Longest day and move to treatment

November 2nd: Met with the Urologist/Ocologist and he reviewed my files and pathology reports. He didn’t have access to the CT Scan which I brought with me on a disk. We discussed the staging and RPLND was the best option. He said he does about 20 per year and felt comfortable with the high and difficult location. Then, he took the disk to review with an Medical Oncologist. When he came back in the room, he informed us that the large tumor was 2.2 cm and there were at least three of four more adjacent to than one with one crossing over the Aorta to the right side. New category: Stage 11B. With this category, chemotherapy is the first treatment. More tests to get a baseline. Blood tumor markers and CT Scan of pelvis, abdomen and full lungs were done. Then, met with the Medical Oncologist. She recommended four cycles of chemotherapy using EP drugs.