Do you give adjuvant chemotherapy to a patient with a completely resected mediastinal pure seminoma?
What is your approach to a patient who underwent surgery for what was thought to be a thymoma, but ended up being a pure seminoma? No disease elsewhere including in testicles or nodes on full staging scans.
Answer from: Medical Oncologist at Academic Institution
There will never be “evidence based medicine” to answer this query. If this was known to be a primary mediastinal seminoma, he would have initially received standard chemo for good risk disease, preferably BEP X 3 if under age 50. In my opinion, that would have been preferred over radiot...
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