an increased incidence. so immediately I thought this has nothing to do with But many men with testicular cancer have no known serious disease," recalls Calcott Imerman. risk factors. When the pain worsened the next day, Calcott Beltzman knew more about testicular cancer than the Imerman went to the emergency room, where doctors average person. His father died of it in 1976. His par- diagnosed him with a bacterial infection..A month later, ents taught him how to check himself. That's one of the when he still had lingering pain — and with his family reasons why he found a pea-sized lump on the side of begging him to see a urologist — Calcott Imerman his testicle three years ago. There was no pain, and he finally went. His cancer's stage was between 2 (cancer hoped it would just go away. It didn't. has spread to lymph nodes in the abdomen) and 3 (it After surgery to remove the testicle, with a stage 1 has spread to more distant sites). diagnosis, doctors suggested a "wait-and-see" approach "It's mind boggling that I did that," Calcott Imerman (Beltzman's tumor was not responsive to either radiation admitted about waiting. "But I managed to push it out or chemotherapy). Like Calcott Imerman, he opted for of my mind that hard." surgery to remove his abdominal lymph nodes. In his Delaying the diagnosis by anywhere from two to four case, this was a proactive measure to ensure no future months is "a very typical male thing," said Dr. Lutz. spread of disease. Calcott Imerman underwent the standard surgery to "Men who are young think nothing can happen to remove his testicle — a relatively painless procedure. His type of cancer did not respond to radiation so he needed them, but what they're missing is the one cancer that targets them," said Beltzman. chemotherapy. Vikki Rakowski, vice president for cancer control at "Really my body got so slammed," Calcott Imerman the American Cancer Society Great Lakes Division, remembers. speaks about adolescents at risk. "I think it's a situation He wore a chai around his neck during the nearly four where you have young males who are very embarrassed months of daily eight-hour treatments. "I just liked that to even acknowledge they have testicles." something was around my neck that spelled out life." "Its better to talk about it with your kids ... and make Last June, doctors detected an abdominal mass in them uncomfortable so they'll know how to check it," Ca-lots Imerman that they didn't think was cancer, but Dwoskin said. were not sure. One option was for him to receive close Fertility issues may be of concern. Radiation treat- follow-up to monitor his disease (testicular cancer has ments do not usually lead to long-term problems. some of the most reliable blood markers to indicate dis- Chemotherapy may, but it's unlikely. Dwoskin, ease progress). Or, he could have surgery to remove the Beltzman and Calcott Imerman all say they feel great. mass and his abdominal lymph nodes to remove a possi- ..Two of the men are married and ble cancer tumor and expecting children. prevent future spread of "In terms of libido and sex drive, I disease. He opted for feel like it's been exactly the same," surgery. says Calcott Imerman. "I'm not playing Some well-known celebrities have Russian roulette with The best way to find testicular cancer early is to do beaten testicular cancer, including my life," Calcott monthly self-exams after a warm shower. Check comedian Tom Green and ice skater Imerman explained. for: Scott Hamilton. This summer, Lance Risk factors for testic- • A lump in either testicle Armstrong — who was diagnosed in ular cancer include age • Any enlargement of the testicle 1996 with the worst stage of testicu- (15-35), race (whites are • A feeling of heaviness or dralging in the scrotum lar cancer — won his fourth Tour de much more at risk than • A dull ache in the lower abdomen or groin France cycling race. Armstrong African Americans), fail- • A sudden collection of fluid in the scrotum remains disease free and has fathered ure of the testicles to • Pain or discomfort in a testicle or in-the scrotum three children. descend properly into • Enlargement or tenderness of the breasts. One is considered cured of disease the scrotum before These symptoms do not necessarily mean can- if the patient remains disease-free for school age, having previ- cer. They may be signs of other things, and should five years. However, the chances are ously had the cancer, be checked by a doctor. highly unlikely it will recur after and family history. being disease-free for three years. ❑ Infertile men also have Test YAD Will Start New Year Sept. 5 With New Officers Josh Opperer passes the YAD gavel to Scott Kaufman. The Young Adult Division of the Jewish Federation of Metropolitan Detroit is beginning its 2003 pro- gramming year with a special event Thursday, Sept. 5. From 7:30 to 11 p.m., Jewish young adults age 21-37 are invited to the Birmingham Community House for an evening of classical music by the Cassini Ensemble and appetizers and desserts catered by B'Tayavon. There will be a cash bar, and dietary laws will be observed. The cost is $20 in advance or $25 at the door. This will be a non- solicitation event. The chairs for the kick-off are Cindy Friedman and Dianna Rashty. - Forinformation or to RSVP, call Jonathan Goldstein, (248) 203- 1471 or goldstein@jfind.org . At YAD's annual meeting in June, Scott Kaufman was installed as president and Amy Schlussel was installed as president-elect. Other officers are: Lorne B. Gold, David Kreis, Michele E. Saulson, Dawn , , , M.VELVM1M-Nala.%\\W‘s, ,Va ' Featuring Lunch: Tuesday thru Saturday llam-2pm LOUNGE & GRILL 248. 6 6 9 .22 6 3 (Formerl y Nifty Normans) Dinner: Tuesday thru Thursday 5pm-10pm • Friday thru Saturday 5pm- llpm Sunday 4pm-9pm Liv D ancing Until 2 am In Our Lower Level 1403 S. Commerce Road in Walled Lake • Just North of Pontiac Trail f&r.E2=012;M:77:0717410:3M1. ,MM(22.7,7",:,,,,,4 Zg 8/23 2002