Would you consider a cycle of EP in a patient with good risk stage IIIB seminoma on BEP but with bleomycin omitted for cycle 3?

Topics: Genitourinary Cancers • Pediatric Oncology • Medical Oncology • Testicular Cancer • AYA • AYA Cancers

Bleomycin omitted due to asymptomatic decline in DLCO

Answer from: Medical Oncologist at Academic Institution

There are many aspects to this question. Good risk stage II seminoma has a 90-99% cure rate. I presume he has had all 3 five day courses of the EP component and 6 of 9 weeks of bleomycin. An ECOG study from about 30 (!) years ago compared BEP X 3 versus 3 courses EP for all types and histologies ...

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Medical Oncologist at Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Sincere thanks

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