How would you treat a residual mediastinal mass in patients with a mediastinal germ cell tumor with an incomplete response to primary chemotherapy with BEPx4?   

i.e. gross disease on scans that is too diffuse to be removed completely and/or decreasing but not normal markers

Do you pursue close surveillance, second line chemotherapy, or surgical resection?



Answer from: Medical Oncologist at Academic Institution
Comments
Medical Oncologist at University of Mississippi Medical Center
Thank you very much for your reply.  To addre...
Medical Oncologist at Indiana Univ Simon Cancer Center
There is never a problem with a declining marker, ...
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