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How would you treat newly diagnosed good risk stage III seminoma with hearing loss?

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Mednet Member
Mednet Member
Medical Oncology · Veterans Administration Health Care Center

In order to treat a newly diagnosed stage 3 seminoma in a hearing-impaired patient, my first step is to have the pathology confirmed by an expert GU-tumor pathologist to ensure that this is not actually NSGCT nor large cell lymphoma. While that is in process, I ensure that baseline tumor markers hav...

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Mednet Member
Mednet Member
Medical Oncology · Testicular Cancer Commons

I do not think there is an alternative to cisplatin-based chemotherapy, and BEP would be a very strong preference because it reduces the cumulative dose of cisplatin. It is far from automatic that cisplatin will worsen his hearing. I would pay careful attention to hydration and dehydration during de...

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