Topics:
Genitourinary Cancers • Medical Oncology
How would you approach management of a large retroperitoneal mass that shows seminoma on biopsy?
Testicular ultrasound, CT, and tumor markers are without abnormalities outside of the mass.
Answer from: Medical Oncologist at Academic Institution
Cure rate should be 90-95% with BEP X 3 ( EP X 4 if over age 50) . No need to consider a mixed tumor. Postchemo, he with be in P.R. and would then just observe residual mass with serial CT scans.
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Answer from: Medical Oncologist at Community Practice
Also, do not forgot about Orchiectomy to take care of the primary tumor if not done yet (given the blood testis barrier with chemotherapy)