What factors would lead you to consider RT for men with Stage I seminoma?
The Chung validation study did not find that size > 4cm or rete testis invasion are risk factors for relapse and the current NCCN guideline discourages using these criteria. Are there any factors that help with this recommendation?
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Mednet MemberInvited Expert
Radiation Oncology · Cedars-Sinai Medical Center
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I strongly agree that observation should be the first option for Stage I seminoma with normal postop markers. Since cure rate is near 100%, we should be looking for the least morbid managment strategy.
I generally favor observation with an expectation that para-aortic relapses of less than 5 cm shou...
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Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
Our current recommendation is observation/surveillance for all stage I seminoma, irrespective of risk factors, as the first line of management unless compliance is a concern.
We are looking at the NCDB database for practice pattern and there is a growing positive trend of surveillance as first line,...
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