The updated (2011) NCCN surveillance for seminoma (or seminoma treated with carbo) changes chest x-ray from every other visit to "as clinically indicated". Seems like there is little risk for it to jump to the chest without being detectable in the abdomen (as opposed to some non-seminomas).
Originally Posted by CW406
It would be unusual for it to jump to the spleen without any lymph node involvement, but that is why we all do surveillance. Hopefully the MRI will help resolve the spleen issue. Good luck.
2 Feb 2009 - GP, Urologist, ultrasound (all in one day!)
3 Feb 2009 - Right I/O, Stage 1B (pT2) - Seminoma - 4.5cm tumor, LVI+, Rete Testis "appears negative"
Pathology 2nd opinion (MSKCC): Rete Testis involvement confirmed
Treatment 2xCarboplatin: 10 Mar 2009 (800mg)/31 Mar 2009 (860mg)
Surveillance (NCCN protocol) - through June 2012 -- All Clear