3xBEP or 3xBEP+1EP for good risk!?

[metroman]

hello all,

I have been diagnosed with stage 3A tc.Here are the details:
before i/o:
AFP-14.9
HCG-773
LDH-364 ref 120-246

after i/o
AFP-2.16
HCG-3303
LDH-351

CT scan-
no retroperitoneal lymph nodes.
But lung mets with 3 small nodules
5mm, 10mm and 1.8 mm (all less than 2cm)

My doc started off with telling me we would be starting 4x BEP.
Im done with first cycle, at the beginning of second cycle the markers:
AFP:1.3
HCG:49
LDH:349

My doc told me we will be doing 3xBEP +1EP and omitting bleo in last cycle as Im in good risk group.
But I did some searching around Dr.E's papers, google etc, and many people here say 3x BEP is the recommended standard treatment for good risk group!
Any experts/ experienced people!? what do you think about the treatment!?
Fed, mike!? Can you guys help me out!?

Look at my sigpic for pathology.

[Leanersnail4]

Although I am not sure which is the best treatment, the 4th cycle may be due to you being on the higher end of good risk, approaching intermediate. Cutoff is 5,000 for HCG marker. Check the following guidelines out.

https://www2.tri-kobe.org/nccn/guide...testicular.pdf

Entire guideline is informative but refer to the chart on page 27.

[metroman]

Although I am not sure which is the best treatment, the 4th cycle may be due to you being on the higher end of good risk, approaching intermediate. Cutoff is 5,000 for HCG marker. Check the following guidelines out.

https://www2.tri-kobe.org/nccn/guide...testicular.pdf

Entire guideline is informative but refer to the chart on page 27.

thanks for the link.
But im a little confused about getting over treated because to start with im in good risk.

[Leanersnail4]

I understand the confusion. I was the same way before I was set to begin 4 x BEP. I would seek a second opinion or contact Dr. Einhorn by email [email protected]

*sent u a msg

[Davepet]

I could be wrong, but I seem to recall that lung mets put you at stage 3, plus yolk sac & chorio, are both aggressive forms. I don't want to worry you because both can be treated, but it seems to me that we have lost more members to chorio than any other type recently. I would personally want to hit this hard for the best shot at a cure the first round.

Dave