Do you routinely check Pulmonary function testing prior to each cycle of BEP for young patients with testicular cancer with no pulmonary risk factors?

A few comments:

1. I do not check DLCO or PFTs in general in patients under age 50 getting just 3 courses of BEP. We tend to avoid bleo if over age 50.
2. If a patient is getting 12 weeks of bleo, I check DLCO just prior to the start of the 4th course, and if DLCO < 60%, I give VIP for the 4th course. Ad...

When I am starting a patient on BEP or something similar, I pay particular attention to the following:

• Is the patient a smoker and for how long?
• Does the patient have extensive pulmonary mets?
• Does the patient have intercurrent pulmonary disease - in my career, I have only treated one patient with ...