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Post Orchiectomy Guidelines for Stage I Seminoma

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  • Post Orchiectomy Guidelines for Stage I Seminoma

    Spotted this in a CNN article:

    http://www.cnn.com/2013/05/16/health...html?hpt=hp_t2

    A second study looked at the efficacy of post-surgery chemotherapy and radiation for patients with seminoma, a common type of testicular cancer, versus follow-up monitoring of the patients. Researchers looked at 1,800 patients with stage 1 seminoma in Denmark, where the typical post-surgery treatment protocol calls for regular clinic visits, CT scans, X-rays and blood work -- not chemo or radiation.

    However, many U.S. treatment centers do use chemo and radiation as part of post-surgery treatment. More than 80% of patients did not relapse after surgery, the study found, eliminating the need for follow-up chemotherapy or radiation. In those who did relapse, follow-up treatment led to a 99.5% survival rate.

    "In this study, we see that surveillance alone was safe," said Dr. Clifford Hudis, president-elect of the American Society of Clinical Oncology.

    Here is more info on the study:

    http://www.medscape.com/viewarticle/804287
    7/25/12 : dx stage IIIC- nonseminoma (yolk sac)
    7/30/12-10/15/12 : 4xBEP
    12/12/12 - 12/16/12: 1X TIP
    1/10/13 - 2/21/13: 2X HDC @ IU
    https://www.caringbridge.org/visit/Bryantlook
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