Is there a lung metastasis size cut-off do you suggest for selecting between BEP and VIP as initial chemotherapy in advanced testicular cancer?

I do not use a size cut off to select initial chemotherapy regimen for advanced testicular cancer. I rather use the International Germ Cell Cancer Collaborative Group (IGCCCG) model for initial risk stratification. Irrespective of risks, BEP is considered standard initial regimen. Nevertheless, for ...

I believe bleomycin is still preferred in view of this having the largest datasets and longer follow up survival data. In similar situations in my practice, I have utilized baseline PFTs and DLCO to guide choice of bleomycin. For example, in a heavy smoker with baseline DLC < 60, I would prefer VIP ...