How would you manage a patient with stage 1 seminoma on surveillance without prior radiation or chemotherapy who develops para-aortic lymphadenopathy without increase in tumor markers?  

Would you radiate? Surgery? Chemo? Follow with short interval scans?

How would size of adenopathy (e.g. <2cm vs larger) and time of recurrence (within first 3 or 6 months vs later) inform your decision?



Answer from: Medical Oncologist at Academic Institution
Comments
Medical Oncologist at Berkshire Hem Onc PC
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Medical Oncologist at Indiana Univ Simon Cancer Center
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Medical Oncologist at President Levine Cancer Inst
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Medical Oncologist at UPMC Hillman Cancer Center
What about common iliac LN? (both for consideratio...
Radiation Oncologist at CEMIC
I would agree with my colleagues about the feasibi...
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