lung function test
		July 8-13	CT scans 18, 19: thorax, remaining mass under right lung identified (7x5cm) - discussed as being result of thoracotomy and pneumothorax, favoured diagnosis of lung tumors: symptom of an atypical sarcoidosis, no additional suspicious nodes found
		August 26	CT scan 20: thorax and abdomen, size of remaining mass under lung decreased, no additional suspicious nodes found
		November 4	CT scan 21: thorax, size of remaining mass under lung decreased, no additional suspicious nodes found
		2005
		March 10	CT scan 22: thorax and abdomen, size of remaining mass under lung decreased, no additional suspicious nodes found

Here is some additional information strongly related to the testicular cancer period:

• Some detailled figures about blood counts: White blood cells and platelets turned out to be most affected by the chemotherapy.
• A picture of the scar from the first operation dated February 5, 2001.
• A picture of the scar from the operation to dissect the retroperitoneal lymph nodes dated July 26, 2001.
• Two pictures of catheters: an arm catheter and a central venous catheter.
• A picture of the scar from the thoracotomy operation dated May 24, 2004.

Be sure to check out the section about testicular cancer in general.