| After the
surgery - now what do I do?? This is the biggest
question as all patients with testicular cancer are just ready for this
all to be over and ready to move on with their lives. These are some of
the "RECOMMENDED" treatment options for testicular cancer. Please note
that these are recommendations, and you should follow what your
Physician advises you do. If you are unsure or not comfortable with
what your Physician is recommending, then we would suggest that you get
a second opinion. |
|
Lymph node metastases, CT
scan
A CT scan of the middle abdomen showing a large tumor mass due to
metastasis (spreading cancer) in abdominal lymph nodes.
|
Clinical Stage I Nonseminoma - Treated with Surveillance only Note: "Clinical" refers
to the diagnosis being based on clinical data (pathology, markers,
xrays)
- Year
1: Tumor Markers and Chest X-ray done every
month Abdominal CT scan done every
2 months
- Year
2: Tumor Markers and Chest X-ray done every
2 months Abdominal CT scan done every
4 months
- Years
3-5: Tumor Markers and Chest X-ray done every
6 months Abdominal CT scan done every
6 months
- After
Year 5: Tumor Markers and Chest X-ray done once
a year
Pathological Stage I Nonseminoma - Treated with RPLND
only Note: "Pathological" refers to the diagnosis being
based on physical evidence
- Year
1: Tumor Markers and Chest X-ray done every
month
- Year
2: Tumor Markers and Chest X-ray done every
2 months
- Years
3-5: Tumor Markers and Chest X-ray done every 6
months
- After
Year 5: Tumor Markers and Chest X-ray done once
a year
Pathological Stage II Nonseminoma - Treated with RPLND
only
- Year
1: Tumor Markers and Chest X-ray done every
month
- Year
2: Tumor Markers and Chest X-ray done every
2 months
- Years
3-5: Tumor Markers and Chest X-ray done every
6 months
- After
Year 5: Tumor Markers and Chest X-ray done once
a year
Pathological Stage II Nonseminoma - Treated with RPLND
and 2xBEP
- Year
1: Tumor Markers and Chest X-ray done every
2 months
- Year
2: Tumor Markers and Chest X-ray done every
4 months
- Years
3-5: Tumor Markers and Chest X-ray done once or twice
a year
- After
Year 5: Tumor Markers and Chest X-ray done once
a year
Stage IIc or Stage III nonseminoma - Treated with
Chemotherapy, cancer in remission: For Good Risk cancer
(seminoma; nonseminoma with AFP < 1000 ng/ml, hCG < 5000 mIu/ml,
or LDH < 1.5 times the upper limit of normal; no liver, bone, or
brain metastases; gonadal or retroperitoneal primary tumor)
- Year
1: Tumor Markers and Chest X-ray done every
2 months
- Year
2: Tumor Markers and Chest X-ray done every
4 months
- Years
3-5: Tumor Markers and Chest X-ray done every
6 months
- After
Year 5: Tumor Markers and Chest X-ray done once
a year
|
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